Wet diapers

iVillage Member
Registered: 04-21-2004
Wet diapers
1
Sun, 05-30-2010 - 10:06pm

My 7 month 3wk old LO does not seem to wet "enough" diapers each day. He wears a size larger diaper to bed and it's completely full in the mornings. During the day he might have 3-4 wet diapers, and they're not "sopping wet" like I've read. I just tried the 4-6 T of water in a clean diaper and I'm not sure they're that wet. HOWEVER, they are always pale and mild-smelling. Aside from his first couple of days of life, I've never seen concentrated urine in his diaper.

I posted a while back about his low weight gain (only 3oz from 4 months to 6 months) so I've been paying extra close attention to things like this. He went from 14lbs 7oz to 15lbs 13oz in 5.5 weeks, so I think things are going well now as far as gaining.

Are his lack of wets a cause for concern? He also gets constipated fairly often. For this reason I have tried getting him to drink a few sips of water with his solids, and when he actually drinks the water, he does not get constipated. Most of the time he refuses the water, period.

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iVillage Member
Registered: 01-12-2006
Tue, 06-01-2010 - 2:02am

Here's a chart for "older babies" from kellymom:
http://www.kellymom.com/bf/supply/enoughmilk-older.html

According to this, 4-5 wet diapers / day is considered normal. It sounds as if you are probably hitting that. If he wets 4 diapers per day plus a very big diaper at night (would probably count as 2 wet diapers). That's 6 diapers / day. If you are concerned that the 4 wet diapers might have only enough urine to be counted as 3 ... if you add "2 wets" from the extra large wet diaper at night, I would still think you are hitting the diaper count. Also, the fact that the urine is pale and mild smelling is encouraging, I would think.

Obviously, the most important test is weight gain. It sounds as if you are on track again after a plateau (plateaus do happen). If you are not certain the diaper output is adequate, I would suggest going in more frequently for weight checks (most docs allow you to do this w/o paying a copay).

At 7 mos, the average weight gain for breastfed babies is 2-4 oz/ week. By my calculations, the weight gain you reported over the last 5.5 weeks is about 4 oz / week, which is at the top of the average and very good. So, I wouldn't worry right now. I would keep an eye on the diaper output though. If it falls off and you are seeing fewer diapers, then you will definitely want to check weight gain. Weight gain is always the gold standard.

If you are concerned about hydration, try adding an extra feeding or two. Even a short snack can make a difference.

HTH