>Denise,
>Just a question since baby's output is low...and the stress level is
high...but have you done a weight before/after any feeding? I know that is a
Big intervention in my book,but probably wouldn't hurt as much as any
'testing'   (if there is a milk transfer problem).
>
>

In my practice pre and post feed weights are considered a part of a thorough
examination on an infant, especially one who is not gaining well.  Not doing
a before and after weight with a baby who is not gaining well is like trying
to help an adult lower blood pressure without taking the blood pressure.  If
I were to take my baby who was not gaining well to a physician and the
doctor did not weigh the baby, I would question the doctor's competence.

Several times I have observed infants who appeared to be nursing well who
did not consume adequate amounts of milk.  The research has shown that
observation is not a reliable method of determining intake.

Off the Soapbox for now.  Next?


Linda Pohl, IBCLC
Phoenix, Arizona USA
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