LETTER
Breast feeding method should ensure rapid weight gain
North Bradford & Airedale PCT, UK; anne.walshaw@bradford.nhs.uk
Keywords: breast feeding; weight gain
| The first 150 words of the full text of this article appear below. |
McKie et al have shown that routine neonatal weight monitoring (with targeted breast feeding advice) does not discourage breast feeding.1 Breast feeding advice was targeted at babies losing >10% of birth weight or failing to regain birth weight by the age of 14 days. An earlier paper from the same study has shown that 5.3% of babies showed a faltering of weight gain between 10 and 20 days, and that all babies above the 97.5 centile for weight loss had some degree of hypernatraemia.2 The authors of this earlier paper commented on the increase in dehydration and/or failure to thrive in breast fed babies caused by lactation failure and non-recognition of feeding problems. Exclusively breast fed babies can be expected to grow more quickly than anticipated so that they are above their birth centile (for weight) by the age of 6–8 weeks.3 Most mothers ceasing to breast feed between the
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