Dear Scotigh colleagues, I will be in Edinburgh next weekend (from the 15th
to the 18th of May) would there be a possibility for me to visit a Birthing
Home facility while in this city?
Laura Cao Romero, Mexico
>-- Original Message --
>Date: Mon, 9 May 2005 10:44:12 +0100
>Reply-To: "A forum for discussion on midwifery and reproductive health
> research." <[log in to unmask]>
>From: Hora Soltani <[log in to unmask]>
>Subject: Re: routine neonatal weight measurement
>To: [log in to unmask]
>
>
>Many many thanks to all of you who provided information in regard to the
above.
Cheers
Hora
Dr Hora Soltani
Lead Research Midwife
Derby City General Hospital
Tel: 01332 785134
>>> [log in to unmask] 06/05/2005 17:13:10 >>>
Echoing Magda's concer
> that this is being dealt with on a
hospital-by-hospital basis, I would like to report what the practice is
pretty much everywhere here in Norway.
We weigh babies at birth. They are not weighed again before they are at
least 48 and preferably clos
>r to 72 hours old, or are being discharged,
whichever comes first. If they are discharged on the same day as the birth,
they are not re-weighed because the information is not of interest. Unless
they have lost more than 10% of birth weight, nothin
> is done. If weight
loss is over 10%, we are supposed to observe a feed closely, correcting
any
obvious technical problems, and advise mother to ensure that baby gets
offered the breast frequently for the next 24 hours, and we want to weigh
them a
>ain soon, either the next day or a day later. Usually the mother
will be offered the option of staying another day on the ward too, though
opinions differ as to the usefulness of this tactic.
Hypernatremia and dehydration are non-issues in health
> term babies and in
nearly all other babies as well, with the possible exception of a small
minority who are already in special care for other reasons.
We are accustomed to seeing 'brick dust urine' at some point in the first
few days, and we don
>t consider it cause for alarm in an alert, hungry baby
who is going to breast on cue and feeding effectively. I know that in some
places (not in Norway!) staff get very worried at this sign, and start doing
all kinds of tests and interventions, but
>it is a transient finding in
nearly all newborns and best ignored unless accompanied by signs of
inadequate intake, such as thick, viscous meconium or absent stools after
day 3, or a weight loss that continues past day 4. In both these cases,
our
>irst priority is to find out what is going wrong with the breastfeeding
so
we can fix it.
Cheers
Rachel Myr, midwife and IBCLC
Kristiansand, Norway
-----Original Message-----
From: A forum for discussion on midwifery and reproductive he
>lth research.
[mailto:[log in to unmask]] On Behalf Of Magda Sachs
Sent: 5. mai 2005 20:26
To: [log in to unmask]
Subject: Re: routine neonatal weight measurement
Hi, I think considering the likely focus on the ear
>y neonatal period, the
review paper from MIDIRS might be more to the point, although the issue
of
the charts is covered in the two MCN papers.
Sachs M & Oddie S (2002) Breastfeeding - weighing in the balance:
reappraising the role of weighing bab
>es in the early days. MIDIRS
12(3):296-300.
Sam Oddie and I discussed hypernatraemia in breastfed babies and give lots
of references.
Two recent papers are:
Wright CM & Parkinson KN (2004) Postnatal weight loss in term infants: what
is 'nor
>al' and do growth charts allow for it? Archives of Disease in
Childhood, Fetal and Neonatal Edition 89,F254-F257.
P D Macdonald, S R M Ross, L Grant, and D Young Neonatal weight loss in
breast and formula fed infants Arch. Dis. Child. Fetal Neonat
>l Ed., Nov
2003; 88: 472 - 476.
I don't know any papers which address formula fed babies alone.
One last thought -- I am always sad when I see this being tackled on a
hospital by hospital basis -- we should be pushing for national policies
on
>his included in a national policy on infant and young child feeding based
on the WHO Global Strategy for Infant and Young Child Feeding, 2002.
Magda
Magda Sachs
PhD Student
Department of Midwifery Studies
UCLAN
-----Original Message-----
>rom: Fiona Clare Dykes [mailto:[log in to unmask]]
Sent: 05 May 2005 15:58
To: Hora.Soltani; MIDWIFERY-RESEARCH
Subject: Re: routine neonatal weight measurement
Dear Hora,
The following papers may be helpful:
Sachs M, Dykes F, Carter B (200
>) Weight Monitoring of breastfed babies in
the United Kingdom: Centile charts, scales and weighing frequency.
Maternal & Child Nutrition. 1 (2): 63-76.
Sachs M, Dykes F, Carter B (in press-Sept 05) Weight Monitoring of breastfed
babies in the Un
>ted Kingdom: interpreting, explaining and intervening.
Maternal & Child Nutrition
Magda Sachs is a PhD student with me and also a BfN leader and supporters.
Maternal & Child Nutrition is a new international peer reviewed
journal:
www.blackwe
>lpublishing.com/mcn
Sn. Editors: Dr Victoria Hall Moran and Prof Peter Aggett Breastfeeding
editor: Dr Fiona Dykes
Best wishes,
Fiona.
Dr. Fiona Dykes,
Reader in Maternal & Infant Health,
Midwifery Studies Research Unit,
University
>of Central Lancashire,
Preston, Lancashire, UK, PR1 2HE
Tel: +44(0) 1772 893828
Fax: +44(0) 1772 892914
http://www.uclan.ac.uk
>>> [log in to unmask] 05/05/2005 15:40:53 >>>
Dear all
We are currently reviewing the evidence
>in relation to " routine neonatal
postpartum weight measurements". Specific aspects that we are concerned
about are:
a. value of weighing babies in terms of clinical outcomes and improving
health and/or service improvement b. reliability and speci
>ity of the growth
charts, in particular in relation to breastfed babies c. if beneficial when
would be the best time for measurements d. are we not increasing the risk
of
unnecessary interventions and anxiety for parents e. One of the concerns
rais
>d by practitioners (and literature), is the risk of hypernatremia and
dehydration in breastfed babies, how pathologic these changes are I will
be
grateful if you can direct us to any evidence in the above areas which can
help completing our literatu
>e search.
Thanks
Hora
Dr Hora Soltani
Lead Research Midwife
Derby City General Hospital
Tel: 01332 785134
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