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Subject:
From:
Kathy Eng <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 15 Sep 2007 19:35:49 -0500
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Dear Friends:
    Kent et al. found that mothers make a range of 440-1200 ml of milk in 24 
hours. How can we be so precise about how much a baby should take when mothers 
are so variable, and babies only take around 76% of what is in the breast?
    warmly,

 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
_http://www.breastfeedingalwaysbest.com/_ 

For those of us who are not HCP, doctors or nurses able to give medical advice, we use our textbooks and go with the intake guidelines given therein. Now, we have also discussed this topic to death and I am dismayed to see our profession act so ignorant and try to say poor weight gain or intake is okay because whatever opinion  we have. If an IBCLC choses on her own to decide what is okay intake, then let's hope you carry liability insurance. For myself, I am content to use our textbook materials as per what is adequate milk intake and weight gain. Again, when you have a baby not gaining weight, a responsible IBCLC must give guidelines or ask the HCP to give guidelines for what intake should be or needs to be. 

Kathy Eng, BSW, IBCLC

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