Cheryl Muller posted <<If the baby is feeding well and lactogenesis II beginning, we should not supplement , but have the baby weighed in 48 hours and teach parents about diaper output expectations and ways to check for hydration. What is everyone else's opinion?>> Cheryl, you sounded concerned in your post about the conf. presentation citing a 6% wt loss as more "normal" than, say, 10%. This is really so complex an issue as to be very hard to give an opinion. I think what we should take home from this is that this is one research study. But it certainly gives us some new data and something to think about and very possibly rethink our current position on "normal" infant wt loss and wt gain patterns. Lots of people cite a 10% wt loss (some say 7-8%) to be the normal and a regaining of b. wt by 2 wks (some even give 3 wks) to be the normal. Well maybe there are some babies who lose a good bit of wt due to fluid loss, and maybe their b.wt was artificailly inflated due to this, maybe they will not be back to b. wt by 2 wks. maybe. maybe. However all this is complicated by birth practices (interventions) and hospital practices, lack of knowledge and skills by hcps and mothers, etc etc. Very complex things going on. Perhaps Jane's sample dyads, hcps, and hosp routines are much more bf-friendly than average. Like I said in a previous post, often we have to individualize the followup of these babies. I agree that it is prudent to try not to intervene when we really could wait a bit (like not bringing out a nipple shield if baby doesn't latch in delivery room), but I also agree that sometimes we intervene too little, too late. Respectfully, Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html