A baby born 4 weeks early (36 wks gestation) is one of those "borderline 
premies" or "near-term" infants.  They often look like full term infants but act 
like premies.  They usually cannot maintain a mother's milk supply alone - 
mom's need to pump and supplement with their own milk.  This infant should have 
regained birth weight by 14 days at the outset, and should be gaining 20-30 
gm/day at a minimum.  This infant needed supplement BEFORE it was given.
Has anyone evaluated mother's milk volume?

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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