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Date: | Tue, 10 Jul 2012 21:02:36 -0400 |
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Liz responds to my Philistine e-mail:
<<I agree, Jan: for a full-termer who is transferring mostly appropriate
amounts, those tenths of ounces are irrelevant. But I take comfort in being
able to give the mother full and accurate information upon which she can
make an informed decision. Finding out on Day 5 or 8 or 10 that this baby
just AIN'T transferring is an alarming piece of news for the mom who hoped I
had some magic wand in that black bag.
Now -- please -- I am not trying to re-open the debate here of
should-we-or-shouldn't-we use scales. It is standard practice in some parts of the
world, and not in others. For me, and in my area, it is standard practice --
and I personally prefer to have the information down to that tenth of an
ounce.>>
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Yes. Liz -- I have the amazingly expensive
down-to-the-2-gram-scale....and I use it and I love it. HOWEVER....Let's say your 8 day late pretermer
is transferring only, oh, 3 gm on your (or my) amazingly expensive scale
(1/10 of an ounce), BUT -- on our really cheap scale that only weighs down to
5 gm, not 2 gm, is transferring 10 gm -- a difference of nearly 150% more
-- or 1/3 ounce. does it make a difference in what we advise the mother to
do? I don't think so. We are both going to advise what to do for low milk
supply/transfer and FEED THE BABY.
My point is not whether or not to have a scale -- I couldn't function as
effectively as an IBCLC without the one I have. My point is, do we need to
have a $1000 scale to be effective. And, I don't think we do. Especially
since most IBCLCs in private practice can't afford an $1000 scale. So, are
they doing without? Probably. And are they functioning as effectively as
those of us with scales? Well -- I agree with Liz here -- not gonna get
into that argument.
Jan B.
In a message dated 7/10/2012 6:19:34 P.M. Central Daylight Time,
[log in to unmask] writes:
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