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Date: | Sun, 19 Mar 2000 15:20:40 EST |
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carol says,
<< there are LCs (in my area) who believe it is necessary to do a test weigh
(before and after nursing) of EVERY mom/baby dyad they see. they honestly
can't tell if the baby is transferring milk, or perhaps they believe that
reduced intake is a factor in every single problem they see or i don't know
what, but i have been criticized for believing that test weighing is an
invasive procedure and should be used when needed. >>
I do an ac/pc weight with almost all of my consults in my private practice,
or those that come to me w/ problems. I never call it a test weigh, and I
always talk about seeing how the baby does, not the mom. Most of my problems
that I see are r/t low or slow weight gain -- plus the sprinkling of thrush
here and there. But I do want to point out that I've been fooled more than
once by "hearing swallows" and SEEING long, drawing, nutritive suckling, only
to have a baby very unhappy at the end of the feed -- and to check the weight
and find out he took a whole lot less than I thought he did. And this
finding does change my recommendations from -- 'oh, he's transferring lots of
milk -- just hear him gulping and look at those long drawing swallows' to one
that might be more interventive if we are on day 7 and baby transfers only 9
or 10 mls and is still losing weight.
In my 15 years of practice w/ a busy pediatric group and a private practice,
I've been fooled by the swallow sounds and nutritive looking suck more times
than I care to think about. So -- perhaps I'm old and don't hear well out of
one eye, and can't see out of the other -- but I do use ac/pc weights when
warranted. Perhaps it's because of the way I word it, but the moms I work
with are happy to do it, and don't view it as a "test" they have to pass.
Jan -- feeling quite scaly at the moment.
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