Hi All, I'd love some collective wisdom. I saw a family tonight for poor weight gain. What thoughts do you all have for why the baby stalled gaining weight between week 3 and 5? birth wt 6,7 discharge 6,1 3 weeks 7,1 5 weeks (10/29) 7,3 neither mom nor babe on any meds, incl. hormonal bc mom reported pain and some scabbing early on that resolved has had one bout of mastitis (rt breast) & 3 plugs, various locations smallish nipples protruded, very slightly compressed after nursing no visible damage or scarring baby has been examined by ped and appears very alert and active tongue somewhat heart-shaped but protrudes well over gums while nursing baby latches well with nicely flanged lips digital suck assessment revealed nothing remarkable baby nursed throughout my one and a half hour visit, fell asleep at breast quickly, responded to waking techniques, breast compressions and switching sides ped ordered supplements after alternate nursings mom refused consult until today and only pumped 1 - 2 times daily with avent Isis, yielding about 2 ounces total mom had multiple let downs, baby responded with deep jaw excursion swallowed with every suck when awake and alert Offered mom options: supplement with SNS at breast use good pump 5 minutes post feed switch sides and use breast compressions frequently Mom opted for Lactina and plans to pump 1 or 2 times daily, also plans to switch as soon as baby slows down and use breat compressions -- Kym Smythe, MEd, IBCLC Bear, DE, USA *********************************************** 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