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Date: | Wed, 9 Mar 2005 16:12:17 EST |
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Pam, I can certainly related to your frustrations. I would direct you first
to Dr. Jack Newman's literature. You may also try looking under Dr.
Marianne Neifert for her work with normal weight loss.
I picked these two because they do not just look at the numbers. They
emphasize the importance of assessing the whole baby and situation. What does the
baby look like? Is the baby having frequent feedings, swallowing, appears
satisfied, not too jaundice and great outputs.............then the weight loss
does not fit the picture. Weights have been known to be wrong for many
reasons. If one finds that there appears to be a large weight loss, this is a
red flag to then evaluate the dyad.
I have run into this many a time at work and then have the nurses point out
uric crystals and dry lips as signs of dehydration. I feel that I am just
hitting my head against a wall when it comes to teaching.
Hope this is of some help.
Ann Perry, RN IBCLC
Boston, MA
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