09/08/2021
Look at the bigger picture always 😊
Weigh-in woes. This is what happened when a mama asked me to weigh her baby. I talked about the pros (not many, in my opinion) and cons (a lot) of this, but she decided to go ahead and weigh. So I pulled out my ridiculously heavy highly sensitive (+-2g) scale, set it down, adjusted it to ensure the spirit level was centred, and weighed her baby. She then fed her baby and we weighed her again (also, in case I wasn't clear, I feel there are MANY negatives to this approach and I very rarely do it...).
Here's what I want to show you.
1. The first image on the left shows this baby's growth chart before her feed, with that dip in weight gain. She was calm and alert, awake, happy. Showed no hunger cues. Honestly, if you were at your paediatrician's office, this would be the baby's ideal state for weighing. BUT! If your baby's growth chart then looked like this during your paediatrician's two-month check, all of my experience tells me that chances are very high that they would instruct you to give a bottle of formula after every feed. Chances are then also very high that I would have an incredibly anxious, scared mother on the phone that day, with all of her confidence and trust in herself shattered.
2. The second image on the right shows this baby's growth chart after her feed. Although no hunger cues were present, this baby managed a good feed and shows significant milk intake. If that same paediatrician check was done after a feed and your baby's chart looked like the second image, not another thought would be given. Sure, you might get a small pair of baby socks as a gift from a formula company (there's a whole other post...), but that's it.
Now let's presume you also have one of those babies older than six weeks, whose gut has adjusted to doing one p**p every two days. Or four days. Or, just for full-scale fun, every ten days. Clearly if your ten-day-p**ping baby was full of p**p and just fed, then your weigh-in will be 'successful'. If the opposite occurs, be prepared to be told in a very nonchalant way that you should add formula to every feed.
This is why I hate weigh-ins. There are so many other ways to accurately measure a baby's health and wellbeing. There are so many more conversations to have than just 'add a bottle of formula'. There are so many women who are needlessly second-guessing their every move after a routine weigh-in. Know that your paediatrician's goal is to get your baby fed and growing -- and clearly, yes, that is the most vital thing! The goal of an IBCLC is to get your baby fed and growing (this is ALWAYS the number one priority) but while also maintaining lactation and with the skills to ensure that breastfeeding is not sabotaged while getting that bubba fed.
My moral? Always look at weight within the whole picture of wellness. It shouldn't be assessed in a completely isolated way. If you get hit with a potential problem, get an IBCLC to work together with your paed.
(I could also write a novel about that first, totally fine, drop in weight! This mama had a huge amount of IV fluids during birth, and her baby also absorbed all this and had a lot of water to p*e out that first day.)