A favorite topic of mine.  Recently I had a breastfeeding check on a 1 week
old who was down 11% from birth weight.  He looked great, was stolling
yellow seedy and peeing, and mom said all the right things about her
breastfeeding.  I reassured and observed, and 1 week later, he had gained
an ounce a day.  He still wasn't at his birth weight, but who cares? he
looked great.  I told the medical student I was working with that day,
"this is a case of focusing on the patient and not a number(the weight)"
After 13 years in practice, my summation statement would be, there is an
INCREDIBLE variation in weight loss and gain in the first 3-4 weeks of life
in exclusively breastfeeding babies, and it is multifactorial.

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