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Fri, 25 Nov 2005 08:13:21 -0600 |
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I know this has been debated before, but I have to add my two cents...
I know clinical skills are useful, and MOST of the time when I put a baby on
the digital scale after abserving a feeding my estimate of intake is pretty
close to what is on the scale. HOWEVER, every once in a while (maybe twice
a year) I watch a kid swallow over and over, only to find he took 2 cc from
the breast. The other day I had one of these...a 3-day-old who appeared to
be gulping and swallowing for most of 10 minutes, and had transferred only 2
cc. The mother's breasts were feeling full, and based on visual clues
alone, I would have said her milk was coming in and she could go home and
nurse ad lib, even tho the baby was 9% below birthweight at less than 72
hours of age. Instead, she began pumping and supplementing. (In part, also
because she has a history of prior lactation failure)
I don't know what these kids swallow...must be their own saliva...or
extremely small "boluses" of milk?
Kathy Leeper, MD, IBCLC
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