Failure Thrive Mother Question & Answer Guide (With Explanation)
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Original Question
Failure to Thrive Mother 42-year-old, healthy, stable family relationship. Previous BF history: Two previous normal term babies breastfed exclusively for 6 months, continued when complementary foods were added, and self-weaned at around 19 months each. Pregnancy, birth and hospital stay Term pregnancy, unmedicated labor with spontaneous vaginal birth. Birthweight 8 lb, 4 oz. Placed on mother’s body immediately and stayed there uninterrupted for over an hour. Baby self-attached at 50 minutes and released the breast spontaneously. Mother roomed-in 24-7 and nursed on cue without supplements or pacifier. Discharged on day 3. Mother has help at home. 2-week pediatric visit Baby has regained birthweight of 8 lbs, 4 ounces, is exclusively breastfed, and thriving 6 weeks: call to LC Mother is worried that baby has not gained weight since the 2-week checkup. She says, “he looks like a little old man.” He breastfeeds 15 times during the day and sleeps through the night. He never sleeps during the day, is bright eyed and active, but doesn’t seem content. He has 2-3 wet diapers per day and has scant yellow stools every 2-3 days. Mother says her breasts are smaller and softer than they were when her others were babies, but says breastfeeding is going well. Discuss this case in terms of normal breastfeeding patterns in the first 6 weeks. Does anything seem odd or unusual? Why might this mother-baby dyad be exhibiting these behavior patterns? What, if anything, might you suggest to improve their situation? Do not use any AI tools (ChatGPT) for this discussion.
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