Hi Tricia, Thanks for the additional info on this 34 wk infant and mom. I think anyone working in nicu would expect that such an infant would lose weight in those first few days (they do not begin to gain until they are completely off IV and onto full milk feeds), so I am feeling it was not necessary to reduce the breastfeedings due to wt loss. I believe that was a "blame the bf" moment. One does have to assess how baby is doing at breast, and what baby is doing. An hour of "feeding" could mean the baby is struggling for an hour and only getting 3 mls, or this hour could have been skin to skin and baby licking or sucking a little and having a very good experience. Personally, I am very much in favor of gavage feeding (small tube from mouth to stomach) for babies not feeding well, but some nicus really 'force feed' the baby by nipple, IMO, feeling this is such a better way to feed. I guess this is not relevant to your situation, but it irks me that baby cannot be let to leisurely bf and then get his expressed milk by tube if needed, while STS with mom. Back to your case, I would focus on everything positive. Continue reassuring mom and letting her know that things will improve as baby grows and developmentally matures. With PCOS, I typically see very soft or flaccid breasts, so I am not thinking dense tissue is her problem. I would just reinforce the basic stuff: STS, bf as baby is able, regular, frequent expressing with massage, hand, and electric pump. See what family and friends are doing and can do to help make mom's life easier; are they cooking for her, can she stay nearer the baby, etc? Laurie Laurie Wheeler MN RN IBCLC Mississippi USA *********************************************** 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