>I agree that the trajectory is useful.  I disagree that it is normal 
>for a newborn to continue losing weight until day
>5 or 6.  That tells me either that baby is not getting enough access 
>to breast or something is wrong with milk transfer.


I agree, Pat - when I did the recent lit. search the conclusion was 
that the nadir of weight  is day 4....so we would want to see the 
baby gaining weight from day 5-6. But the baby does not have to be 
back at birthweight by then.

That's also what I said in my original email about this.

I think my concern with your post a couple of weeks back  was that 
you wrote that a baby not back to birthweight on day 4-5 was 
worrisome - your email of Nov 10 says " If they weren't back to birth 
weight by day 4, I considered baby at risk and could get another vss. 
If they weren't back to birth weight by day 4, it was usually a 
problem in baby or mom."

Maybe that was a typo?

It's the same in the UK, by the way - early signs of poor milk 
transfer are sometimes missed.

Heather Welford Neil
NCT bfc, tutor, UK
-- 
http://www.heatherwelford.co.uk

http://heatherwelford.posterous.com

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