Kirsty is the mother of a six week old Alva. Alva has had poor weight gain and fussy behaviour, and feeds both from the breast and the bottle with formula. Kirsty consults with Dr Pamela Douglas for a review at Nova Health Co, Wagga Wagga, Australia, October 2023. My thanks to Kirsty for her great generosity to other breastfeeding women in agreeing to participate in this educational video.

The video demonstrates

• Management of breast milk production which is lower than baby's caloric needs

• How to minimise formula use and maximise breast milk production

• Discussion about insufficient glandular tissue

• A gestalt intervention.

A second video, which is PART 2 of this consultation with Kirsty, shows fit and hold after we have worked together using the gestalt method.