A 10-day-old has lost 11% of birth weight, is sleepy at the breast and has two wet nappies in 24 hours. The mother wants to continue breastfeeding.

Question

A 10-day-old has lost 11% of birth weight, is sleepy at the breast and has two wet nappies in 24 hours. The mother wants to continue breastfeeding. What is the best plan?

Accepted Answer

Arrange same-day feeding and hydration review while supporting breastfeeding

Answer

Advise free-water supplements after every breastfeed until weight recovers

Answer

Reassure because neonatal weight loss is physiological until it reaches 15%

Answer

Stop breastfeeding permanently and replace all feeds with standard formula

Answer

Defer assessment to the routine 6-week check because the baby is afebrile

Excess neonatal weight loss — DRCOG MCQ

A 10-day-old has lost 11% of birth weight, is sleepy at the breast and has two wet nappies in 24 hours. The mother wants to continue breastfeeding. What is the best plan?