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Subject:
From:
Joanna Koch <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 1 Aug 2006 19:36:32 -0700
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Seema -
I have found it useful, when trying to persuade a physician of anything to
do with lactation, to appeal to what is biologically normal.  In terms of
normal intake in the first week the golden rule would then be what happens
if a baby is exclusively breastfeeding.  I've seen a number of different
studies re production in first few days but here are some numbers from
Hartmann (see p. 113 of Bfdg, A Guide for the Med Profession, 6th Ed, Ruth
Lawrence)
Day 1 - 50 grams
Day 2 - 190
Day 3 - 400
Day 4 - 625
Day 5 - 700

I have found physicians to be generally unamused by marbles and walnuts!  On
the other hand they are most willing to accept that healthy, term babies are
designed to be just fine on minimal qties days 1 and 2 given that's what
they would get if successfully breastfeeding, normal lactogenesis.
Hope this different approach does the job.
Cheers,
Joanna Koch IBCLC N. Ca.

Seema wrote
<<I am having hard time convincing the pediatrician who I work with about
baby's tummy size. MY coworker Doc doesn't believe the baby's tummy size is
marble size day 1-2. and walnut size at onw week and he doesn;t want to me
to tell my moms this info.>>

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