Description

Miller et al used nomograms to describe the weight change in a formula fed neonate in the first 3 days after delivery by cesarean section. The authors are from Penn State College of Medicine in Hershey, Kaiser Permanente Oakland and the University of California in San Francisco.


An infant may lose 0 to 10% of body weight over the first 2 to 4 days after delivery, then gradually increases in weight for the rest of the first month.

 

Patient selection: cesarean section

 

Time interval modeled: 6 to 60 hours after delivery (after 60 hours the weight may start to trend upwards)

 

Outcome: percent weight change from birth weight, with weight in grams

 

weight change in percent =

= ((weight at time) - (birth weight)) / (birth weight) * 100%

 

For 6 to 48 hours

 

Percentile

Line Expression

50th

(0.002414 * ((hours)^2)) - (0.2129 * (hours)) + 0.9321

75th

(0.002662 * ((hours)^2)) - (0.2388 * (hours)) + 0.2411

90th

(0.003108 * ((hours)^2)) - (0.2679 * (hours)) - 0.4464

95th

(0.002646 * ((hours)^2)) - (0.2417 * (hours)) - 1.279

 

For 48 to 60 hours

 

Percentile

Line Expression

50th

-3.8

75th

-5.2

90th

(-0.02167 * (hours)) - 5.22

95th

(-0.02667 * (hours)) - 5.59

 


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