There is a section in the book Breastfeeding - a guide for the medical profession that addresses this. That is a good book for a doctor to be referred to.
The point is that the baby is born growth restricted and needs the calories of a baby at his gestation (not the lesser calories
of a baby his weight). Some of these babies do not suck well, and do not transfer milk well. Sometimes baby will need more calories than mom can provide at first.
This does not necessarily preclude direct bf.
What you might want to do is first clarify what the dr wants to do, and then you can make suggestions that are more bf-friendly, e.g. test wts,
your thorough evaluation of mom's supply and baby's ability to transfer, use of a lactation aid at breast, dropper feeding extra expressed milk, etc.
Laurie Wheeler RN MN IBCLC
Mississippi USA


Baptist 100. Well beyond a century.

This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately.

P Please consider the environment before printing this email...


             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome