I have read about switch nursing in the many references available to me,
however I am a little confused  whether this technique will help a mom
who called recently for some advice.

10 week old infant, who MD feels is not gaining well enough.   Baby has
been gaining 1/2-3/4 oz. per day and MD has gradually increased
suggested formula supplements  to 12 oz /day.
I really am having a difficult time understanding the need for all this
formula, but have decided to just help this mom attain the gain this MD
is looking for.

I have suggested many techniques for increasing supply.  Have thought
about switch nursing but wonder if it might cut down on the amount of
hindmilk baby will receive at each feeding.  Mom hears swallows for
about first 5-7 minutes, then they really get infrequent.  Mom also
denies any "feelings" of let-down during feedings, but says she does
have some tingling about 30-45 minutes after feeding.

This mom really want to nurse and I really would like to help her
realize her breastfeeding goals.

TIA,
Judy Hatfield RNC, IBCLC

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