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Subject:
From:
"<Martha Brower> (mgb)" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 11 Jun 1995 23:29:04 -0400
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Dear Anne:

Excellent!!!  Just a few comments that you may want to consider.
1. My understanding is that most babies will not latch on spontaneously until
closer to 50-60 minutes after birth, so you may want to give a range.
2. Here in Ohio, we tell parents that babies should have a minimum number of
stools equal to the number of days old they are up until day 5-6.  (2 stools
on day 2 ,etc.)
3. Emphasize that common is not necessarily the same as normal!  As in, its
common for new mothers to get damaged nipples--it is more a statement about
the type of teaching the mother receives about putting baby to breast than it
is about the "normalcy" of sore nipples.
4. I would recommend follow ups at 24 hour intervals until satisfactory gains
for babies with large weight losses (I am aware of 2 babies who lost 1 lb in
the first 3 days.  One MD wanted to follow up in 1 week and the other waited
for 10 days--not what I'd call conservative medicine!)

Keep up the good work!

Martha Grodrian Brower RD LD IBCLC
Kettering, OH

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