Our policy is at 5% wt loss in 24hrs, the patient gets a visit from the IBCLC to evaluate the dyad. We start pumping/hand expressing mom and give to baby if at that point if there looks like any kind of latch issue.  At 10% wt loss in 48hrs we supplement either w/ ebm or formula per amount recommended by the neonatologist (usually 15-30ml) after feeding at the breast. Hope this helps

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome