bad adv from ped?

iVillage Member
Registered: 05-15-2006
bad adv from ped?
6
Tue, 02-22-2011 - 5:01pm

My lo was born 7.8oz and now is ebf. He did not gain any weight at 5months we thought d/t ear infection. at 6 months he was 13.6 lbs and only gained a half a pound.

Erin Proud mama of Baby Daniel 9/29/07


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iVillage Member
Registered: 12-21-2009
Tue, 02-22-2011 - 9:16pm

Your baby's weight gain seems a bit low at this point. We usually expect a baby to double birth weight by about 4-6 months. But you are right not everyone is meant to be big so it's hard to know without being the person examining him if it's a slow gain problem or a slow gain 'normal'. If you are questioning your baby's doctor it's always ok to seek a second opinion.

I notice you're a working and bf mom. Do you pump at work and does the baby take ebm in bottles? How much?

Kathy Kuhn IBCLC ivillage lactation consultant Grammy to Brennan, Elias, Elianna, Tahlia, Makenna, Maura, Silas, and Charlotte

iVillage Member
Registered: 07-20-2004
Tue, 02-22-2011 - 10:37pm

No, you're absolutely right. Breastmilk has more calories and fat than any solid food I can think of, so if weight gain is an issue, you'll want to push the nursing/expressed breastmilk intake and slack off on the solids.

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iVillage Member
Registered: 05-15-2006
Wed, 02-23-2011 - 7:31am

Thanks ladies! I only work 3-4x a month and they some times are 12hr shifts. If i work 12hrs than i leave 4 4oz bottles. I nurse him every 3 hrs during the day and at night all night every 2-3! I am exhausted ...but i do it out of concern with his weight. When i pump at work after 3hrs i get about 3 3.5 oz at that pump. HE has plenty of wet diapers from what i can tell. he was born 7. 8oz I dont remember exactly what his weights were at all the visits. But he was in the 5% and now has fallen off.

Erin Proud mama of Baby Daniel 9/29/07


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iVillage Member
Registered: 12-21-2009
Wed, 02-23-2011 - 11:13am
Any food you give other than breast milk will lower your supply. If you are using solids consider higher calorie and fat solids like avacado. Cereal is not very calorie dense. Sounds like you're doing well with working and pumping. What do you think about getting the scale to measure his intake for a day or two?

Kathy Kuhn IBCLC ivillage lactation consultant Grammy to Brennan, Elias, Elianna, Tahlia, Makenna, Maura, Silas, and Charlotte

iVillage Member
Registered: 01-12-2006
Wed, 02-23-2011 - 2:19pm
Seeing that you are nursing every 3 hours during the day (which can be fine for many babies) makes me think the first thing to try is to actually increase nursing frequency during the day to every 2- 2 1/2 hours. This will also improve your milk supply.

I've been the mom of a couple slow gainers and increasing the nursing frequency of both helped weight gain in both. Also, I found that increasing nursing frequency during the day also had the benefit of DECREASING the overnight feeding (although I still nursed at least a couple times a night ... usually cosleeping so couldnt' say for sure).

See if increasing daytime nursing frequency makes a difference for you. I suspect it will. I agree to ALWAYS offer milk first and I wouldn't bother too much with the cereal (not a lot of calories). The babyfood at dinner and lunch actually seems like a lot to me (but neither of my kids loved solids anywhere nearly as much as nursing). But I'd make sure you were offering more calorie dense solids than the typical baby food fruits and veggies ... avocados and bananas are excellent. Sweet potatoes are good too (but not as dense as the above). If you make your own food, you can even add a little flax oil to food for some extra calories (I guess you could do this to jars too). I'd consider making a baby food from beans (black beens and brown rice maybe), which would be a good source of protein.

Just a few quick thoughts. But I definitely disagree that more solids will solve the problem, particularly if you focus on the typical baby food diet. What it will do is lead to lower milk intake and slower gain.

It's appropriate for a baby over 6 mos to be taking some solids though so no need to give them up. Just make sure they're full of nutrition and not replacing milk intake.

I personally wouldn't bother adding a bottle of formula before I tried increasing my nursing frequency. And if I did feel like a supplemental bottle was necessary, I'd probably pump as much as I could to get a few extra ounces of breastmilk a day to put in the bottle. For me, I just increased nursing frequency (AND USED BREAST COMPRESSIONS) anytime we saw a dip in weight gain that caused our pediatrician anxiety. It usually resulted in increased gains - even if temporary. The truth is I'm small. My family is small. My DH's family is small (although he's not small at all) ... but despite DH being a big guy I think the overall genetics of my kids just tend toward the small. They're healthy ... and I could always tell. With my second we did see a nutritionist (she had an actual food aversion). But the nutritionist thought she looked quite healthy and was not concerned at all about her despite my pediatricians insistence she was quite unwell and needed all sorts of supplements. Feeding therapist and nutritionist both said nurse her often and lets work on getting her to eat some quality foods (she ate nothing until nearly 18 mos).

HTH
iVillage Member
Registered: 05-15-2006
Wed, 02-23-2011 - 5:08pm
Thanks!

Erin Proud mama of Baby Daniel 9/29/07


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