>Dear Heather,
>
>Of course stooling patterns or lack thereof are not the problem in
>itself, only a symptom or a piece of the puzzle to look at. I have
>also had the rare baby who is not stooling every day and still
>gaining weight beautifully and happy. But when you tell the Ped
>that the mom reports feeding for 1 hour straight, you did test
>weights and baby ate only 26 cc, and the baby stools once in 6 days,
>it is frustrating for him to say that many babies don't stool.
>Now, I will say that this baby is slowly eeking her way back to
>birth weight. She is 75 g under BW at 11 days. That is amazing to
>me that she is even gaining at all. But I would be willing to
>register a good bet that within the next week it will slowly taper
>off and become a problem.
>We are trying to do early intervention here, to recognize problems
>before they get to the stage of a newborn losing weight, and at this
>point, the puzzle pieces are not pointing in a good direction!
>
>Debbie, in terms of who is giving bad advice, well heck, it can be anyone!
>See, in my case, her Yoga teacher also insisted that nursing babies
>don't need to stool, as did her mother in law, who was a labor coach
>20 years ago, and of course let's add the Ped- so really now, I am
>the idiot!
>Jessica Billowitz, IBCLC
I can only say the same thing as before, Jessica.....stooling is
irrelevant if the weight gain is ok, and it's not possible to tell
from one single test weight if the weight gain *is* ok, and not
possible to tell from the weight she is now compared to birthweight,
either....75 g under birthweight at 11 days is within normal limits,
but if she was 75 g under birthweight at 4 days, then it wouldn't be
good.
There's not enough info to be sure of what is happening, except yes,
the lack of stools means this baby's feeding and growth needs
checking out sooner rather than later.
Hope this gets sorted out.
Heather Welford Neil
UK
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