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Subject:
From:
Mary Renard <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 6 Jan 1996 22:35:55 -0500
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In a message dated 96-01-06 15:52:20 EST, you write:

>  We went with 3
>urinations/stools on the second day to catch borderline hydration problems
>in early d/c babies.  Mothers are told if baby does not meet the minimum
>output requirements to breastfeed and follow with formula x 1.  If she
>continues to have to supplement for over 24 hours, she is told to notify
>hospital LC.

Yikes!  An intervention as significant as supplementation should not be part
of a routine or protocol.  (Imagine this statement in all caps!) (Actually,
imagine this statement expressed with far, far more vehement language!)

VERY IMPORTANT POINT ('scuse the shouting):  I think it was Anne Montgomery's
excellent true-false quiz the other day that brought out the point that
breastfeeding problems are usually *****prevented***** by early discharge.
 All of the worry about dehydration has obscured this important point.

Another important point, I'll try "italics" this time:
        >If breastfeeding is going well there is no reason why 3 urines on
the second day should be an unrealistic expectation!!!!!<

I'd be interested in comments from people seeing most or all home-birth
clients or birth center clients, who are nursing ad lib.  I think 3 urines is
reasonable, NOT too high, for an at-home baby who's tucked into bed beside
mom all the time, nursing ad lib.  If the baby pees less than that, she ought
to be calling someone, not supplementing!

Mary Renard, RN, BSN, IBCLC
SNOW anticipator (2 feet predicted here!)

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