Pat
I hope you didn't misunderstand me or did I mispost? I agree with you. "Wt
loss or no gain at 4-5 days, certainly at 2 weeks, is a sign that milk
transfer is not occuring for whatever reason (baby problem, mom problem
etc.).  A big red flag."

I was saying yes I think babies should be gaining straight away and I'm with
you - I see the red flags alot sooner than 2 wks. (Altho I must say that
doctors "giving babies" 2 wks to regain b.wt helps to avoid formula being
started very soon by them). At our facility, unfortunately, the babies leave
the hosp next day (day 3 for c/s) and generally return to the ped at 2 wks.
We follow them by phone on day 3 or 4 and for however long it takes. We will
bring them in if needed. However it would be much better if ALL bf couplets
returned to be checked (like at Evergreen in Washington USA) at day 3/4. One
day I hope to implement that. And, believe me, if you knew the week I had,
sadly, that is a LONG WAY away.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, USA



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