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Subject:
From:
gonneke van veldhuizen <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 5 May 2010 22:58:53 -0700
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Hi Joy,
I very much likes your long discussion of this topic. I think and talk and debate a lot about fluids and common and normal weight loss and the facets of calorie vs fluid loss. I think weight losses in otherwise healthy newborns we may see are very common, even in the 7-10% range, but I really doybt if they are normal. If there are any vetenairy experts or zoologists here, I'd like to know if substantial postpartum weight loss is as common (and thus normal?) in other mammals as well. 
When looking at the tables in the MGRS (WHO growth standards) I find it stunning to see hardly any weight loss (only in the 1st 24 hours) and a rapidly starting weight gain.
In my part of the world (Netherlands) IV's in childbirth are on a very much lower rate then anywhere else in the industrialised world (30% unmedicated homebirths, low CS rates, low incidence of induction and epidurals in hospital births) and still weight loss of 7-10% is seen as common (though reason for panic and lots of supplementing).
7
ILCA mentions 7% as well as a marker, but not as a reason to start panic treatments, rather as a point to start taking extra care for the dyad, observe feeding methods and management, observing and interpreting input and output and looking for more causes for weight loss then lack of calories alone.


Warmly,

Gonneke, IBCLC in PP, LC lecturer in southern Netherlands

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