On 12 July 2013 15:42, laurie wheeler <[log in to unmask]> wrote:

>
>
> A recent case where pump test possibly could have been used to ascertain 24
> hr milk production: normal mother baby other than mother smoked. Term, vag
> birth. Baby gaining weight at 6 day checkup in our followup clinic and at 2
> wk visit with pediatrician, exclusive breastfeeding. Next visit at peds
> would be 2 months. In between at 6wks mother brings baby to doctor or ER
> for voiding blood (it was not blood but dark urine). Baby had lost 1 lb.
> Exclusively breastfeeding.


Yikes. But the most obvious reason would be (for example) that the mother
was just not feeding often enough or the baby was not transferring well.
Careful questioning and listening would reveal that, along with knowledge
of what the weight was at 2 weeks. Your own chat with her brought about the
knowledge that she was using oestrogen patches (yikes again....) and the
baby had a UTI. What benefit or additional knowledge would a 4 hr pump test
reveal?

Heather Welford Neil
NCT bfc, tutor, UK

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