As a peer counselor in a rural area, I do offer weight checks as a sign of reassurance, but not as a diagnostic tool.  Sometimes our moms have to travel an hour to get back to the LC, and it is easier for them to come in to our local health department for a quick check.  We expect weight to go up - especially after implementing advice from other health care providers.  The first thing I do if something unexpected (like no weight gain) occurs is to refer mom to pediatrician and/or LC.  

In this particular case, diaper left on had a story behind it and it didn't seem significant at the time since we were using the check as a "see Mom, baby is gaining weight" which should have been up to 5 oz. 

I appreciate everyone's input on this. It has been an eye opener for me. I will be seeing the mom again this morning in a support group setting and will relay any pertinent info.   

Lisa

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