I am seeing a mom this week with a baby diagnosed with hypotonia.  He  is 
developmentally delayed and is working with a physical therapist.  Mom  has been 
breastfeeding, but is suddenly feeling like her milk supply is  dwindling.  
Baby is 4 months old.  I have never seen her previously,  and in fact when I see 
her there may be nothing wrong with milk transfer and  mother may just be 
nervous due to the trip for therapy, the stress of being away  from home, etc.  
BUT, in case there is an issue at this late age...Is there  anything special I 
should know/do/look for, etc. for this baby?  I hate to  assume the zebra, but 
since it is already not exactly a horse....Thought I would  get some thoughts 
....
 
Thanks,
Pam MazzellaDiBosco, IBCLC, RLC
 

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