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Subject:
From:
Jim & Winnie Mading <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 2 Feb 2001 10:55:10 -0600
Content-Type:
text/plain
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"From:    coutts coutts <[log in to unmask]>
Subject: Baby Not Gaining

Dear Esther, Regarding the 3 wk old who has "only" gained 4 of the 5
oz
lost since birth - I'm not so sure that there's definitely a problem

here...could you please give more information about - baby's birth
weight and discharge weight as well as was baby full term, healthy
and
growing in head circ. and length?  Mary = LLLL and aspiring IBCLC"

And let's not forget - did mom have lots of IV fluid and pitocin
during labor?  Recent posts have indicated/questioned whether babies
born after such labors have higher initial "weights" because they
have extra fluid on board.  "Birth weight" isn't necessarily the
actual weight (mass) of the baby if you consider extra fluid and
meconium as not part of baby's actual weight.
Here's a radical thought.  Why not wait to weigh babies until they
are 24 hours old?  Would there be any harm? (Other than the parents
being hounded by friends and relatives about how much baby weighs-if
this became a norm, people would learn to wait.)  This might be a
more accurate weight to compare than the birth weight which includes
the load of meconium as well as any extra fluid baby has on board.
Of course, if baby needs meds based on weight, that would be
different.  While this approach may be too radical, perhaps the
standard against which future wieghts are compared should be the 24
hour weight rather than the immediately-after-the-cord-is-cut
weight.  Any thoughts?
Winnie Mading, RNC, IBCLC

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