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Sun, 12 Nov 2006 17:10:01 -0600 |
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First of all these were not babies at the breast. Second they were
weighing or assessing from the bottle measurements.
For problem situations, test weighing saves time and reassures the
mother. We talk about babies with oral motor problems. The only way to
really know that these are low intake feedings is by test weights.
Because the baby looks good, makes gulping and swallowing sounds, but is
taking in almost nothing, has poor weight gain, is fussy etc. Posterior
tongue ties are often caught after test weights show poor intake.
Rachel (I think) asked how do we know when the intake stops being ok? We
do several test weights during the feed. I might do them every five to
ten minutes minutes depending on what baby is doing. I often do 4-6
weight checks during a total feeding. I can catch at the point baby is
no longer removing milk within the last test weight.
I often work with failure to thrive babies who are quiet after feedings
or who look and sound like they are sucking well. It is the test weights
that show us when things are not working well and how to supplement to
increase the weight.
People have been going on and on about how normal babies don't need test
weights, this is correct and no one is advocating this unless mom just
has to be reassured that yes she has milk.
Moms in the USA always blame their milks supply for the BF problems. I
have used test weights to show a mom with an abundant milk supply
(through pumping) that the problem is her baby;s oral motor issues not
herself.
Kathy Eng, BSW, IBCLC
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