Abstract

It is normal for newborn babies to lose weight during the first days of life.1 Although much of this weight loss is thought to be due to changes in the volume and distribution of water in the body,2 it is clear that feeding practices also influence the degree of weight loss.3,4 In North America, breast-fed babies lose 6.9% of their birth weight before beginning to gain weight.3 Bottle-fed American babies, on the other hand, lose only about 4.2%.3 In Lesotho, breast-fed babies lose just 3% of their birthweight.5 These findings prompted questions about the factors that influence the degree of neonatal weight loss.

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