Barbara Wilson Clay wrote:

"The test weights should be done with the explanation that they are really
only a snapshot of one feed, but that they can be used to confirm
IMPRESSIONS of how the feed has gone.  Having some feedback to confirm
impressions is useful.  It is a way for a parent to become more able to
control what seems like an uncontrollable situation because it provides
information about what to do next.    I lay out menus of choices rather than
only one option (for alternate feeding methods, pumping scheds, use of
formula, etc.)  I always plant the suggestion that all problems are but
temporary blips with every hope of eventual resolution. "

I want to voice emphatic agreement with Barbara. I'm a private practice LC
who just started doing test weights (I practiced without a scale for a long
time).  I use the term "snapshot" and I involve the mother in describing the
feed to me so we have a "quality" assessment as well as a "quantity"
assessment.
I also lay out menus of choices; I feel this is vital.  Since I have seen
many
approaches work, I describe them and help the mother come to a decision
that she can live with (for a few days at least).
Just a snapshot of how I work, and I'm relieved to hear someone with
experience who does the same thing.

Kate Sharp
Manhattan, New York
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