Today, 01:00 AM
If the doctor is concerned about the calorie count of breastmilk, they unfortunately do not have a grasp of the basic facts about breastmilk. Sadly this is not uncommon.
Calories in breastmilk does vary, over the course of the day and even during a feeding. So, to "up" calories in the breastmilk your baby gets, you can encourage baby to nurse more often and also try breast compressions. These practices lead to baby getting more "hindmilk", and that is the fattier, higher in calorie milk. So these are things that may help and cannot hurt. However, in a case of really slow gain, the typical cause would be not enough milk, not the "type" of milk. Breast compressions: http://www.breastfeedinginc.ca/content.php?pagename=doc-BC
I am also concerned that the doctor says baby "should" weigh 10 or 10.5 pounds at 2 months. Baby has gained on the slow side all along, it appears. Some babies just gain more slowly than others. At the one month checkup, after a week where baby had good, "normal" gain of 6 ounces, baby was 7 lbs, 12 ounces. Even if baby had maintained that same average gain of 6 ounces per week over the next 5 weeks, which presumably would have been just fine, baby would have weighed in this time at about 9 and a half pounds, not 10 or more. Saying baby "should" be 10 or more pounds at this age makes the issue sound worse than it is. There is a wide range of normal in terms of weight gain rate.
So, pumping often enough is really hard when you have a baby who...