I would highly suggest the pre and post weight as well. I used to rely a lot more on sounds of swallow until i started to do a lot of oral exams and noted that there were many babies who made the same movements and sounds of suck/swallow at the breast that they made when suckling on my gloved finger. There are some babies who just confuse us.
I have also learned that many babies after a time period of recieving smaller amounts will become 'content' with the small amount. Many babies who i see that have been diagnosed with failure to thrive the parents report to me: a happy content baby, sleeps well, and falls asleep at the breast usually relaxed.
So this baby may be having problems transfering milk - he may be getting enough to have wet and stool diapers but not enough let over for weight gain.
Jessica Callahan
RN, IBCLC
NC, USA
***********************************************
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