I am glad Laurie Wheeler posted about Assunta's 3 wk old who had only gained an oz past birth weight. I agree. I think that is a very low weight gain for this time span. I have posted before about an interesting study done in Africa (archives will have the actual citation) which observed that infants breastfeeding well lost very little weight and regained quickly. This is observed in a lot of homebirths where infants start gaining almost immed. Not to gain quickly is a big red flag for me, and the sooner intervention (1st step is to fix positioning) is begun, the less damage to dig out from under. I see babies who really aren't ready to feed well and may take 3-4 weeks to really begin to grow well, with the weight going on in the meantime slowly and painfully. If baby isn't ill we may decide to just watch and maximize. But we work with pedi to rule out illness or congenital defect. With mom we work on feed freq., & on milk supply maintenance. Someone else posted about compression stripes across nipples (mom had deep breast pain.) PHN said positioning was ok. No. Not if there were compression stripes. This is a sign that baby was positioning bottom jaw closure too close to nipple. Or that nose is digging into breast, backing chin away and causing it to close out on nipple tip. Or that baby is too far out from the breast, with air space showing between cheeks and breast so that infant is "bottle feeding" on breast. Dr. Savage-King's book has an excellent graphic of this latter. If I were to allow you to pinch my finger hard enough to cause a compression stripe for 15 min. every two hours, I bet I would have deep hand pain. Damaged nerve endings radiate pain. This mother also sounds as if she has vascular issues (flushing , cold sensitivity, and itching) but I bet the compression pain bothers her especially because of the other sensitivites. Barbara Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html