>Magda wrote that she didn't make a note of why Tim Cole felt that no chart
should be used in the first four weeks of life. I don't think he did
elaborate, but his remark was in response to a question from the audience,
something about how to interpret the initial drop in weight after birth and
the variation in time it takes to regain it or something. <
Thanks Rachel, this is what I remembered but without notes was wondering if
I had just supplied this rationale myself. There is a good UK paper on this
early centile crossing and how growth charts are not useful in early weeks:
Wright CM & Parkinson KN (2004). Postnatal weight loss in term infants: what
is 'normal' and do growth charts allow for it? Archives of Disease in
Childhood Fetal and Neonatal Edition 89, F254-F257.
And, as Rachel goes on to say Tim Cole did not say don't weigh, just that
*plotting* on the chart not appropriate at this time. In fact, through
doing my research, I have become a fan of weighing in the early days after
birth, provided that the weighing is done suitably (equipment, etc) and is
done according to a sensible, thought-through and holistic protocol, which
is very very rare here in the UK. To see the sort of thing I mean:
Macdonald PD, Ross SRM, Grant L, & Young D (2003). Neonatal weight loss in
breast and formula fed infants. Archives of Disease in Childhood Fetal and
Neonatal Edition 88, F472-F476.
McKie A, Young D & MacDonald PD (2006) Does monitoring newborn weight
discourage breast feeding? Archives of Disease in Childhood 91, 44-6.
These papers decribe a regime of interest, which has promise. There are
different trigger points for differing interventions, and the way that
weighing is frequent UNTIL BIRTH WEIGHT IS REGAINED and then its stopped
(where weighing is frequent in the UK, it often just goes on even when the
baby has regained/is over birth weight every several days -- waste of money
and time in my opinion, and trigger for focus on weighing and obsessiong
about the centiles) is ace.
Magda Sachs
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