Hi Liz and all,
Thanks for referring us to this article. I did read it. The bottom line
conclusion is that more research is needed to determine what physiologic wt
loss would be and when would a practitioner need to assess further or
intervene.
However, I am very comfortable with the current "rule of thumb" that says
approximately 6% would be expected to be lost and that a closer look would
be needed at 7-8% on or around day 2 or 3. I have found this is pretty
accurate in my practice. Of course there are many factors we look at. We've
discussed all this before. For example, a 9% wt loss with a baby now eating
well and a good milk supply in mom, is really not a concern, although I
would want to recheck the weight in a few days.
Once you get to about 9 or 10 percent, you really need to look and follow
that dyad.  And the most I've seen lost is 14 percent, typically a premie or
near-term infant, with or without a mom with primary milk supply issues.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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