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Date: | Tue, 19 Feb 2002 17:51:40 EST |
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I know this subject has been discussed before but I have a slightly different
question for all of you.
The accepted weight loss for the newborn is currently 10% (at least in the
USA). There have been articles and conferences suggesting this number is too
high and should be set at 7 or 8%.
Now here is my question and dilemma. If the majority of the weight loss is
in the first 24 hours is this an accurate gauge? I have seen very healthy
babies loss up to a pound in their first 24 hours (this is with at least 6
breastfeedings and adequate urine and stool outputs). My first assumption is
a scale error or maybe even a human error.
With the 10% loss this is normally seen by day 4 or 5, so what percentage
loss would be normal in the first 24 hours?
I keep thinking about the average intake of a newborn in their first 24
hours, which is only a couple tablespoons or less than an ounce. So how can
they have a large weight loss unless they are put under the lights and become
dehydrated?
I remember Jack Newman stating the need to look at the baby first and not the
numbers. I totally agree.
I would love to hear what others think about this and how to handle it.
thanks,
Ann Perry RN, IBCLC
Boston, MA
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