Ann, I appreciate your input and take on this.You are right, I had all the info I needed becoz it was an office visit. I could look at the small amt of urine, and the yellow color., and i could observe and do a test weight. I don't know about you, but I do not get good reliable info from moms over the phone. Invariably they do not think the baby is jaundiced when he is, they count many pees but they don't realize how small they are - I even ask how heavy they feel (the diaper) and other probing questions about the output. anyway, I know what you are saying about timing feeds, I don't advise timing them, but getting a description of a feed is helpful I think. The "effectiveness" of the feed is most important, yes, and that is what I am trying to determine, if it is a phone call. From observing babies feed at breast for 24 yrs or so, I guess my opinion is that typically a hungry robust baby will feed pretty quickly altho some feeds may be leisurely too. So I guess if a phone call is about lengthy feeds I would want that baby in for a visit and wt check. Laurie Wheeler RN MN IBCLC




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