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Mon, 5 Jun 2006 07:33:46 -0400 |
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I used to work for a home care agency to see healthy full term babies on
2nd day after 24 hour discharges. I usually saw a small wt loss or weight
at same level as discharge. Saw babies again on 4th day (which was nice
because jaundice had peaked and it wasn't very noticeable :-) I usually saw
weight back to birthweight or above. Still below was a red flag for
something wrong with milk transfer ( which I'd try to figure out for
whatever reason.) I think the babies were generally doing so well because
they had total access to mom at home. None of the hospital separation that
is just so common in spite of what we know. Except the NICU I don't
personally believe that weights at each feeding are as informational as # of
dirty and wet diapers in the very early days. A baby who isn't pooping LOTS
in the early few days is a baby who isn't getting enough for whatever reason
(separation, time limits, poor latch etc.) PS I had a decent electronic
scale.
Another thing: growth charts - a baby is charted and you are only supposed
to follow that baby's curve, not compare it to every other baby in the
world. Is that individual's curve going up in a typical way? Or is it
falling drastically? I met a mom yesterday with a small, nicely
proportioned little girl, almost two. I nailed the baby's age and mom said
I'm surprised you knew how old my FTT baby is, most people think she is
younger. I'm willing to bet this child has always been on her own private
curve at 2 or 3%. It's just not on the chart. And look at how her mom
labels this perfect little girl. I bet it will have life long implications
because everyone at her drs office is so focused on THE chart, and not on
the baby who was an adorable, competent little person. I'll get off my soap
box now :-)
Pat in SNJ
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