Subject: | |
From: | |
Reply To: | |
Date: | Fri, 9 Jun 2006 12:29:14 EDT |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Nina writes: Did the test weigh change anything about the way you managed
this case or
did it just put a number (of ccs) onto an existing diagnosis of insufficient
intake?
It helped me to feel confident about my "dx" of low milk supply. There was
no question that there was poor intake early on but when I saw mom after
readmission, breasts were "normally" full and breastfeeding looked effective. I
might have concluded on day 4 and 5 all was well, if I hadn't performed the test
wts and the baby could have gone home spiraling down into the same poor
intake situation. Or, conversely, I could have had her pumping and supplementing
for nothing if the milk transfer and supply had been good. Test weighing
helped me, in the context of a full breastfeeding evaluation to sort this out.
It's a tool I use sometimes to validate what I think I see. I only use it if
there is a question of milk transfer. Paula Meier has a study which shows
the most experienced LC's are not great judges of milk transfer. I think I'm
pretty good but I've been fooled. This would have been one of those situations.
I agree that it was clear that baby was not getting enough breast milk
early on before i met the couplet. But by the time I saw them breastfeeding
looked really good. Test weighing disputed what I saw. Without it I would have
thought all was well and would have just recommended frequent breastfeeding on
cue.
Kathy Boggs, RN, IBCLC
***********************************************
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
|
|
|