Ounces and feedings

iVillage Member
Registered: 01-29-2005
Ounces and feedings
6
Tue, 05-11-2010 - 6:18pm

DD really took off growth-wise in the beginning, going from 6 lbs at birth to 14 lbs 13 ounces

iVillage Member
Registered: 12-17-2007
Wed, 05-12-2010 - 2:44am

I know it is hard, but try not to compare your baby to other babies.



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iVillage Member
Registered: 12-21-2009
Wed, 05-12-2010 - 8:23pm
(((HUG))) you are doing it right sweetie! Ignore what the others are doing.

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

iVillage Member
Registered: 04-28-2005
Wed, 05-12-2010 - 10:31pm

Hey :0)


While I was with DS at the hospital for 2 days, I took out a bunch of frozen EBM to DH to feed DD.

Photobucket

iVillage Member
Registered: 01-29-2005
Thu, 05-13-2010 - 2:31pm

(eye roll)


She had her 6 mth today, even though she's technically 6.5 months.


Same scale. They told me it was calibrated in April - so that would match her last 2 weighin's. I guess...........


She's still 17 lbs 11 ounces

iVillage Member
Registered: 12-17-2007
Thu, 05-13-2010 - 3:23pm

No offense, but this Dr. does not sound like they are very knowledgeable about breastfeeding. Unfortunately that is not really her fault as most doctors (an nurses too) get very little information about breastfeeding and infant nutrition in their schooling.

On Average baby will gain between 3 and 5 ounces a week between 4 and 6 months and after 6 months an average of 1-4 ounces. So a lower gain is expected and remamber these are AVERAGES, so some will fall outside the average. I know you said baby has plateued now, but can you post a complete weight history with dates? You did not mention were the weights with a naked baby? Is baby meeting milestones? Is baby having enough wet and dirty diapers? Has baby been ill at all (cold, RSV, ear infection anything like that)? There is a lot more to consider than just weight gain and a lot more than just how much baby BF to consider as well.

This is a really good article from Dr. Jay Gordon on weight gain: http://drjaygordon.com/pediatricks/newborns/scales.html

And more from Dr. Sears: http://www.askdrsears.com/html/2/T023600.asp

Does the Dr understand that solids have fewer fats and calories then breastmilk? So if the weight gain is not "good" now..........

http://www.kellymom.com/nutrition/vitamins/babyfoodcalories.html

If you really want to give some solids skip the cereal. It is not necessary and not at all nutrient dense. Avocado is one of the few things that is higher in fat and calories than breastmilk. Suggestions for first foods: http://www.kellymom.com/nutrition/solids/first-foods.html

Also foods do not have to be from a spoon: http://www.kellymom.com/nutrition/solids/finger-foods.html

Solids should NOT replace BM during the first year. During the first year solids are just for fun and experience.
http://www.kellymom.com/nutrition/solids/solids-how.html

So what is recommended if baby's weight gain is a little on the slower side and we want to increase it?

"There are several simple things that have been proven to help with weight gain:

* Stop or decrease solid foods, particularly if baby is younger than 6 months. Most solids foods have fewer calories and nutrients than breastmilk, plus they tend to replace (rather than add to) the higher-calorie, more nutritious breastmilk.
* Sleep with your baby (this increases prolactin and frequency of nursing).
* Learn baby massage -- this has been proven to improve digestion and weight gain.
* Carry baby throughout the day in a carrier/sling; get as much skin to skin contact as you can. Both of these things have been shown to improve weight gain.

* Nurse often - at least every 2 hours during the day and at least once at night. Frequent nursing increases baby's milk intake.
* Make sure you're allowing your baby to completely finish one side before you offer the other by waiting upon her cues that she is finished; i.e. pulling off herself and looking satisfied, going to sleep, changing from an active suck/swallow to more of a pacifier suck, etc. Always OFFER the second side, but don't worry if she doesn't seem to need it. It's much more important that she be allowed to completely finish one side than that she nurse both sides. By doing so she will be assured of reaching enough of the richer, more caloric hindmilk that helps her to go longer between feedings.
* Use breast massage and breast compression during nursing.
* Pump or hand express for a couple of minutes before nursing. This will remove some of the foremilk so that your baby receives more of the richer, higher calorie hindmilk.
* If supplements are medically indicated, breastmilk is preferred over formula as a supplement (exceptions to this are rare), and the average fat/calorie content of mom's milk is higher than that of formula. Mom can pump for 5-10 minutes after nursing (don't interrupt or shorten the nursing session to do this), and offer this higher-fat hindmilk to baby as needed. This is also an option for moms who normally offer expressed milk when they are separated from baby."

more: http://www.kellymom.com/babyconcerns/growth/weight-gain_increase.html

I do not want you to think we are not concerned. It is a little concerning that baby did not gain, but we need to look at the positive - baby did not lose weight. It is just that most of the things your Dr suggested are going to put you on the fast track to weaning and other possible problems. KWIM?

Take a look at the info and we can go from there.



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iVillage Member
Registered: 01-29-2005
Thu, 05-13-2010 - 4:43pm

Oh I completely agree with you! Her telling me to have solids as a meal within a few weeks had me flabberghasted. I know just from this board that that is completely untrue. Well, I know everything I know BECAUSE of this board. ;-) So thank you for that.


I think you make a good point. She is not losing... and that's all that counts. I always feed on demand and she always pulls off on her own. So I am confident she is getting what she wants.


All of her weighs have been diaper only, shortly after a feed. I always feed before we go. Here are her stats from my records: I think she just hit the ground running early on. Her diapers are A-ok!