underweight 9 month old -long

iVillage Member
Registered: 10-03-2006
underweight 9 month old -long
4
Sun, 12-13-2009 - 5:25pm
Hi my name is Kate and I am really looking for some help. I have 2 sons. My two year old nursed until he was 12.5 months and all was well. He gained weight appropriately.
My 9 month old is currently still nursing but at his last dr appt he had dropped significantly in weight. At birth and for the first 3 months of life he was 50% for weight 90% height. At 6 months he was 10% weight and 90% height and at this last appt he was only 1.4% weight and 75% height. So he's falling off the growth curve.
My ped told me I had 3 weeks to get him to gain weight. I have to bottle feed him and try and get 30 oz of milk into him a day as recommend by my ped.
I am nursing him at night (4am) in the morning (9am) and before bed. The other 3 feeds he is getting about 5 oz expressed milk via bottle. I am sure I am no where near 30 oz of milk recommend by the ped. I am pumping and taking fenugreek to try and increase my supply.
I am quite certain that my supply has dropped. The number of sopping wet diapers has decreased recently and Ryan acted like he was hungry all the time. He only nurses for 5-7 minutes at a time then acts like he is done. He will take a 5oz bottle after nursing without spitting up we have discovered since the dr visit.
I do have an idea of how my supply dropped but let me know if you think this is plausible. I was on the mini pill for 6 weeks. Every other week I was getting AF. As far as I know, my milk supply drops every time I get AF. My milk never really had time to rebound before AF showed up again. Is this possible?
I know pumping is no indication of milk supply, but I am only getting 1.5-2oz out every time I pump (I did just start AF on Friday so I am a bit lower then normal)
As far as solids. He get 3 meals a day after nursing/bottle of milk.
So if you have read this far, thank you. Now what is the best way to increase my supply? nurse him every 2 hours then pump? He has been a happier baby since we have bottle feeding him and I need to continue to bottle feed him until his weight check on Dec 30th.
What if I nurse him, offer expressed milk, then pump?
Thanks ladies, I appreciate it.
-Kate

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Lilypie


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iVillage Member
Registered: 01-12-2006
Mon, 12-14-2009 - 2:18pm

I shouldn't even try to respond I'm so rushed right now.

iVillage Member
Registered: 10-03-2006
Mon, 12-14-2009 - 3:30pm

thanks for your response. I agree Ryan is getting too many solids. I cut him way back today. Only a banana for breakfest and some cheesy pasta for lunch. other than that tons of milk.
ok. At birth Ryan was 7lbs 1oz 20 inches. 50% weight and 75% for height.
2 weeks...8lbs 1 oz (50%) 21.5 inches length(75%)
2 months...11lbs 4 oz (50%) 24 inches(80%)
6 months..14 lbs 15 oz (10%) 28 inches (90%)
9 months...16lbs 3 oz (1.4%) 29 inches (75%)
so you can see, on Ryan's own growth curve he is increasing, just slowly.
Ryan is a happy healthy 9 month old. He is hitting ever milestone. He smiles and babbles constantly. He's been crawling since the end of his 7 months and is currently pulling up, cruising and walking if we hold his hands.
I wouldn't say he is plump. Ryan is long and lean, but we are all. I am 5'5" and about 120lbs, my DH is 6'4" and 205 lbs and DS1 is 2.5 years old, 37 inches and 30lbs. We are all long in the waist and thin. So I am not surprised there. Nails are fine. I have to cut them weekly and well, he doesnt really have hair, but the fuzz that is there is starting to grow more and is shinny.
on the doctor note...this is the first time we have seen this particular ped. Our regular ped was transferred in Indiana last month. We are in the same practice, so they have all of his records, just a different doc. Though the ped that was transferred mentioned that Ryan's weight had dropped and it was something to watch at his 6 month appt.
I almost mentioned to the doc that I thought 30 oz was a bit much for a breastfed baby, but I didnt really have much to back that up. So thank you for confirming that.
I told DH this morning that I was going to start nursing Ryan every 2 hours then pumping afterward since I wasnt comfortable with constant bottle feeding. That and I know to increase my supply it would be best to nurse frequently. I also started nursing him on both breasts. Before it was just one. Now when he pops off and smiles at me I offer the other side and he usually takes it. I am sport of surprised by this, but I guess I shouldnt be. So here's a question, why when I nurse him will he take a 3-5 oz bottle right after we finish nursing?
also, is it a good idea to continue to pump after he nurses and when he takes a long nap and I cant feed him on the 2 hour mark?
lastly, Thank you so much. Your response has made me feel better about my DS's health and knowing my ped, a family practice doctor, needs to beef up on his infant knowledge.
-Kate


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Lilypie


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iVillage Member
Registered: 04-13-2008
Mon, 12-14-2009 - 4:34pm

Even if he has nursed an hour or so ago, and needs to nap, offer a nursing session before he goes down for the nap. That way, even if he has a long nap, he will not be missing out.

Teresa

iVillage Member
Registered: 10-03-2006
Wed, 12-30-2009 - 2:50pm
thank you for all your help and advice...it worked. We took Ryan to the Doctor's today for a weight check. He's gained over a pound and a quarter in 3 weeks weighing in at 17lbs 7.5 ounces. (From 16lbs 3oz). Ryan is now back on the growth curve at 5%!

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