Subject: | |
From: | |
Reply To: | |
Date: | Tue, 4 Apr 2006 14:43:54 EDT |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Ann reported on several rather contradictory statements about pooping:
<<In the notes they gave me to present it says, "3 substantive bowel
movements
each 24 hours from the first day of life."
Diaper Diary says Day1=1 poop, Day2=2 poops, Day 3=3 poops, Day 4 and on=4
poops.
LLL Bfeeding Answer Book says "At least 3 to 4 bowel movements the size of
a US quarter (2.5cm) or larger (Shrago 1998) is a good indicator that the
baby younger than 6 weeks is receiving enough claories.
The Womanly Art of Breastfeeding says, "For the first six weeks or so, a
breastfed baby will usually have two to five bowel movements a day."
Spangler says in Breastfeeding-A Parents Guide- "Expect at least 3 stools a
day for the first 3 days and at least 4 stools a day for the next 4
weeks.">>
My question to y'all is -- let's say we go with the Clinical Guidelines put
out by ILCA in 2005 that states we are to expect at least 3 substantive stools
per day starting in the first 24 hours -- what are we expected to do if
PunkyPie, who is exclusively breastfeeding, only stools 1 x in that first 24
hours. Maybe only two times in the second 24 hours. It's a bit soon to do
ac/pc weights. Do we determine that this baby has a problem and start
supplementing? Do we use a thermometer to stimulate him?
WHAT IS THE BOTTOM LINE?
When do we intervene? If we aren't going to intervene for the baby that is
pooping only 1 time in the first 24 hours, then why have an unrealistic
standard? What is the point?
Now, I tell mothers I don't care about poops the first 4 days. I want the
baby to be having at least 3 "scoopable poops" by day 4. If they aren't on
day 4 or 5, then I'm going to follow up with that mom/baby to figure out what
is going on. But I'm not going to intervene in the first couple of days
unless there are no stools at all -- and then I want to know if we are dealing
with a physiologic problem.
What thinks ye all?
Jan Barger, RN, MA, IBCLC, RLC
Wheaton IL
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
|
|