Subject: | |
From: | |
Reply To: | |
Date: | Sun, 22 Feb 2009 11:24:06 -0500 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Dear all:
At the San Diego ILCA conference, Laurie Nommson-Rivers did an excellent presentation
of the predictive value of pees and poos. She used receiver operating characteristic
curves (which are a great way to assess cutoff values). Her work really shows that the
predictive value of what goes into the diaper is poor and they should only be used as a
rough guide ALONG WITH OTHER INDICATORS.
I have seen many a baby who is in serious trouble with perfectly fine diaper counts and
many a baby who has diaper counts that would suggest trouble who are actually doing
well in the intake department.
NO ONE INDICATOR alone is really sufficient to judge what is happening with an infant's
intake and the reason is that under normal circumstances, physiologic functions adjust ---
a baby that doesn't eat quite enough at one feed may wake up earlier and feed more
frequently, a baby who is very energetically crying may burn off more energy but get the
mother's attention for feeding faster than the sleepy baby, a baby who is not taking
enough may try to conserve energy and sleep longer ---- it is when the minor
adjustments to a achieve a homeostatic healthy state start to break down that you need
to pay attention and the clues that the "system" is breaking down may occur with any one
of a number of indicators.
Best, Susan Burger
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|