The Term Infant with Problems: Prevention of poor weight gain

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The Term Infant with Problems: Topics
Table of Contents
Pre module evaluation
Early Jaundice
Breast Milk Jaundice
Poor Weight Gain
Multiple Births
Hypoglycemia
Transient Illness
Congenital Anomalies
Physiologic Supplementation
Post module evaluation
References

DeCarvalho has shown that frequent feeding within the first two weeks of life increases maternal milk supply. In the study women were randomized to a routine care group or a group encouraged to "feed their baby frequently."

Some comparisons between the routine care group and the group that was encouraged to "feed their baby frequently."

Memorize DeCarvalho, 1983 Routine Care "Feed Frequently"
Average # of feeds/day 7.3 1.4 10 1.9
Total duration of breastfeeding/day 137 38 min. 138 50 min
Milk output by 2 weeks of age 502 188 ml 725 171 ml
Weight gain at 2 weeks of age 347 331 gm 560 186 gm

Frequent feeding (approximately ten times in 24 hours) was associated with a 50% increase in milk supply at two weeks of age as well as a significantly decreased number of children with minimal or no weight gain ( Memorize DeCarvalho, 1983 ).

"All breastfeeding newborn infants should be seen by a pediatrician or other knowledgeable and experienced health care professional at 3 - 5 days of age..." Infants should have a second outpatient visit at 2-3 weeks of age to monitor weight gain and breastfeeding ( Memorize AAP Breastfeeding, 2005 ).



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