>Heather,
>Thanks for the input...
>I question the 10 oz weight gain between day 3 and day 6 also...
>The baby was weighed with the same instrument at birth, and on day 3 
>by the midwife who attended the birth...
>the baby was naked for those weights...the scale was one which 
>suspends the baby in a sling...
>
>The day 6 weight was recorded with a digital scale at a 
>pediatrician's office- baby was clothed and in a diaper...
>I weighed the baby clothed and in a diaper so I would be comparing 
>apples to apples when comparing the day 6 weighing


I see a problem here:  three different scales and three different 
operators in three different settings, and not one single weighing 
has been done under accurate conditions - naked baby on digital 
scales.

>with yesterday's weighing...and the baby has lost weight over the 12 
>day interval...


You might be correct - but with that data, I don't know how you can 
be sure, or be sure by how much the baby has lost.  It may be by more 
than the scales show...who knows? The fact the baby looks 'thin' is 
clinically significant, I think.

However, babies who are actively losing weight are usually hard to 
rouse, and when they do feed, they are miserable - they either fall 
asleep very quickly after starting to feed, or feed for ages and ages 
without becoming satisfied. Is this what is happening with this baby? 
And yes, they look thin.....

I understand why you weighed the baby clothed, Jen, but the risk of 
repeating the doctor's poor practice means you have no accurate 
baseline yourself.  There is no benefit in weighing a baby clothed, 
and it gives far too much margin for error.

Of course it matters not one jot if we are weighing for fun, but if 
we are weighing to make a clinical judgement, then it has to be 
accurate. Weighing with clothes is affected by whether the baby has a 
woolly undershirt on that day, or  is wearing a different type of 
nappy compared to the one he wore before....when we are talking in 
terms a few ounces, these things really matter.


It's clear feeding is not going well, whatever the precise data, you 
are right.  Lots of skin to skin contact and holding the baby ad lib 
day and night and *not* waiting for obvious feeding cues and instead, 
responding with the offer of the breast at the least obvious cues, 
will help.

Heather Welford Neil
NCT bfc, tutor, UK

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