Clinician’s Breastfeeding Triage Tool
A publication of the
International Lactation Consultant Association
Copyright 2011 International Lactation Consultant Association (Rev. 3:5/11)
Smashwords Edition
Developed for ILCA by Diana West, BA, IBCLC
Concept by Madonna Fasimpaur, LPN, IBCLC
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Table of Contents
• Jaundice (≥ 35 weeks gestation)
Using This Document
Breastfeeding Priorities:
1) Feed the baby → 2) Protect the milk production → 3) Fix the problem
THIS TOOL IS NOT INTENDED TO REPLACE MEDICAL EVALUATION
OR JUDGMENT
Note: Several references are made to IBCLC throughout this document. An IBCLC, or International Board Certified Lactation Consultant, is a healthcare professional who specializes in the clinical management of breastfeeding. For more information about IBCLCs or to find one in your area, visit http://www.ILCA.org.
INFANT (birth – 3 months)
ASSESSMENT
Output
• <3 stools each 24h period after first 24h
• No seedy, yellow stools by Day 5
• Urine dark, pungent after Day 2
• Voids: <3-5 per day by Days 3-5; <4-6 per day by Days 5-7; <6 per day thereafter
Weight
• Weight loss > 7% in first 72h
• No weight gain by Day 5
• Birth weight not regained by Day 10
• Day 5-3 mo: <20 gm (0.7 oz) per day or 140 gm (5 oz) per week
TREATMENT
1) Refer to IBCLC for milk transfer and latch assessment, and strategies to increase milk production prn