A 3-week-old remains 8% below birth weight despite frequent feeds. Examination is normal, but observed feeding shows poor milk transfer and maternal

Question

A 3-week-old remains 8% below birth weight despite frequent feeds. Examination is normal, but observed feeding shows poor milk transfer and maternal nipple trauma. What is the best next step?

Accepted Answer

Give skilled feeding support and arrange close weight review

Answer

Prescribe domperidone before correcting attachment or assessing transfer

Answer

Diagnose cow’s-milk allergy and exclude all maternal dairy immediately

Answer

Use free-water supplementation to increase urine output between feeds

Answer

Defer intervention because birth weight need not be regained before 6 weeks

Excess neonatal weight loss — DRCOG MCQ

A 3-week-old remains 8% below birth weight despite frequent feeds. Examination is normal, but observed feeding shows poor milk transfer and maternal nipple trauma. What is the best next step?