Re: Cross post - need some references

[Guest guest]

I use a LLLI handout ( Tear off sheet) Is My Baby Getting Enough Milk?. On the

front page I highlight the section that says “ Baby should regain his

birth weight by the time he is 10 to 14 days old”. And” Weight Gain

0-3 months 4-7 ounces per week”.

Ellen in Florida

From: [mailto: ] On Behalf Of Jaye Simpson, IBCLC

Sent: Monday, May 02, 2011 5:01 PM

To: LACTNET@...;

pplc ;

Subject: Cross post -

need some references

On where the

5-7 ounces per week weight gain came from for newborns. I have a grandma

(with medical background) questioning this. I need something that can be

researched and investigated…joy. As much as I hate to have to

provide these types of references, grandma is giving mom some grief because

“he gained 3 ounces in 9 days, why isn’t that OK? He gained

weight. Isn’t that good enough?” Baby is a 36 wk-er

currently 18 days old. Has suck issues and mom has PCOS and lots of

issues with milk supply. Baby has not been gaining well at all…is

still several ounces below birthweight. Mom is now supplementing and

weight gain is coming up – but grandma is arguing with mom about force

feeding the baby (which really needed to be done in this case) in order to just

get him to eat something because he was content to sleep himself to death.

Not that I

really have time to do all this research right now, because I really

don’t, but if anyone has links to studies, etc that will help, then, when

my time eases up (next week I hope!) I will put together an info page on my

website. J

Thank you in

advance!

Warmly,

Jaye

Jaye

Simpson, IBCLC, CIIM

Breastfeeding

Network

Sacramento, CA

www.breastfeedingnetwork.net

[Guest guest]

I would check out the WHO Child Growth Standards.

On where the 5-7 ounces per week weight gain came from for

newborns. I have a grandma (with medical background) questioning

this. I need something that can be researched and investigated…joy.

As much as I hate to have to provide these types of references, grandma is

giving mom some grief because “he gained 3 ounces in 9 days, why isn’t

that OK? He gained weight. Isn’t that good enough?”

Baby is a 36 wk-er currently 18 days old. Has suck issues and mom has

PCOS and lots of issues with milk supply. Baby has not been gaining well

at all…is still several ounces below birthweight. Mom is now

supplementing and weight gain is coming up – but grandma is arguing with

mom about force feeding the baby (which really needed to be done in this case)

in order to just get him to eat something because he was content to sleep

himself to death. Not that I really have time to do all this research right

now, because I really don’t, but if anyone has links to studies, etc that

will help, then, when my time eases up (next week I hope!) I will put together an

info page on my website. J Thank you in advance!

Warmly,Jaye Jaye Simpson, IBCLC, CIIMBreastfeeding NetworkSacramento, CAwww.breastfeedingnetwork.net

[Guest guest]

This should be really easy to find in any decent lactation text they have normal

growth and average weight gain with references.

And...The ILCA Clinical Guidelines for the Establishment of Exclusive

Breastfeeding pg. 6 there are references for recommended 24 hour weight gain

averaging 20-45 grams after day 5.

http://www.ilca.org/files/resources/ilca_publications/ClinicalGuidelines2005.pdf

>

> On where the 5-7 ounces per week weight gain came from for newborns. I have

> a grandma (with medical background) questioning this. I need something that

> can be researched and investigated.joy. As much as I hate to have to

> provide these types of references, grandma is giving mom some grief because

> " he gained 3 ounces in 9 days, why isn't that OK? He gained weight. Isn't

> that good enough? " Baby is a 36 wk-er currently 18 days old. Has suck

> issues and mom has PCOS and lots of issues with milk supply. Baby has not

> been gaining well at all.is still several ounces below birthweight. Mom is

> now supplementing and weight gain is coming up - but grandma is arguing with

> mom about force feeding the baby (which really needed to be done in this

> case) in order to just get him to eat something because he was content to

> sleep himself to death.

>

>

>

> Not that I really have time to do all this research right now, because I

> really don't, but if anyone has links to studies, etc that will help, then,

> when my time eases up (next week I hope!) I will put together an info page

> on my website. :-)

>

>

>

> Thank you in advance!

>

> Warmly,

>

> Jaye

>

>

>

> Jaye Simpson, IBCLC, CIIM

>

> Breastfeeding Network

>

> Sacramento, CA

>

> www.breastfeedingnetwork.net

>

[Guest guest]

Why can't the grandma look up research on the internet? Is she willing to pay you to spend the time?

Gail Neuman RNC BSN CPHW

certified in high risk OB

childbirth/lactation educator & student nurse practitioner

AHA BLS for Healthcare & Heartsaver Family/Friends instructor after 2/23/11

Perinatal Nurse Associates

Baby Your Way Midwifery Associates

801 N. Tustin Ave., Suite 305

Santa Ana, CA 92705

[Guest guest]

For me I am happy to provide this type of support. As a health consumer, I

appreciate a caregiver who collaborates with me, which 'sometimes' includes me

asking questions about why various recommendations are provided. I would be

annoyed by a provider who told me to research it on the internet (generically).

Now if they provided me with a link to a research article or further information

on the internet, that's collaborative. To tell me to look it up myself is not

the type of collaboration I would seek as a consumer, and expecting people to

simply accept all feedback without ever questioning it is paternalistic to me.

I'm never annoyed by people who ask me about 'why' I make recommendations. I

also have occasion to have dialogue with other members of the 'healthcare' team

including midwives, physicians, nurses, and even other IBCLC's about their

recommendations and thankfully this has not been met with antagonism. Which I

partially attribute to the fact that I know my resources, and if I am going to

the extent of making a recommendation it shouldn't be painful for me to provide

the supportive evidence.

This is how I feel about it.

MIchelle

>

> Why can't the grandma look up research on the internet? Is she willing to pay

you to spend the time?

>

>

> Gail Neuman RNC BSN CPHW

> certified in high risk OB

> childbirth/lactation educator & student nurse practitioner

> AHA BLS for Healthcare & Heartsaver Family/Friends instructor after 2/23/11

>

> Perinatal Nurse Associates

> Baby Your Way Midwifery Associates

> 801 N. Tustin Ave., Suite 305

> Santa Ana, CA 92705

>

>

[Guest guest]

“This should be really easy to find in any decent

lactation text they have normal growth and average weight gain with references.”

Hi all – thank you for your help. It has been invaluable!

If I had my texts available at this time I would be pulling them out and not

bothering anyone… J but we have

had 3 months of hell over here with an move 3 wks ago today – and due to

all the other stuff that happened prior to the move, I don’t even know

what box my texts are in! I know they are in the one of the 7 boxes of

books that we haven’t even opened yet…but since I didn’t pack

them (a moving company did all our packing for us because our prior home

flooded and we had to get out in a hurry) I don’t know where they

are. Sigh. So, all of your help has been so appreciated!

Take care all!

Warmly,

Jaye

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net