An example of the different ways, helpful and unhelpful,
that test weights
can be used. Several years ago I worked with a mother who
lacked confidence
in her body's ability to feed her baby appropriately.
She'd had infertility
problems. Even adopted a baby prior to conceiving. She was
an engineer who
liked precise measurements. So one week-end I loaned her my
good scale. She
did pre and post feed weights for 48 hours and noted how
different the
amounts consumed were from feed to feed, but that baby took
in an
appropriate amount over each 24 hour period. Also that baby
gained weight
each day. Her confidence was boosted enormously by this
experience.
Interestingly, because she had been so anxious, her
pediatrician had made an
appointment for her to see another LC who was on her
insurance plan. (He
didn't know me, and mother was paying me out of pocket.)
At the consult,
the baby was expected to feed at a time when mother knew he
was not
particularly hungry. Test weights were done. Because he
took so little, the
LC made up a care plan suggesting routine supplementation
after nursings.
Mother refused because she now knew better, having done 48
hours of test
weights herself. Baby did very well from then on because
mother believed in
herself.
Anne Grider, IBCLC
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