corrine
in my opinion, the most likely culprit is underfeeding. the statements below 
lead me to that conclusion. I would want to know what the bf behavior was in 
the early days, what was the wt loss/gain in the early days; was there a 
history of jaundice and low diaper output. what is mother's lactation 
history; any risk factors for low supply; did she experience noticeable 
lactogenesis II, etc.
Then mother and baby need to be seen right away; the baby's oral anatomy and 
tone etc need to be assessed. the baby could very likely be tongue tied; the 
mother's breasts should be assessed etc. I have a feeling her supply has 
downregulated (which I see quite frequently if bf does not get off to a 
robust start) and the baby is not consuming enough milk.

"I was nursing her on demand until days ago when the pediatrician said our 
problem was that I was overfeeding her (despite the fact that she was born 
at 6 pounds 14 ounces and has gained a
>little over a pound to get to an even 8 pounds in a month)."
"He said to feed her only on one side for no more than 10-15 minutes each 
time every 2-3
>hours.  So I did."
"I have overcome a bad latch, cracked > and bleeding nipples,"

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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