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Lactation Information and Discussion

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Subject:
From:
Kathy Eng <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 23 Jul 2007 19:35:52 -0500
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In the Breastfeeding Answer Book, page 173 (oh, third revised edition) 
it says, "The mother and her baby's doctor will need to discuss how much 
supplement to give. It may be helpful for the mother to know that babies 
need about 2 to 2 1/2 fluid ounces of nourishment per pound of body 
weight (60 to 75 ml per 454 grams) every twenty-four hours to maintain a 
normal weight gain. An additional 1-2 ounces (30-60 ml) per pound (454 
grams) of body weight may be needed to compensate for a previous lack of 
weight gain." This chapter has about 3.5 pages of references if anyone 
is interested.

In Breastfeeding and Human Lactation third edition, on page 301 is a 
chart called "Amount of Supplement to Use in a Feeding Tube Device."
One line of the chart is Infant weight in Kg with pounds in parenthesis. 
The estimation or rule of total daily intake is 150-200 ml/kl/day (oz 
per day). In this chart, a baby who is 3.5 kg (7 lb 11 oz) would need 
525-700 ml (17.5-23 oz) per day. This chapter has 2.5 pages of 
references if anyone is interested.

Those who are medical professionals could certainly decide something 
else or change these amounts.

It doesn't seem realistic to me that either of these highly respected 
authors would make this stuff up. These textbooks are recommended 
reading by the IBLCE or ILCA for aspiring IBCLCs.

Kathy Eng, BSW, IBCLC

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