Hello everyone, It's been ages since I've been around. Question: 1) LLL's published datasheet qualifies 'sufficient' weight gain in a 0-4 mo as 4-7 ounces per week.....birth weight needs to be regained by 3 weeks. http://www.llli.org/FAQ/enough.html http://www.llli.org/NB/NBNovDec94p184sup.html 2)WHO say 'average' and info from Riordan/Morbacher indicates 5.5-8.5 is average and that birth weight needs to be regained by 2 weeks. How concerned would you be with a mom who has had a breast reduction (surgeon was aware breastfeeding was important to mom and did 'everything he could to insure he wouldn't affect her ability to nurse'). Details: ~Normal pregnancy and birth. ~Mom is trying to exclusively nurse her baby. ~Few breast changes during pregnancy (slight increase in fullness). ~No engorgement; some occasional leaking. ~At a a breastfeeding support group run by the IBCLC at the local hospital, a test weigh before and after a feed indicated a 3 oz intake. ~Baby nurses well, sleeps well, is alert and active when awake and sleeps about five hours at night ~Mom is a small person...5'4" or so....dad is maybe 5'7" and of a very trim build. moms sisters are also quite thin....one of them is naturally very thin (think Kiera Knightly) ~baby has had 1 oz supplemental formula 3 times There was a significant weight loss (9%) by end of first week - all same scale -no clothes, dry diaper: birth: 7#8 oz (3401g) week 1 - 7 days: 6#14 (3118g) week 2 - 14 days: 6#15 1 oz gained week 3 - 17 days: 7#4 oz 5 oz gained in three days - 21 days: 7#8 oz 4 oz gained in three days week 4 - 6 oz gained by in 7 days week 5 - 4.5 oz gained in 7 days Ped is a good good family friend and friend of mom's parents. Very concerned. Called parents at home tonight to say that he thinks mom is 'sacrificing baby's health on the altar of breastfeeding'. After hearing all of the numbers and hearing in detail about the baby from mom, dad and a very very breastfeeding supportive and astute grandma, I felt reasonably comfortable that everything was on track. Mom and dad are both very well educated, very reasonable and have amazing local family support. Thoughts? This shouldn't be difficult right? A mom who isn't producing enough would NOT see a 9 oz weight gain in the course of a week. Ped did say "if we were all living in the woods, and we didn't have a scale, or enough knowledge to be concerned, we wouldn't be. This baby looks great, is healthy, happy, sleeping well and is appropriately alert" (exact words). He's concerned b/c there wasn't the requisite turn around in weight starting on day 4, hadn't regained birthweight by 2 weeks, and only gained 4.5 oz this week. Anyone here in Birmingham, AL? I'd love for this mom to get some hands on help with a great asymmetrical latch. Thanks everyone, Katherine in Atlanta *********************************************** 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