I was wondering what infant growth charts the family practice doctor uses -
is the WHO growth standard chart, which is now recommended by the CDC, being
used? This baby has gained more than 4 lb over birth weight in less than 3
months. Doesn't seem out of range...
I find it odd that such a young baby was sleeping for 10 hours at night
without eating. The 2-3 hour feedings seem within normal, but what does mom
mean by "sleeping all day"? How often does this baby actively BF in 24
hours?
Wasn't sure about the rationale for suggesting block feedings, but maybe I
missed something in the post. (If so, sorry!)
K
On Sun, Jun 26, 2011 at 11:10 AM, LACTNET automatic digest system
>
> Date: Sun, 26 Jun 2011 08:31:43 -0400
> From: [log in to unmask]
> Subject: night time waking
>
> I am a long time reader who posts very infrequently. I work in a small=
> community hospital doing both inpatient and outpatient visits. I have
> been=
> working with on emom in particular for several weeks and am in need of
> adv=
> ise. I have permission to post.
>
> Mom is a g1 p1, delivered on 03/19/2011 term male born at 6# 1oz. At on=
> e week weight check baby was 7# 8oz. on 6/3, her family practice doctor
> exp=
> ressed concern that baby was only in the 25th percentile and suggested
> form=
> ula with baby weighing 10# 8oz. Mom had already taken the baby to a
> chiropr=
> acter and a CST for fussiness and some pain with latching. The CST who has
> =
> done some breastfeeding counselor training thought the baby might have had
> =
> a posterior tongue tie and referred the mother to us. I saw the couplet in
> =
> the office and observed a an active, alert, interactive boy nurse well and
> =
> gain 3 oz with that feed. Mom noted that he had been feeding frequently. I
> =
> could not rule out the PTT and suggested that she disciss this with an
> ENT.=
> We talked about block feeding and she was to keep her follow up
> appointmen=
> t with the family practicwe MD in about 2 weeks. She called me then with a
> =
> baby weight of 11# 8 oz. She felt that she was doing better.
>
> Recently she called with complaints of a baby that was waking frequentl=
> y at night and sleeping all day. She called the MD who again recommended
> fo=
> rmula. She also put the baby on Zantac for recurrance of fussiness. Mom
> rea=
> ched me 3 days later. She had not been using any formula as she felt that
> h=
> er supply was more than adequate. She felt that the Zantac helped slightly
> =
> but was feeling quite frustrated. The baby had for weeks been sleeping 10
> h=
> ours at night and was now waking every 2-3 hours. She had seen an ENT who
> r=
> uled out the PTT. We discussed growth spurts, safe co-bedding to which she
> =
> expressed no desire to do as she herself is an insomniac and takes meds to
> =
> help her sleep. She denied any recent diet changes or changes to routine.
> S=
> he stated that she did not take him out often r/t fussiness.He stools
> every=
> other day, a yellow/orange stool. We discussed possible ear infection to
> w=
> hich she stated that the MD had looked in baby's ears and denied any signs
> =
> of infection. We discussed elevating the head of the bed but she was doing
> =
> that already. Baby does have some swollen gums and we talked daytime
> comfor=
> t measures.=20
>
> Any other ideas?
>
>
> Thank you,
>
> Allyson Michaels, RN, IBCLC
> Charlottesville, VA
>
>
--
Karen Gromada
www.karengromada.com/
http://www.marchforbabies.org/karengromada
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
