Hi,

I feel protocols for supplementing  been discussed before, but I couldn't
find it in the archives.  Does any hospital, especially an Australian one,
have a protocol for supplementing with formula.  A mum rang me Friday (late)
She has a 2wk old baby.  Mum had gestational diabetes.  Baby weighed 4100
grams (9lb?) at birth.  On discharge (day 8)weighed 3900g.  On day 13 was
weighed at home.  Had lost 10g.  Day 14 weighed in hospital, lost another
10g.  The paed (who shares his office with me, but not necessarily my
passion for breastfeeding) ordered 3 bottles of between 90-120ml of formula
per day.  The mum was devastated.  She actually thought she'd had quite a
good week.  Baby was sleepy and was feeding about every 4hrs, so I've told
her to feed more frequently and give each breast twice)  Mother was unable
to breastfeed her two year old as she was also prem and wouldn't latch
properly.  I haven't had the chance to assess a breastfeed yet.  Baby had
had no bowel motions for the last 2 days, but before that 2-3 per day, and
mustardy.  Any ideas, especially on how to approach the paed gratefully
appreciated
Barb
IBLC Australia

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