Nofia, it would be hard to judge from this distance since there are so many
things to consider.  e.g.  what was the birth wt?   what was the discharge
wt?
how does the baby look on the wt/ht graph?  (proportional? small like
parents?)
how does the wt look as a percentage of birth wt?   Setting deadlines is
sure hard on the mother's b.pressure!   Seems like a more appropriate
approach is to do wt check every 4-5 days making sure the output continues
as well as it seems to be going.   Seems like much ado about nothing, if
output is good, baby is gaining, baby is contented, and mom is taking time
to get rest and eat nutritious foods.    Just my .02 worth.
 Respectfully, Michelle Scott, MA,RD,IBCLC

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From:   Nofia Altman[SMTP:[log in to unmask]]
Sent:   Sunday, November 23, 1997 8:44 AM
Subject:        weight gain

First of all, a belated congrats to all who passed and are now IBCLC.

I have a mother, parity 5, who has a small build, weighs about 100 lbs, and
is about 5' 1".  None of her first four children breastfed over a month,
because she was told she had "skim milk" for one and IMS for following
three.
Now, I have helped her get almost to the 1 month without any supplements
(bravo!) and she is concerned because at 2 weeks baby had gained only 200 g
over weight at hospital release.  Baby has wet diapers and many bowel
movements, good color, feeds every three hours/daytime, 5 hours/night.

Nurse will demand baby go on supplements if baby not wg 600 g at next
weight check (4 days- 7 days from now).
Is 600 g the expected weight gain for a newborn for one month? I had
previously read minimum weight gain at 400 g. (1 lb) Please, give me
sources to arm mother with at next check.

I have repeated the diaper rule (6-8 wet, 5-10 bowel) to this lady so many
times, and she has answered that the baby is wetter than any older siblings
had ever been.

Also, mother is suffering from high blood pressure since birth, and this
keeps her under the nurse's nose.  Nurse's nudging her about wg is
stressing for sure.
I am NOMAIL,so please reply to me and the list! Thanks!

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Nofia Altman