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A young woman comes to your office for a lactation consultation complaining that her 1-month-old baby has colic and slow weight gain. Her baby requires 6 to 7 diaper changes each day and suffers from diarrhea. She tells you that she allows the baby to nurse equally on each breast so that the baby does not feel satiated; she is desperate for help and asks your advice on what to do. A 24-hour diet history provides the following information about her eating habits.
Breakfast: cereal, milk, banana, and walnut pieces; sometimes she has eggs
Lunch: peanut butter sandwich, salad, and grapes with a glass of milk
Dinner: fish or chicken, vegetables, potato or rice, applesauce, and milk
Snacks: change daily but she likes trail mix because it is easy to eat when nursing
What would the best advice be for this woman?
A. Allow your baby to nurse on one breast until it is completely empty.
B. Increase your intake of fats; this will increase fat content in the milk and help the baby gain weight.
C. Stop nursing immediately and use an infant formula so your baby starts growing.
D. Use supplemental infant formula after each feeding because the baby is not getting enough to eat.
E. Increase your intake of nuts because the baby is not receiving enough protein.
Answer: A
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