LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
"Marie Davis, Rn, Clc" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 6 Sep 1996 14:47:31 -0400
Content-Type:
text/plain
Parts/Attachments:
text/plain (34 lines)
I just wanted to add one more thing to the discussion, I'm sorry if it was
covered before.  Uric acid crystals are common in the first 2 days, their
appearence after that point suggests dehydration.
In classes I tell parent's to pay close attention to the number of wet
diapers and STOOLS (Yes, I'm shouting). Stooling disappears long before
urination.  Counting wet diapers is useless if the parents are giving the
baby water or if the mom received large amounts of IV fluids in labor.  I
have parents follow the guidelines from Niefert and Seacat and R. Lawrence.
 They are also printed on our breastfeeding handouts.  Fortunately we catch
problems early because we've drummed this into everyone's heads (The peds
finally got the message).  I believe that Lawrence says all meconium should
be gone by day 3.  I've found that if mec is not gone by day 3 the baby isn't
doing well.  The Peds department has finally begun referring moms to the
lactation clinic if the baby isn't stooling very well when they see them for
their 3 day check up.  The baby's weight is usually way down and mom has
really sore nipples from poor latch on.

Our handout says something like this:
How do I know my baby is getting enough?
Counting the number of wet diapers and stools will help you determine how
much your baby is getting.
Wets:
1st day=1   2nd day=2  3rd day=3    4th day= 4
by 5 days of age you baby should have 6-8 wet diapers with light yellow to
clear urine.
Stools:
Day 1-2= one or more black sticky [mec] stools per day
By day 3-4= the stool should turn more brown [trans] and be less sticky and
become more frequent.
By day 5 baby should have yellow stools that resemble runny egg yolks and
follow most feedings.
This is followed by a statement about the maturation of the bowel and perhaps
less frequent stools after 4-6 wks of age.

ATOM RSS1 RSS2