Hi, Everyone
I'm new here. I live in northeast New Jersey, USA.  I am a full time WIC
employed IBCLC and have been a LLL Leader for 23 years.
My sons are now 26 and 28 and have left the nest.

Just wanted to respond on the net to the question about the little one
described here......
*******
I have seen a  baby this week who has me stumped. He is 7 weeks old,
gained well for first 3 weeks after birth (gained 400grams about 14
oz). After that he seemed to get very restless at the breast, always
wanting to feed but never satisfied, still plenty of wet nappys.
Mother had been unwell with mastitis and uterine infection, and has 2
other children at home.
Baby weighed last week and has only gained 150g ( 5-6oz) in 4 weeks.

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This happened  with a baby I worked with.  He gained well the first three or
four weeks and you could hear him gulping.  Then he got very fussy and was
gaining very slowly and nursing all day.  The mother went to a Kittie Frantz
seminar and asked Kittie about the problem.  Kittie asked to see the baby.
 Turned out the baby had a short frenulum... probably causing these problems.
 That made me remember my very first thought when I saw this baby.  "He looks
tongue tied...... not extreme but ..."  Then when I observed them together
time after time for two weeks ( I was their postpartum doula at the time),  I
saw and heard swallowing and mom was not sore.  Figured.... no problem....
not effecting  the nursing..... but that was the rush of new milk production
and he was just drinking what poured from a would-be-over-abundant  milk
supply breast and her nipples were yielding enough not to get too sore.  I
went away after my two week time there and later heard of the problems.
 They, too, tried the SNS without success and after Kittie's observation, had
the frenulum cut.  He was by this time at least 7 weeks old and I could not
spend a lot of time with them.  He never really relearned a proper suckle.
Good luck with the little one you are working with, Fiona.