>And Two - all this has happened before her pediatrician had even scheduled
>them for a first post-discharge visit at 2 weeks.  This ped prefers not to
>see babies before 2 weeks, and has even told moms who call with
>breastfeeding issues to just wait until 2 weeks to be seen.  Any good
>references for encouraging her to see babies sooner, or at least give some
>resources for breastfeeding help to her patients?

>Jennifer Tieman
>Family Physician
>Mom to 4, including my toddler nursling Caroline Rose

The newly revised AAP policy statement 
(http://aappolicy.aappublications.org/cgi/content/full/pediatrics;115/2/496) 
says, in item number 8 under Recommendations:

"All breastfeeding newborn infants should be seen by a pediatrician 
or other knowledgeable and experienced health care professional at 3 
to 5 days of age as recommended by the AAP.124,176,177

"This visit should include infant weight; physical examination, 
especially for jaundice and hydration; maternal history of breast 
problems (painful feedings, engorgement); infant elimination patterns 
(expect 3-5 urines and 3-4 stools per day by 3-5 days of age; 4-6 
urines and 3-6 stools per day by 5-7 days of age); and a formal, 
observed evaluation of breastfeeding, including position, latch, and 
milk transfer. Weight loss in the infant of greater than 7% from 
birth weight indicates possible breastfeeding problems and requires 
more intensive evaluation of breastfeeding and possible intervention 
to correct problems and improve milk production and transfer."

Note that it gives three references for this recommendation.

Hope this helps!

Warmly,
Margaret
Longmont, CO

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