Carrie writes; >>I guess I shouldn't have left out the baby was a sleepy baby, and upon returning from the ped and calling it was found that baby was sleeping/nursing 3-5 hours at a stretch since birth. Everytime the baby nursed, though (prior to introducing bottle), there were all of the signs of milk transfer (bm's, wet diaper, good suck/swallow) and the baby's latch was fine. From everything she said, it indicated that all she really needed to do was sit down and do nothing but wake baby to nurse much more frequently. > The notion that this baby was nursing fine since birth, just not frequently enough, doesn't jibe with one who has lost this much wt. at 1 wk. There are many babies who nurse only every 3-5 hrs and gain lots of weight, if feeding effectively. My guess would be that there was definitely an issue with fdng effectiveness and Mom's history of such, offered to you as above, reveals little other than the limits of relying on these subjective measures of fdng effectiveness. You may be right to assume that increased frequency might have allowed them to avoid this issue altogether as the increased practice/nutrition may have helped them both to evolve the latch into something more effective. >>Perhaps I'm way off base, but I do feel it harmful to dictate supplemental feeds (let alone the other instructions about nursing the ped gave) simply with one weigh in and no other indications of dehydration. Am I way off base in my thinking?????<< IF there were no other signs of dehydration then, No, I don't think that you are off base at all. As I mentioned in my last post, even if there were other signs of dehydration/malnourishment, I still don't believe that supplementation was necessarilly indicated. First, attempt to fix the breastfeeding! I notice in the subject heading that you referred again to "inflated birth weights". Unless there are other indicators that you didn't mention, the use of IV fluids during labor and larger wt. loss don't in and of themselves point to an inaccurate, fluid inflated birth weight. Many, many women (epidurals!) receive lots of IV fluids in labor. Lynn Shea Rn,Bsn,Ibclc Franklin,Massachusetts *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html