Marsha, Kathy, and Jan and anyone else following this thread :-)
It seems perfectly plausible that IV fluids and drugs with an
antidiuretic action could lead to bloated babies, but I have noticed
that term babies of moms who have natural childbirth are bloated as
well...my understanding is that it is normal (in the non-induction
situation) for the mom becomes bloated as a protection against low bp
in advance of labor and she quickly sheds these fluids after birth, and
I think the same thing is happening to the baby...he is shedding these
extra fluids in the hours immediately following birth....
My experience with babies leads me to believe that weight loss of 7-10%
(may be even more in super bloated babies?) is to be expected
especially if the mother is not experiencing early lactogenesis
II...but at the other end of that, the expectation that babies should
be returning to birth weight by 14 days is way off base in my
opinion...with good breastfeeding management ( no other problems beyond
the mothers control) l I see babies returning to, and exceeding birth
weight between day 5-7, depending on parity and nursing experience
during pregnancy...
The reason I would like to nail down what is actually normal for each
type of birth, primiparas, multiparas, and multiparas who nursed
through a pregnancy, is that in my estimation the pediatricians and
moms are waiting too long when there are breastfeeding problems to seek
help...in my area they typically decide there is a weight gain issue
when the baby hasn't regained birth weight at the two week mark...
If we could establish a more accurate bench mark for regaining and
exceeding birth weight, for each type of mother, perhaps the timing of
newborn checks could be altered to optimize the timing of interventions
that would salvage the breastfeeding relationship...
Another thread is exploring the reasons mothers wean and my experience
has been that the primary reason mothers wean is a general feeling of
dissatisfaction with breastfeeding...a general dissatisfaction that
moms can't usually pin down...my intuition is that in many instances
this dissatisfaction arises from a less than copious milk supply, or
the perception that frequent nursing means the supply is inadequate...I
guess what I'm trying to say is that when the milk supply is copious
AND the mother perceives it to be so, she is more inclined to work
through other obstacles that may arise to breastfeeding (working, sore
nipples etc)... but if the supply isn't great she weans or will wean at
the next bump in the road...
Jen O'Quinn IBCLC
On Jul 16, 2005, at 9:22 AM, [log in to unmask] wrote:
>
>
> Marsha says:
>
> <<I know it hasn't been proven that babies of moms who have retained
> a lot of
> water could be overloaded themselves, so let me pose this question.
> How do
> you explain babies who are feeding ok, though not great, and sometimes
> not
> even ok, who pee and poop like there's no tomorrow for the first 1-2
> days?>>
>
>
>
> **********************************************
>
> 1. There actually was a very small study that was reported in the ABM
> newsletter awhile back that showed that mothers that had epidurals
> (by extension,
> more fluids) had babies that weighed more (and lost more) than
> mothers that
> did not have epidurals. (Merry, ABM News, 2000)
>
> 2. Pitocin is an antidiuretic (look it up in the PDR). As such, it
> holds
> fluids in the mother's body (one of the reasons Jean "invented" RPS).
> It is
> also going to work the same way on the baby if the mother got pit
> while the
> baby was in utero!! i.e. -- stimulated or induced.
>
> 3. It would be helpful if every diaper that comes off the baby w/
> something
> in it were weighed, and then compared the weights of whatever is
> eliminated
> in the first 2 days by induced/epidural/high volume fluid mothers to
> weights
> of the diapers of babies who were born to mothers that didn't have
> induction/epidurals/high volume fluid.
>
> Can't do it at my hospital because we will have all former and no
> latter.
> Unless we could do a cut off point -- anyone that had the
> induction/stimulation/epidural for 3 hours or less, or 2 liters of
> fluid or less BEFORE the baby
> was born, compared to the mothers that had
> induction/stimulation/epidural for
> more than 3 hours or more than 2 liters of fluid.
>
> Any takers?
>
> Jan Barger
> Wheaton IL
>
> _http://motherofbridebyJan.blogspot.com_
> (http://motherofbridebyjan.blogspot.com/)
>
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