Pat I agree that usual breastfeeding course is slight wt loss and wt gain commencing with the milk surge. My kids were all WAY over b.w. at 2 wks. How do you think I felt today when a mother of a 5 wk old (not delivered where I work) called and left a message "my baby is fussy at my breast, esp in evenings." When I called her back and asked many questions, here is what I found out: birthwt 8 lbs 13 oz (4230 g) 2 wks 7 lbs 14 oz (3780 g) 4 wks 8 lbs 6 oz (4020 g) To ped tomorrow to check wt, ped not recommending supps at this time. Pt has bf 2 prev children x 2mos each, had engorgement and good wt gain w/ these. Never got engorged/breast fullness this time. Giving some H2O to ease the fussiness. She was never referred to us. You bet I want to see this mom ASAP. Not to mention she needs eval by her physician. Laurie Wheeler, RN, MN, IBCLC Hosp LC Violet Louisiana, USA _______________________________________________________________ Get Free Email and Do More On The Web. Visit http://www.msn.com *********************************************** 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