Hi Again,
I am still searching the internet for information on this subject and can
not find anything to support the routine supplementation of smaller babies
or that they need to gain weight in the first few days. I would really
appreciate some input,
Thanks,
Chayn

On Tue, Feb 14, 2017 at 10:29 AM, Fogelmans . <[log in to unmask]> wrote:

> Hi Everybody,
> I work in a maternity ward in a large hospital. Of course our babies lose
> weight before discharge as they should and each parent is counselled to
> bring the baby to a well baby clinic in another few days to be checked.
> However, babies born under 2.5 kilos have to actually gain weight before a
> doctor will discharge them. For instance, a baby I am following also as a
> private LC, was born 2.452 kilos at 38 weeks. She went to the breast
> immediately. The mother was counseled to wake the baby every 3 hours if she
> doesn't wake on her own (protocol for LBW babies) Her sugar levels were
> followed acc. to protocal and were fine the whole time.  At 48 hours the
> baby had lost what otherwise would be an acceptable amount of weight (I
> can't remember the exact number) The doctor refused to release her,
> insisted on seeing that she starts gaining and told the mother to
> supplement after each feed. The mother gave 10 cc of formula after every
> feed and the baby gained weight that day and went home the next day.
> This is just one example of something that is happening regularly. One of
> my colleagues was actually balled out by both a mother and the doctor for
> encouraging exclusive breastfeeding in a 2.5 kilo baby who was nursing
> well.
> Now, I understand that these little babies don't have much reserves but
> should we expect them to gain weight on their third day when it is not the
> physiological norm? If the baby is breastfeeding well, shouldn't we just
> let her breastfeed? (and if she isn't feeding well the mother should pump
> and feed her ebm)  I don't feel confident in my knowledge of these little
> babies and would appreciate your input.
> Thanks so much,
> Chayn Fogelman IBCLC, RN Jerusalem Israel
>
>
>

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