OT: Solids--Not Interested

iVillage Member
Registered: 03-19-2004
OT: Solids--Not Interested
9
Tue, 10-06-2009 - 4:43pm

Hi Everyone,

Well, I have a semi dilemma. I'm not too sure if I should be concerned or not. My 7 1/2 month old son went to the ped for his 6 month check-up. We didn't see our regular ped because she is out on maternity leave.

When he was weighed, he had not gained that much since his 4 month appointment (a little over a pound) and the ped was VERY concerned. She asked what he was eating and I told her only breastmilk. She said I needed to go straight to the market from the appointment and start him on baby food. I was also asked to make another appointment for a weight-check.

Needless to say, I didn't him on solids until he was 7 months old. I read about trying to mash up bananas and having them feed themselves (which is what my daughter did), but he wasn't having any of it. I tried stage 2 food, he looked disgusted and gagged. I tried stage 1 food...he still looked disgusted and gagged! I have been trying a little bit every day, but he could not be more uninterested.

Is this normal? My daughter had similar habits to him (3-4 minute nursing sessions, little naps, a lot of night waking) but she liked food. Should I be concerned?

Thanks!

Image and video hosting by TinyPic
Image and video hosting by TinyPic
iVillage Member
Registered: 12-17-2007
Tue, 10-06-2009 - 5:28pm

From the age of 4-6 months BF babies gain of an AVERAGE of 3-5 ounces per week. This drops again after the age of 6 months. Keep in mind that BF babies grow differently from FF babies, so if the Dr. is used to a lot of FF babies he may not realize this is normal for Bf babies.

A few questions for you...

How much was the Dr. expecting baby to gain? Was the weight taken on the EXACT same scale with a naked baby? Different scales (even of the same model) can be off by a pound or more. Did baby grow in length? Can you give us a weight history with date taken and note if the weights were on different scale or if baby was not naked etc.? Is baby having enough wet diapers? (4-5 wets in 24 hours) How many times in 24 hours does baby nurse? One side or both? Has baby been ill? (illness can make weight gain slower) Is baby active (rolling, crawling etc)? Has anything happened to you to decrease milk supply? (hormonal birth control, pregnancy)

IF weight gain is an issue (and at this point I am not sure that it is), then we need to decrease solids not increase them. Solids have fewer fats and calories than breastmilk (with only a couple exceptions) and the solids will fill baby up for the more nutrient dense BM. http://www.kellymom.com/nutrition/vitamins/babyfoodcalories.html

How to increase weight gain - http://www.kellymom.com/babyconcerns/growth/weight-gain_increase.html#how

It is not uncommon for baby to not be interested in solids yet. Have you tried any other self feeding foods? grated bits of apple/pear, avocado cubes (high in calories and fat - a GREAT first food), slices of kiwi, pasta, Other finger foods http://www.kellymom.com/nutrition/solids/finger-foods.html

My oldest was not interested in solids until around 7 months and the middle not until almost 9 months. My middle son his favorite was avocado with garlic powder (NOT garlic salt) sprinkled on it. I would offer, but not stress about the solids there are lots of babies who do not start solids until later. Personally I would not be concerned at this age that baby is not interested in solids.

When baby does start solids they are really just for fun during the first year, BM should be the primary nutrition. this gives a good idea of the MAX amounts of solids baby should be getting. http://www.mother-2-mother.com/samplemenus.htm

A good book for moms concerned about how little their child is eating is "My Child Won't Eat! How To Prevent and Solve The Problem" by Carlos Gonzalez MD - you might want to see if your library has a copy available.

This is also good info from Dr. Sears on variations in weight gain and he points out.." Between four and six months, formula-fed babies tended to gain weight faster than their breastfeeding peers, although growth in length and head circumference were similar in both groups.

After the first six months, breastfed babies tended to be leaner. Compared to their formula-fed friends, the breastfeeding infants in this study gained an average of one pound less during the first twelve months." More here: http://askdrsears.com/html/2/t023600.asp

Follow up and we can go from there.



Powered by CGISpy.com





Powered by CGISpy.com


iVillage Member
Registered: 01-28-2007
Tue, 10-06-2009 - 5:33pm

Very few solids have as many calories per oz than breastmilk. Pushing solids and replacing BM would result in lower weight gain.

My DD has had issue with solids. She has texture aversion issues. I didn't start solids until 10 months and she wasn't ready even then and would gag and vomit. We are just now overcoming the spoon aversion I created by listening to the pressure of others. Thankfully my family doctor said as long as she keeps gaining and developing there is no problem with just BM. He even restated that at her 15 month checkup!

That said, how are his diapers? Is he meeting milestones? What has his weight history been and were they all on the same scale?

If I were you, assuming diapers and development are good, I wouldn't worry. I would offer frequent nursing (and adapt to how he may need to nurse, i.e. sitting up, quiet room, etc) and allow him to set the pace on solids. Offer if he's interested but don't push it. And if he does want food, focus on nutrient dense foods like sweet potato, avocado, and banana.

FWIW we are at 18 months and still maybe only the equivalent of 1 meal a day (no matter how hard I try). She is still doing great and has super chunky thighs!


