Pat in SNJ writes
<<What I saw 20 years ago, doing visits after 24 hour discharges, was
weight regain or gaining by day 4-5. I wish we had some real great research on
what is normal! Taking all things in to consideration that we know.
IVs, over hydration, real weight at 24-30 hours, access to mom/breast and so
on. I think 2 weeks is a disaster waiting to happen. I'm personally sure
that it eventually affects duration. Is there a researcher out there who
needs a topic? Pat in SNJ, immersed at moment in old research 80s - 90s>>
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In 2011 Joy Noel-Weiss recommended, based on her research of maternal
fluids in labor and infant weight loss, that there should be a 24 hour
"reference" weight -- and that weight loss (in percentages) should be calculated
from that -- and that the *reference* weight should be reached by 10 days
rather than the birth weight. In the US in particular, we are giving so much
fluids to moms in labor, often compounded by Pitocin which is an
anti-diuretic, that we often don't have babies regaining *birth* weight by 10 days --
even if starting at day 4 they are gaining an ounce a day...
At the last "Bridges" program we did in WI, we had a nurse there from a
Baby Friendly hospital that said they were using the reference weight at 24
hours rather than the birth weight to calculate percentage of weight lost --
and that their supplementation of babies based on "Oh My Gracious, the
baby is down 8%!!!" has dropped to almost 0 -- because the babies are NOT down
8% any more.
This, of course, would be an entirely different scenario if we treated
birth as normal....and we didn't treat women as "patients" and we allowed them
to eat and drink normally in labor and didn't flood them with IV fluids
(just in case, doncha know....). Oh dear....stop me!!! I feel my favorite
rant coming on. But I'll spare y'all cuz I'm preaching to the choir
here.....
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education Consultants
Wheaton IL
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