I do test weights with every consultation because I only work with 
problem situations. I feel very strongly that test weights, or at least 
knowing the current naked weight of the baby is vital or else the IBCLC 
can not do her job correctly, nor make the correct assessment. I have 
done test weights with too many babies who look perfect with active 
sucking but with poor intake which explains why they aren't gaining 
weight! I do weigh the babies in a dry and clean diaper. This weighs 
7/10 th of an ounce on my Tanita BLB12 scale. I also like to put the 
babies on their sides to weigh them. They usually cry and flail around 
on their backs. On their sides, they tend to be less flailing. And you 
can have them grab the side of the weight pan and they will often stop 
flailing if they grab that.

Kathy Eng, BSW, IBCLC
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