>
>Hi all
>
>I may find my opinion in the minority here but I see very little need for
>test weighing.
Way back in 1989, Chalmers, Enkin and Keirse (in their overview of
the literature in 'Effective Care in Pregnancy and Childbirth')
found test-weighing to be one of the procedures they concluded was
'ineffective or harmful'.
Test weighing has not been done in the UK for decades - I do remember
it being done to a friend of mine's baby about 25 years ago, but it
was unusual then, and I have hardly heard of it being done since,
except in very occasional or extreme circumstances. That's not to say
we have it all right in the UK (ha! I wish!) , but just to explain
the context I am in.
I have read of it being done on Lactnet, and in a situation where a
mother is getting good, knowledgable and (crucially) on-going support
from the same, good, knowledgable person, I can appreciate that it
might have a role, especially if the person is fully aware of the
shortcomings of test weighing, and the very limited information it
gives of the breastfeeding situation. I accept that some skilled
practitioners are able to use test weighing in a good way as part of
their range of skills.
Because we don't test weigh, and because I as a lay person don't
weigh anyway, we assess milk transfer in other ways, as Ruth
describes.
Heather Welford Neil
NCT bfc, tutor, UK
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