>Looking at the WHO Growth Standards it seems that the growth rate from day
2 to day 23 in babies on the 3rd >percentile is 165g/week or thereabouts.


Karleen, is it not the case that the WHO charts have no data for the first
two weeks? I am not even sure if the researchers collected any. Any weight
change between birth and two weeks on the charts is notional, is it not?

In the UK, the published charts have a faint or dotted line and HCPs are
told not to use the charts until 2 weeks.

What concerns me is when weight gain is used as the only means of assessing
a baby's well-being. It is a part of the whole picture. Slow weight gain is
concerning, but on its own, it is not a *diagnosis* of anything, and that
includes 'lactational insufficiency'.

Heather Welford Neil

NCT bfc, tutor, UK
>


On 25 June 2013 21:06, welford heather <[log in to unmask]> wrote:

>
> Far too high.....these days, with our extra knowledge and extra data, we
> should not be only looking at amount of weight gained, anyway, but where
> these babies are in terms of rate of weight gain. The WHO weight charts
> start at age 2 weeks.
>
> A baby gaining weight more slowly might not be reflecting his mother's
> sufficiency/insufficiency, but his own physiology.  Assessing babies'
> health and growth is a complex art, which should be combined with
> assessment of the mother's breastfeeding. Weight is only one part of the
> picture.
>
> Heather Welford Neil
> NCT bfc, tutor, UK
>
>
> On 25 June 2013 10:39, Karleen Gribble <[log in to unmask]> wrote:
>
>> I have just been rereading Marianne Neifert's paper on lactational
>> insufficiency. I find it interesting that they determined that a woman was
>> not providing her baby with enough milk if they gained less than 200g a
>> week between weeks 2 and 4 of life. That seems to be too high as a cut off
>> to me. I would be interested in the opinion of Lactnetters.
>> Karleen Gribble
>> Australia
>>
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