Susan E Burger started her career in international development in 1980 as a Peace Corps Volunteer in Africa. She went on to provide technical assistance to nutrition programs in Africa, Asia and Latin America until 2001. Her education includes a Bachelor of Science in Molecular Biology from the University of Washington, a Master of Health Science in International Health from the Johns Hopkins University School Hygiene and Public Health, and a Doctor of Philosophy from Cornell University’s Division of Nutritional Sciences. She became an International Board Certified Lactation Consultant in 2002. She currently has a private lactation practice in New York City and has served on the Board of the New York Lactation Consultant Association since 2008. She wrote an article growth charts for the Journal of Clinical Lactation and has presented talks and run workshops on test weighing and the use of growth charts.
Program experience suggests that growth charts may not be as useful for screening at-risk infants as they are for education and motivation. When mothers are concerned about their baby’s current weight, growth charts can be used to enhance the investigation into her concerns. The visual trajectory of the curve of the baby’s growth can be used to expand the conversation from “how is your baby feeding now” to “how did your baby’s feeding patterns change from this point of the curve to this point of the curve.” This enriches the context from which to delve into the underlying factors that drive the dynamics of growth and determine if any of those factors need to be modified. It can also deflect the tendency to “judge” babies based on how they compare against other babies. Case studies of how the visual display of curves might influence focus will be presented.
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