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Subject:
From:
"Jan Barger RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 14 Dec 1998 09:36:50 EST
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Hi all,

Mom came in to see me -- baby is 3 weeks old, and is still 11 ounces below
birth weight.  Between weeks 2 & 3, gained 1.5 ounces.  7th baby -- all
breastfeed for at least 9 to 12 months.  Baby latches, suckles well, good let-
down, good swallowing, no infant indication of oversupply or too much at once.
Mom is bf at least 9, sometimes 10 times in 24 hours.  Diapers are SOAKED;
usually 2 good sized stools a day with some smears in between.  Stools yellow,
seedy....

Weight showed 3.7 ounces taken at that feed (which was approximately 2 --
maybe 2.5 hours since the last feed.)  Adequate intake at a feed for a 3 week
old infant.  Assuming average intake of maybe 3 ounces/feed x 9 feeds/day = 27
ounces -- certainly adequate for growth.

So, what's the problem?  Obviously something else is going on here -- and it
isn't a mechanical problem, or a milk supply problem.  (We are working on
increasing caloric intake by making sure baby is extracting every LAST drop
(almost) from breast 1 before going to breast 2 -- and maybe even bf x 2 on
one side before going to side two.

So, on the face of it, the weight tells me she is getting adequate volume (at
least at this feeding).  It doesn't tell me why the baby isn't gaining weight.

Yes, mom is reliable, so if she tells me that she is bf 9-10 x/24 hours, I
believe her.  (We've worked together before on 3 or 4 of her other babes).

thoughts?

Jan Barger

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