I emailed to Denise the material that I have been using for the last couple
years. It comes from 2 main sources. Thought I'd better post it as well.
1 source is from Medela's San Vita Parent's Handbook authored by Rona Cohen.
Rona, if you are out there, maybe you could share your reference's for this
specific info?
Rona includes a chart which is very helpful. The info is:
Days 1 &2 : 1-2 wet, 1 stool, Days 3-5: 3-4 wet, 1 stool, 6+ d's: 6-8 wet,
2-3 stools,
minimum 8 feedings each day.
The second source was a part of the hand out's at LLLI's '94 Lactation
Specialist's Seminars in a session by Kay Hoover. It is a paper published by
the Philadelphia Dept. of Public Health, Office of Maternal & Child Health.,
500 S. Broad St., Philadelphia, PA 10146 (215) 685-6825. They give
permission to copy. It is a 1 page, 2 sided brochure entitled "To Know Your
Baby is Getting Enough" Fill in the log on the next pages. Inside is a
'First Week Daily Bf Log'. Each day lists the hours of the day, with the
goal of 8-12 bf's and directions to circle the hour when baby nurses. Next
is Wet diaper, with the number of 'w' 's listed as wet diapers expected for
that day. 3rd is Stools, with the number of 's' 's listed, and a color
description.
So: Day 1: Goal
12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 8-12
Wet diaper W
Black tarry soiled Diaper S
D - 2 2 wet, 2 stool (brown)
D-3 3 wet, 2 stool (green)
D-4 4 wel, 3 stools (yellow)
D-5 5 wet, 3 stools (yellow)
D-6 6 wet, 4 stools (yellow)
D-7 6 wet, 4 stools (yellow)
Instructions tell mom it's ok to have more wet or soiled diapers, but to call
their bf helper if baby has less than number on log.
Listed references are:
Terri Bloomindale, IBCLC Breastfeeding Checklist
Linda Kutner Rn, IBCLC Refrigerator List
Marianne Neifert, MD Screening Forms: Aid to Breastfeeding /Pediatric Mgmt
July 92
I find it easy to tell mom's to expect as many wet diapers as baby is day's
old, and close to the same with stools. I've found we need to point out to
new parent's that we are referring to the standard 24 hour days [ :-) !! ],
not just day time as opposed to night time. I use the Philadelphia chart
for all bf classes, and have passed it on to childbirth instructors I know,
and I also give it to all clients I see either prenataly, or in the 1st wk
postpartum. It's written at a very easy reading level. Perfect for the post
partum brain to absorb! The last page has a list of questions for mom to
answer after baby is l wk old, to help her know if everything is going ok.
BTW, it's good to be back, I was offline over New Year's, signed on last
night and spent hours catching up on Lactnet! Didn't realize just how badly
I missed you all till I signed back on! So many things I want to respond
to!! I'll try to space it out. I've been trying to re-organize my office -
and have to be careful as I am one of the world's best procrastinators! (And
as other's have shared, Lactnet is addictive!)
Kathe Catone, in chilly, but sunny southern California.
PS: Marie, it must be something in the air around here. I had a similar
experience, only this postpartum mom decided to lambast me in a public
setting. I was a wreck, even tho I knew, intellectually, and was assured by
those who had the misfortune to witness the event, that I was just lucky
enough to be the target, the mom was dealing with issues that had nothing to
do with me. How thankful I am these kinds of episodes are few and far
between. But maybe, Nancy Williams & others with her kind of therapist
background, could share some insights into possible triggers & how to
recognize them before the volcano erupts. (My experience gave me a since of
deja vu about another experience with a friend who had a postpartum psychosis
episode). I was so blindsided, I literally was struck dumb. Everything I
know about communication skills left my brain.
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