Thanks.  I just got home from class and planned to look.  You are so  
sweet to have done it for me...  XOX  K
On May 5, 2008, at 9:03 PM, LACTNET automatic digest system wrote:

> There are 2 messages totalling 81 lines in this issue.
>
> Topics of the day:
>
>   1. food list / diet
>   2. should I be concerned?
>
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> ----------------------------------------------------------------------
>
> Date:    Mon, 5 May 2008 22:39:56 -0500
> From:    laurie wheeler <[log in to unmask]>
> Subject: food list / diet
>
> hi hetti
> does your country have a "food pyramid" like the USA does? It shows  
> the base
> of the pyramid which is the foods one is supposed to consume the  
> most. And
> it goes up to the tip of the pyramid which is foods you consume in  
> small
> quantities like sugar. You can do an internet search for USDA Food  
> Pyramid,
> I think. It is a good guide to give and can probably be printed off.
> I usually try to ask moms what foods are recommended for lactation  
> in her
> culture. Then, as long as it is not a problem food, like excess  
> caffiene or
> alcohol, I will just agree and encourage she eat plenty of that  
> food (like
> oatmeal or some kind of malted cereal, warm foods, etc).
> Laurie Wheeler RN MN IBCLC
> Mississippi USA
>
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> ------------------------------
>
> Date:    Mon, 5 May 2008 22:53:32 -0500
> From:    laurie wheeler <[log in to unmask]>
> Subject: should I be concerned?
>
> Rachael, It seems baby had a 13 percent wt loss, which is pretty  
> significant
> at day 5, and certainly a sign of trouble. However, it is possible  
> that the
> first weight was an error. Things seem to have reached the bottom  
> at day 5,
> which is a little later than an uncomplicated breastfeeding course,  
> but not
> way out of line. Since day 5, it appears baby has gained 20 - 60  
> grams per
> day, which seems appropriate to me. The baby has not regained  
> birthweight,
> which is what we'd like by now, but the latest info shows a good  
> pattern.
> Now, here is the question I have asked numerous times on lactnet  
> before:
> Is it better to accept a slow and steady weight gain on mother's  
> own milk
> alone, even going a day with no gain
> OR
> Is it better to provide extra donor milk or even formula to a baby,  
> and get
> a more robust weight gain?
> I don't know how anyone can really answer this. Certainly when  
> there is
> donor milk available (one must take into account any cost to the  
> family), it
> makes it even harder to make a decision.
> One thing I would like to say is, for this mother, using the donor  
> milk, if
> not truly indicated, will likely lead to a decrease in her own supply.
> Here is another thing: I have recently worked with several mothers,  
> with no
> or slow gains, lower productions, and luckily these were motivated  
> mothers.
> In a relatively short period of time, with mainly improved bf  
> skills, and
> pumping, the supply has come up nicely. I would encourage this  
> mother to
> continue to work on bf skills in herself and baby, feeding very often,
> pumping if needed to further increase supply, and continue to  
> monitor baby's
> weight, but not necessarily every day.
> laurie wheeler RN MN IBCLC
> Mississippi USA
>
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> ------------------------------
>
> End of LACTNET Digest - 5 May 2008 (#2008-556)
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