Has anyone created a checklist or documentation/training for Pediatricians to 
help them meet the recommendation of the AAP's statement: 

8. All breastfeeding newborn infants should be seen by a pediatrician or other 
knowledgeable and experienced health care professional at 3 to 5 days of age 
as recommended by the AAP.124,176,177 
*   This visit should include infant weight; physical examination, especially for 
jaundice and hydration; maternal history of breast problems (painful feedings, 
engorgement); infant elimination patterns (expect 3–5 urines and 3–4 stools 
per day by 3–5 days of age; 4–6 urines and 3–6 stools per day by 5–7 days of 
age); and a formal, observed evaluation of breastfeeding, including position, 
latch, and milk transfer. Weight loss in the infant of greater than 7% from birth 
weight indicates possible breastfeeding problems and requires more intensive 
evaluation of breastfeeding and possible intervention to correct problems and 
improve milk production and transfer. 

9. Breastfeeding infants should have a second ambulatory visit at 2 to 3 weeks 
of age so that the health care professional can monitor weight gain and 
provide additional support and encouragement to the mother during this critical 
period. 

Source: 
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;115/2/496

Jeanette Panchula, BSW, RN, PHN, IBCLC
California (still hot), USA

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