Has baby found his thumb?
If mom is up to monitoring thumb sucking, and willing to offer the breast for some extra sucking, this will increase weight gain slightly.
I’m assuming that mom is not pushing a pacifier?
Laura Monin
Retired IBCLC
Sent from my iPhone
> On Aug 15, 2019, at 5:01 PM, Lj Berkeley <[log in to unmask]> wrote:
>
> Hello Smart Women!
> I am in need of brainstorming help. What follows is a "case study" of a
> client that I have been struggling to help. I'll post in bullet point
> style so its easy to read. What I want to know is if anything jumps out at
> you (i.e. what am I missing?). He has dropped from the 50th percentile to
> the 12th and mom is very upset. Pediatrician is not.
>
> DOB 5/10/19 boy at 39 5/7 wks, vaginal birth (NSVD) in a hospital to an MD
>
> BW 7lbs 9oz
>
> Wt at 2d 7lbs 2oz
>
> Wt at 2 mo 11 lbs 3oz
>
> Wt at 3mo 12lbs 3oz
>
> Wt at 3mo + 1 wk 12 lbs 7oz
>
>
> Other pertinent facts:
>
>
> Exclusively breastfed baby. Mother used shields until 8 weeks. Feeds
> directly now.
>
> Baby feeds 10 x day
>
> Baby feeds 20 mins and generally both sides
>
> Baby had frenotomy in hospital at 1day of age (only tongue, not lip,
> scissors not laser)
>
> Baby had small amount of GERD causing frequent spit up which has resolved
>
>
> Stools: had frequent up to 2 mo and now has “massive” stools 1x day and
> smaller 1x day
>
> Urine: very frequently urinates, diapers “always” wet and it appears clear
>
>
> Baby developed eczema at 2 mo, began on his cheeks, spread to his
> face. Pediatrician
> prescribed hydrocortisone “oil” and mother states its helping.
>
>
> Baby does not sleep with parents, but in a nearby bassinet. Feeds q 2-3hr
> at night with one interval of 5 hours (usually) between 8pm and 1am.
>
>
> Sibling: Breastfed +- 2 years with great weight gain all along. Sibling
> also started feeding with shield and dropped it on her own at 6 weeks.
>
>
> Mother's nipples appear undamaged, she denies any pain, feels full if baby
> waits more than 2.5 hours without feeding. Her breasts appear normal to
> me, medium sized, mildly flat nipples but evert nicely when baby attaches
> (and round on detach)
>
>
> THOUGHTS!?!?
>
> Libby in El Paso
>
>
>
> Lizabeth J. Berkeley, MPH, IBCLC, RLC
> Breastfeeding Garden at El Jardin
> 901 Arizona, 10:30-1 every Friday
> 915-257-8844
>
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