i missed the original story but wanted to share that today i had a consult in which the dyad had done very little breastfeeding yet and the baby is now 11 days old. i was not in the office last week due to my father's end stage illness and death. (cancer). there is no other LC there so the nurses covered as best they could. i called back the moms that i had missed and all were doing well, thankfully, except one. she was able to see me the next day (today). she stated she had bf only about 10x in these 11 days and pumped only 2x. she did not get anything w/ the pump so discontinued. she said she did not get any help in the hosp. she did go thru lactogenesis II with very full and leaking breasts the first week. today, she had very soft breasts but milk expressed easily with good squirts w/ hand expression. the baby latched very eagerly altho positioning was very poor and latch was shallow. we corrected that and baby consumed 50cc at breast w/ breast compression. the birthwt was 7#2, the d/c wt was 6#11 and the baby weighed 6#14 on 1/14 in peds office with a diaper and tee shirt on (caution: weigh new babies naked). today baby wt is 6#6 nude. so baby is still losing wt. it was very obvious that pacifier was used frequently and when questioned parents report that is so. baby was taking 2-4 oz formula but fed infrequently. plan is to d/c pacifier, bf ad lib, keep feeding diary and diaper diary, shoot for 10+ feeds in 24 hrs. wake baby if necessary, but probably not necessary since parents had not been responding to cues of hand sucking etc. post feed pumping whenever possible - they have a 5 yo too. (trying to get a pump from WIC program). her evenflow manual pump did absolutely nothing to get the milk out. i advised hand expression if not able to get a decent pump. reweigh on my scale (medela baby weigh) on 1/21. report sent to MD. i have alot of hope for this dyad. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html