Felicia, I saw your original message, but didn't have any references for you. I'm curious as to why your client wants ammunition that more than a 10% wt. loss is okay. I know that it always makes me take a close look at the situation when a baby's weight loss is getting to 10%. Does she expect this to happen from past experience? There's so many factors to consider--the age of the baby, was baby's weight appropriate for gestational age to begin with, how's the baby acting, how dry does the baby look, is mom's milk starting to increase or are her breasts soft and baby isn't swallowing, etc., etc. I assume she must be expecting a c-section or this wouldn't be an issue (she'd be home). Rather than looking for references to justify a large weight loss, she might better focus on how to prevent one. I don't think I'd be seeing the inappropriate weight losses I do if not for all the obstetric intervention. How about helping her plan for minimal intervention in the birth and unrestricted breastfeeding by keeping the baby in her room all the time? I also suspect she could specify in her baby's chart that she "forbids any oral fluids without her written consent" or something of that nature. Becky Krumwiede, RN, IBCLC, Wisconsin, hospital practice Who finds herself using ABM *way* more than she ever would have expected. [log in to unmask] or [log in to unmask]