Mary-Jane,
How do you show them the size of a good bowel movement?  How do you
describe this?  I want to make a first week handout for our moms.  Thanks!

Sonya Shaver, BS, CHES, IBCLC

On Thu, Nov 10, 2011 at 1:14 PM, Mary-Jane Sackett <[log in to unmask]> wrote:

> Laurie writes:
>
> "The phone follow up is the very least, but I will say that parents quite
> often (in my experience) misjudge jaundice, wetness of diapers, infant
> lethargy,  infant gassiness (hunger), constipation vs low intake, and
> whether or
> not they  are experiencing copious milk production. There is simply no
> substitute for in  person evaluation, guidance, and support. This is the
> gold
> standard."
>
> My hospital's telephone follow-up program of about 23-25 hours per week got
>  the ax three years ago in the first round of what turned out to be 3 RIFs
> in  about 2 years. This was a great loss to the mothers in our area.
>
> The very  skilled CLC/CCE who did the follow-up is now a per diem IBCLC in
> our facility. I  am able to make  only a few follow-up calls daily, usually
> to  those mothers who have left with identified risks or problems, or to
> those I am calling as follow-up that I thought was necessary after an
>  out-pt
> consult.
>
> Many mother and infants in our area still receive an MCH visit from one of
> 3 home care agencies in our area. It is not quite as automatic as it used
> to be,  but still provides a level of follow-up that other areas of the
> country may not  be as fortunate to have. I know from attending
> conferences and
> speaking with  other IBCLCs and visiting nurses ( I used to be one) that we
> are a rarity in  that this is still fairly available in our area.
>
> I am starting to educate mothers on just concentrating on their infant's
> stooling pattern after discharge, and not worrying so much about the wet
> diapers, and show them exactly the size of a "good BM." I tell them that if
> their infant is stooling appropriately as I describe, then they will most
> likely  be urinating in a sufficient amount. LLLI (LaLecheLeague
> International)
> has a  good handout on this that I refer to. We do give out our own feeding
> and output  sheet that parents can log on, but I wonder how many of them
> really use it.
>
> Mary-Jane Sackett, RN, IBCLC
> Pittsfield, MA
>
>
>
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