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Subject:
From:
Pat Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
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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