Lilypie 2nd Birthday Ticker

Lilypie Breastfeeding Ticker

Lilypie 2nd Birthday Ticker

iVillage Member
Registered: 03-19-2004
Tue, 10-06-2009 - 5:46pm

Thanks for your fast response! Let's see if I can answer some of your questions...

*How much was the Dr. expecting baby to gain?* She wants him to stay on the same "curve"--he was around the 40th-50th percentile, and had dropped to the 20th.

*Was the weight taken on the EXACT same scale with a naked baby?* Yes, the exact same scale for the 4 month and 6 month check ups.

*Did baby grow in length?* Yes...he was 25 1/4 at 4 months and 26 3/8 at 6 months. Basically the 50th-60th percentile.

*Can you give us a weight history with date taken and note if the weights were on different scale or if baby was not naked etc.?* The baby is always naked when they weigh him, and I am not sure which weights were taken on different scales...I just remember the 4 and 6 month were on the same one.

*Is baby having enough wet diapers? (4-5 wets in 24 hours)* Yes

*How many times in 24 hours does baby nurse? One side or both?* He nurses every 2-3 hours day and night :( only on one side. He only nurses for 3-4 minutes. I always offer the 2nd side, but he never takes it. My daughter was the same way.

*Has baby been ill? (illness can make weight gain slower)* No

*Is baby active (rolling, crawling etc)?* Rolling, scooting on tummy

*Has anything happened to you to decrease milk supply? (hormonal birth control, pregnancy)* No

I hope this answers all your questions. I wasn't too concerned since he seems very happy, looks healthy, and is meeting all his milestones...but the ped had gotten me worried. Plus, I was/am surprised about him not liking foods.

Image and video hosting by TinyPic
Image and video hosting by TinyPic
iVillage Member
Registered: 03-19-2004
Tue, 10-06-2009 - 5:49pm
Thanks Jenny...I think I may have answered your questions in my above post...
Image and video hosting by TinyPic
Image and video hosting by TinyPic
iVillage Member
Registered: 03-19-2004
Tue, 10-06-2009 - 5:51pm
By the way Carol, I am going to try to look for that book!
Image and video hosting by TinyPic
Image and video hosting by TinyPic
iVillage Member
Registered: 09-10-2009
Tue, 10-06-2009 - 9:30pm

Can you provide us with a full weight history with dates?


Photobucket
iVillage Member
Registered: 03-19-2004
Wed, 10-07-2009 - 2:34pm

Birth--8 pounds, 10 ounces

2 weeks--9 pounds, 4.5 ounces

2 months--12 pounds, 6 ounces

4 months--14 pounds, 4 ounces

6 months--15 pounds, 5 ounces

I don't know which were taken on the same scale, but I know that the 4 and 6 month ones were on the same scale.

Let me know what you think...

Image and video hosting by TinyPic
Image and video hosting by TinyPic
iVillage Member
Registered: 12-17-2007
Thu, 10-08-2009 - 1:00am

Please read this article from Dr. Jay Gordon "Look at the Baby, Not the Scale" http://www.drjaygordon.com/development/bf/scales.asp

Does that reassure you at all?

This is what I calculate as the rate of gain (this is assuming since you did not give dates that the weights were done at the weeks given)

From birth to 2 weeks -- 5.3 ounce per week

From 2 weeks to 8 weeks -- 8.3 ounces per week

From 8 weeks to 16 week -- 3.8 ounces per week

From 16 weeks to 24 weeks -- 2.1 ounces per week

Average (so some will gain more and some less) growth for a BF baby from birth to 4 months (16 weeks) is 5-7 ounces per week, your baby's average gain was 5.6 ounces per week from birth to 16 weeks.

From 4-6 months (24 weeks) the average rate of gain is 3-5 ounces, between 4 and 6 months your rate of gain was 2.1 ounces per week. While this is on the low side, we need to kep in mind that it is a gain. Also you said that baby grew in length and that baby is meeting milestones - there are positive things.

From 6-12 months of age the rate of gain for BF babies is 2-4 ounces per week.

For the first 6 months the average length increase is 1 inch per month, the second 6 months the average is about 1/2 inch per month.

Now you mentioned that the ped was concerned about the percentages. Was the ped using the WHO growth chart for Bf babies? Older charts reflect the growth of FF babies and we KNOW that they grow differently. Secondly, the percentages do not really mean much. A perfectly healthy baby can be at the 3rd percentile (or not even on the chart) because there is a genetic component to the rate of growth. KWIM?

more on growth charts here: http://kellymom.com/babyconcerns/growth/growthcharts.html#note

Personally I am not "alarmed" and as we stated earlier most solids would not increase the rate of gain. You can increase BF and follow other tips on increasing rate of gain http://kellymom.com/babyconcerns/growth/weight-gain_increase.html#how

HTH!



Powered by CGISpy.com





Powered by CGISpy.com


iVillage Member
Registered: 03-19-2004
Thu, 10-08-2009 - 11:37am
Thank you so much Carol...that makes me feel better! However, now I have a new issue. Please see my post (that I'm about to write) about starting chemo :(
Image and video hosting by TinyPic
Image and video hosting by TinyPic