Riva, some good comments and questions have already been posted. To that mix, i would add:

- Has anyone checked the mothrt's breast development and history?
- Breast development at puberty? In pregnancy? 
- History of PCOS, IDDM, thyroid anomalies (what meds and recent tests?) 
- Family history of low stature, slow growth? 

Also, what sort of support network does she have. Is it all negative input? 

Hind milk feeding is worth trying. Remember, though, that babies *need* lactose and trying to express off and discard the first milk in the feed at every feed can be counterproductive. Perhaps the first two or three feeds, to start with.... 

Another strategy is to have the mother not thinking too far ahead. Checking in twice a week is useful for some mothers, with a goal of reaching that half week milestone, and then discussing 'where to now?'. A mother may consequently give her baby the multiple protective factors in her milk, for even a short time longer than intended.
. 
   If the child does need topping up with artificial infant formula, need it be after every feed, or larger top ups less frequently? Can she access an at-breast supplenter, and be helped to feel okay about using it? 

Just some ideas.

Virginia

Dr Virginia Thorley, PhD, IBCLC, FILCA
Ipswich, QLD, Australia
( near Brisbane)




Sent from my Huawei Mobile



             ***********************************************



Archives: http://community.lsoft.com/archives/LACTNET.html

To reach list owners: [log in to unmask]

Mail all list management commands to: [log in to unmask]

COMMANDS:

1. To temporarily stop your subscription write in the body of an email: set lactnet nomail

2. To start it again: set lactnet mail

3. To unsubscribe: unsubscribe lactnet

4. To get a comprehensive list of rules and directions: get lactnet welcome