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If a scale is being used for pre/post weights, it does have to be very
accurate.
Scales are most helpful when the clues don't all add up, like when a
baby seems to be gulping but doesn't grow well. Helps you rule out a
metabolic issue when you see the baby only transfers a few tenths of an
ounce. Most of the time, struggling babies are obvious, and an
experienced LC can tell right away a baby isn't actually transferring
much milk. But some kids ared stealth eaters, and having an objective
measure (even though it is a snapshot and not a picture of the whole bf
relationship) helps. I do always ask moms if the feeding was typical...
My fav thing about the scale is that it can help track progress as a
baby starts sucking better and transferring more milk, and can give us
guidance on how much supplement a struggling baby needs.
Catherine Watson Genna, BS, IBCLC NYC
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