Hi I am a newly qualified IBCLC and a midwife with almost 30 yrs
experience. I am interested in when babies re weighed, the rationale for
the timing and intervention points.

In my practice I have hardly ever weighed a baby before day 5. I would
weigh sooner if output and observed breastfeeds were causing concern to
me. (by observed breastfeeds I mean frequency, duration, assessment of
latch, evidence of letdown and observation of more than one whole
breastfeed in a 24 hr period, condition of mum's nipples and breasts).

Virtually all babies I see are with mum from birth, no routine
intervention at birth and at least one hour skin to skin at birth with
several more periods later. Babies at high risk for neonatal
hypoglycaemia have AC blood sugar levels and are supplemented in the
first instance with expressed colostrum. After 3 good sugars they are
discontinued. There is full rooming in no nursery available and feeding
is baby led.

 

Sue Pace

Midwife/BFHI Coordinator/IBCLC

NZ


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