My comments below.
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> From: Mary A. Banaszewski <[log in to unmask]>
> Subject: Re: Bili lights, ABM, Re: Jaundice in Breastfed Baby
> Date: Thursday, November 13, 1997 10:42 PM
>
> Jude, I agree, these discussions are stimulating. I work alone as the
> hospital's "Lactation Specialist" so really benefit from the sharing of
> ideas that goes on here. Guess I misunderstood the original posting on
this
<snip>
Yeah, I was talking in general about bili babies, nothing specific going on
right now.  Just trying to get ammunition for the inevitable.

> check. But I think the 2 week guideline is still a good one. Sometimes we
> can put too much emphasis on weight gain, implicating there is something
<snip>
Absolutely!  I tell the mom that I EXPECT the baby to drop to X weight by 3
days and that s/he "probably" won't get back to birth weight until 2 weeks
- then, when she comes in at 7 days and the baby is nearly back to birth
weight, I can crow to her about how WONDERFUL  that she has already got the
baby back to birth weight and that she is doing such a great job and I hope
she is really proud of herself because I sure am, etc, etc.  If the 7 day
check is less than wonderful, I can still say good things, but also correct
intervals of bf, reevaluate latch, etc. If at 2 wks the baby still isn't
quite at BW, I can say he is almost there, and recheck in a few days.
Seems to work for me.

> Your comment about the larger birth weight babies taking longer to regain
> their birth weight is also interesting, I've seen that occur and heard it
> from other LCs. Also recall hearing that much of the initial weight loss
is
> a normal occurance as a result of fluid loss from baby's tissues, after
> soaking in amniotic fluid for 40 weeks. Any thoughts on this? Mary

The baby in question at birth indeed looked puffy and saturated, and
dropped to 9 LB 2 oz at 1 wk of age.  Losing 2 LB was SCARY, but at the
same time, the kid actually looked a little more "normal", but it was nerve
wracking to see him drop so far.

VvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvVvV
Jude Kurokawa, CNM, FNP-c
513 Dayton Street
Wolf Point, MT 59201 (where A Coyote midwife sits by the hole and waits...)

Mailto:[log in to unmask]
Http://www.midrivers.com/~jkuro