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Breast-feeding Infants

Am J Dis Child. 1982;136(2):177-178. doi:10.1001/archpedi.1982.03970380089031.
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Sir.—In the marginal comment "Successful Breast-feeding" in the Journal (1981;135:595-596) Dr Lawrence makes the statement, "Before any infant is discharged, it is appropriate to establish that the infant is no longer losing weight or has begun to gain even if he has not regained his birth weight." I take exception to this view in that it is not practical or in keeping with the current obstetric and pediatric practices of discharging the mother and infant from the hospital within a few days after delivery. In a 1980 series of 200 full-term breast-fed infants in our practice, fully 43% were still losing weight at the time of discharge, and, thus, a longer hospital stay for them would have been required by the previously cited criteria (18% were discharged on the second day after delivery, 40% were discharged on the third day after delivery, and 28% were discharged on the fourth


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