Greetings... We do not do test weights in our Level II NICU.  We use what
we call the "Iowa City Protocol" for supplementing after breastfeeding as
needed.  The protocol states that:
 if  baby nurses less that 5 min., give entire feeding volume
 if baby nurses well for 5-10 min, give half the prescribed volume
 if baby nurses well for 10 min. or more, no supplement is needed.


from: "A Structured Intervention Improves Breastfeeding Success for Ill or
Preterm Infants"
      MCN, Vol.20  November/December 1995
      Ellyn H. Bell, Janet Geyer, Louise Jones




Susan Reulbach Wirtjes RN IBCLC in Waterloo, Iowa
            where it feels more like winter than it did in January!
"What you permit, you promote"

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