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Lactation Information and Discussion <[log in to unmask]>
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Tue, 10 Jul 2012 21:02:36 -0400
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Liz responds to my Philistine e-mail:
 
 
<<I agree, Jan: for a full-termer who is transferring mostly  appropriate 
amounts, those tenths of ounces are irrelevant. But I take comfort  in being 
able to give the mother full and accurate information upon which she  can 
make an informed decision. Finding out on Day 5 or 8 or 10 that this baby  
just AIN'T transferring is an alarming piece of news for the mom who hoped I 
had  some magic wand in that black bag.


Now -- please -- I am not trying to re-open the debate here of  
should-we-or-shouldn't-we use scales. It is standard practice in some parts of  the 
world, and not in others. For me, and in my area, it is standard practice --  
and I personally prefer to have the information down to that tenth of an  
ounce.>>
***************************************************

 
Yes.  Liz -- I have the amazingly expensive  
down-to-the-2-gram-scale....and I use it and I love it.  HOWEVER....Let's  say your 8 day  late pretermer 
is transferring only, oh, 3 gm on your (or  my) amazingly expensive scale 
(1/10 of an ounce), BUT -- on our really cheap  scale that only weighs down to 
5 gm, not 2 gm, is transferring 10 gm -- a  difference of nearly 150% more 
-- or 1/3 ounce. does it make a difference in  what we advise the mother to 
do?  I don't think so.  We are both going  to advise what to do for low milk 
supply/transfer and FEED THE BABY. 
 
My point is not whether or not to have a scale -- I couldn't function  as 
effectively as an IBCLC without the one I have.  My point is, do we need  to 
have a $1000 scale to be effective.  And, I don't think we  do.  Especially 
since most IBCLCs in private practice can't afford an $1000  scale.  So, are 
they doing without?  Probably.  And are they  functioning as effectively as 
those of us with scales?  Well -- I agree  with Liz here -- not gonna get 
into that argument.   
 
Jan B.


In a message dated 7/10/2012 6:19:34 P.M. Central Daylight Time,  
[log in to unmask] writes:


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