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Lactation Information and Discussion

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Subject:
From:
"Andrea Herron R.N., M.N., C.L.C" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 8 Jan 1996 23:40:56 -0500
Content-Type:
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I am very interested in the discussion about normal infant output during the
first days of life.  Our hospital does not have a protocal, in fact, often, I
think I am the only one that pays attention to output.  Stool and urine
output is very important, but is only one variable to consider  when
evaluating hydration status in newborns.  What about weight loss.  I have
found that 3-4 ounces per day means the baby is doing well.  Our protocal
states that a breastfeeding consult is necessary if the baby looses more than
5 ounces in 24 hours.   I have been questioning the relationship between
stool and urine output and hydration.  Our c-section babies often seem to
have 4-5 stools and frequent wet diapers during the first 24 hours.  This
output could not be related to intake.  I often see babys that have lost more
than 10% of their body weight and yet do not seem dehydrated and guess what?
 They are usually having frequent stools.  I must confess that presently I'm
glad our hospital isn't trying to develop a protocol.

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