Hi all,

I have a mom who is trying so very hard to breastfeed her baby. The baby 
latches very well. He is 3 weeks old. His birth weight was 7lbs 13oz. He 
dropped to 7 lbs at 4 days old, but regained to 7lbs 8oz and has not gone up 
since. Baby looked scrawny to me, but not worried or terribly upset. Mom had 
been timing feedings, and switching to the opposite breast after 10 minutes. 

I watched this baby latch on - I heard gulping in the first 5 minutes, then baby 
slowed down to a much slower suck/swallow pattern for another 10 minutes. 
He took 74ml on the right breast.

We switched to the left breast - same scenario, baby took 28ml over 10 
minutes.

Mom pumped 20ml from both breasts following this feeding. The milk looked 
very rich, not thin or transparent. We SNSed this to the baby and he took it 
just fine. 

The only other thing mom mentioned is that this baby stools constantly, all 
day long. Not green and frothy stool - yellow (I saw it). Sometimes she has to 
change the baby 3 times during one feeding! This did not happen during the 
consult.

The only think I can think of is that baby has not been gaining because mother 
is timing the feedings. The plan is for her to allow baby to nurse as long as he 
wants to from both breasts, while supplementing with pumped milk or formula 
from the SNS (I told her to give 45 ml).

Does it sound like I am missing anything here? I thought that a baby getting 3 
oz of milk at a feeding should be gaining SOMETHING. Certainly not losing.

Thank you!

Brenda Phipps, BS, IBCLC

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