The role of intrapartum intravenous therapy and method of delivery on newborn weight loss : challenging the 7% rule

It is common practice to initiate supplemental feeding in newborns if body weight decreases by 7-10% in the first few days after birth (7-10% rule). Standard hospital procedure is to initiate intravenous therapy once a woman is admitted to give birth. However, little is known about the relationship between intrapartum intravenous therapy and the amount of weight loss in the newborn. The present research was undertaken in order to determine what factors contribute to weight loss in a newborn, and to examine the relationship between the practice of intravenous intrapartum therapy and the extent of weight loss post-birth. Using a cross-sectional design with a systematic random sample of 100 mother-baby dyads, we examined properties of delivery that have the potential to impact weight loss in the newborn, including method of delivery, parity, duration of labour, volume of intravenous therapy, feeding method, and birth attendant. This study indicated that the volume of intravenous therapy and method of delivery are significant predictors of weight loss in the newborn (R2=15.5, p<0.01). ROC curve analysis identified an intravenous volume cut-point of 1225 ml that would elicit a high measure of sensitivity (91.3%), and demonstrated significant Kappa agreement (p<0.01) with excess newborn weight loss. It was concluded that infusion of intravenous therapy and natural birth delivery are discriminant factors that influence excess weight loss in newborn infants. Acknowledgement of these factors should be considered in clinical practice.

Indenture between William Dickson [Jr.] and Robert M. Wilson, February 7, 1859.

William Dickson (1799-1877) was the son of the prominent Niagara businessman and politician William Dickson (1769-1846). William was educated in Edinburgh, Scotland, and settled in Galt, Ontario, upon his return to Canada. His father had business affairs in Dumfries and Galt, which he left in his sons charge when he retired to Niagara in 1837. William had an older brother, Robert, and younger brother, Walter, both of whom served in the Militia and became involved in politics.

Article - St. Catharines Standard post race, 7 July 1952

A photograph and brief comment about the race results for Dorothy Rungeling. She is photographed next to George Belfry of Thompson Products (sponsor), Alice Little (co-pilot) and radio broadcaster Rex Stimers.

License no. 7 of season 1877/78 made out to S.D. Woodruff for 35 ¾ square miles in berth no. 198

License no. 7 of season 1877/78 made out to S.D. Woodruff for 35 ¾ square miles in berth no. 198, May 31, 1877.

Voucher #7 from the Engineer Department of Port Dalhousie and Thorold Railway Extension to W.G. Thompson accompanied by an abstract of vouchers and summaries of account paid by W.G. Thompson for surveys, Jan. 31, 1857

Voucher #7 from the Engineer Department of Port Dalhousie and Thorold Railway Extension to W.G. Thompson accompanied by an abstract of vouchers and summaries of account paid by W.G. Thompson for surveys, Jan. 31, 1857.

Chart of estimate #7 of work done by John Williams during the month of May. This is signed by Fred Holmes, May 29, 1856

Chart of estimate #7 of work done by John Williams during the month of May. This is signed by Fred Holmes, May 29, 1856.

The Evening Star, January 7, 1902

The Evening Star, St. Catharines, Ontario. This paper contains an advertisement for James D. Tait Company, January 7, 1902.