baby's weight angst (huh?)

iVillage Member
Registered: 12-17-2007
baby's weight angst (huh?)
15
Thu, 02-04-2010 - 1:20pm

So, who would have thought that my crazy-growing little boy would end up having weight issues? He just had his 9-month appointment and he's still at 99th percentile for height, but he fell off the 90th weight percentile curve all the way down to 50th! Of course, babies' growth falls off when they start crawling an all of that, but this is more than that. It's probably related to him being sick for most of this winter (he just had his second ear infection/drum rupture) and not having a great appetite. But now I'm all stressed about this.

The doctor isn't particularly concerned, but we are coming in for a weight check again in a month. In order to reach triple his birth weight by one year, he'll need to gain over 3.5lbs in 3 months.

For reference, he was born at 8lb,9oz, went to 11lb,5oz(1mo), 14lb1oz(2mo), 18lb(4mo), 20lb(6mo) and now is at 20lb10oz. Only 10 ounces in 3 months!

Anyway, now I'm feeling badly about having been slow to introduce solids. We have been BFing on demand all along. He's otherwise great and healthy all around. But, I guess it's time to work on bulking him up! I nursed him for longer than usual this morning, and he's going to get 2 "meals" + 2 snacks today. I'll be interested to see how that affects how many bottles he takes at daycare.

I'm sure everything will be fine, but would be happy to hear any advice on how to approach this situation.

~Lorien











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iVillage Member
Registered: 09-08-2007
Thu, 02-04-2010 - 1:42pm

"Anyway, now I'm feeling badly about having been slow to introduce solids."

Don't worry about that, BM has a higher fat content than almost any food you could give him.

I saw a tip from a Mom once that she mixes Coconut oil in with all her kid's food--this is high quality monounsaturated fats, so it is extremely healthy (and extremely fatty). Other foods high in fats that he might like:

Coconut milk ice cream
Avocado
Tahini
Egg yolk

Just push the oils--add some to everything (and coconut oil has by far the highest fat content of oils), and do NOT limit BM despite what your doctor might have told you. BM is one of the fattest things you can give him. One thing you could consider doing is pumping or expressing a bit before he starts nursing--that way he might get less foremilk and more of the fatty hind milk.

Most of all, do NOT be freaked. It is EXTREMELY normal for babies to go through times when they are gaining a lot (around 3 and 6 months) and then gaining relatively little (6-12 months). My experience is that kids grow out, then grow up, then grow out, etc. Sounds like he has just been in a growing "up" phase, but he will definitely chunk out before you know it.

(((HUGS))) Don't worry I'm sure he is perfectly healthy.


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iVillage Member
Registered: 09-08-2007
Thu, 02-04-2010 - 1:45pm
Oh yeah and make sure you get unrefined, all-natural, extra-virgin coconut oil. I love this oil--it naturally fights cholesterol, and I even mix it with olive oil and put it on as lotion when I get out of the bath. LOL--it is just an awesome food.

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iVillage Member
Registered: 12-17-2007
Thu, 02-04-2010 - 2:21pm

Adrienne, I'd been assuming that since BM is so high-fat that it shouldn't be a big deal. Adding oil to his food is probably the right idea. I like the tahini idea! He went to town on some wheat bread w/hummus yesterday. He also eats lots of yogurt. Doing eggs for breakfast more might be good, too.

Don't worry, no one's told me to limit the BM. It's just lately he'll often get easily distracted as soon as he's no longer starving and so I haven't been pushing him to eat more when that happens. So I should probably take advantage of times like when we're nursing in bed in the morning to get him to nurse for as long as he possibly will. I'm also not trying to nigh wean yet for this reason, since I think he ends up getting a lot of his calories then.

We were going to have pasta w/veggie sauce for dinner tonight, so I think I'll add some olive oil to that.

Thanks for the ideas!

~Lorien











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Avatar for berry81
iVillage Member
Registered: 02-27-2008
Thu, 02-04-2010 - 2:37pm

Ack, sometimes I hate those weight charts for this reason exactly... sorry you are worrying, I can understand being concerned about the drop in percentile, but Patrick is so healthy and clearly isn't any worse for wear!! That said, I like Adrienne's suggestion about adding oils and other high-in-good-fat foods like tahini and avocados in order to "bulk" him up a bit before 1 year, if that's what the ped is recommending. Bah, IDK, I'm not a BTDT yet, so I can't really help, and I certainly understand the tendency to worry ... but what I would say is to just follow your gut, listen to your mommy instinct. You know when there is something wrong! I've definitely heard of a lot of babies who just don't gain much in the last half of their first year, and like you said, a lot of it could be due to his mobility picking up.

And maybe this is just Patrick's way of telling you he wants to eat more hummus and guacamole! ;P

You're doing a great job!!


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iVillage Member
Registered: 12-17-2007
Thu, 02-04-2010 - 3:54pm

Ella, yeah, I'm not that concerned. Mostly just motivated to make sure he's getting as much food as his body can use. And our doctor was really chill about it. I was just really surprised at home little he'd gained in 3 months. At the beginning, he'd gain 10 ounces in a week!

We already give Patrick avocado sometimes. But maybe this will motivate me to whip up some guacamole. Yum!

~Lorien











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iVillage Member
Registered: 04-13-2008
Thu, 02-04-2010 - 4:31pm

Lorien, I know exactly where you're coming from! I guess the only difference is that Teddy still struggles with his food, he just doesn't like it.


As mentioned before, after 6 months there is the big drop in the centile lines. This is normal, and nothing to worry about as long as the baby is developing normally and is healthy!


Teddy won't triple his birth weight within the first year - he'd have to be nearly 30lbs for that and he's only about 25lbs now. I don't think that it matters so much. As long as Patrick gains some, even if it is only 10oz over 3 months, that shows he's growing. Another thing to watch out for is, does he pee/poop lots? Babies who really don't get enough tend to not do that as the body absorbs everything it gets.


Also, not to forget, BF babies grow in "steps" rather than lineal. For example Teddy gained about 4 oz between 6-9 months and then 1 1/2 lbs in three weeks.


Other than that I think Adrienne's food sugestions are great, I think I'll try the coconut oil idea myself! :-)

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iVillage Member
Registered: 10-11-2005
Thu, 02-04-2010 - 4:33pm

Lorien is your doctor using the WHO chart? The one that most pediatricians use is normed for formula fed infants who have a different growth pattern then breast fed babies.

I really won't be worried about a 10 ounce gain from 6 to 9 months especially if Patrick is moving now. Breast fed babies tend to bulk up the first 6 months and then slow down on their weight gain, rather then following a curve where they keep bulking up.

I do remember being worried when Desmond gained only 1 pound 7 ounces between 9 months and 15 months, and only 2 ounces of that was between 12 months and 15 months, but it is completely normal for them to slow right around 6 to 9 months.




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iVillage Member
Registered: 12-17-2007
Thu, 02-04-2010 - 5:07pm

Anna, that's good to know about Teddy's gain. We have gone through a few times of him not pooping much recently. But, I think being sick just really messed with his appetite. I'm really hoping we're all healthy now for a while.

Sarah, I'm not sure what chart he used. I did expect some slowing, but was surprised by how much. Our ped is very pro-BFing and I expect is taking that into account either way. Again, he wasn't worried, but just wanted to make sure Patrick's at least growing steadily, if more slowly. Hearing your stories is helpful to reassure me. Thanks!

~Lorien











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iVillage Member
Registered: 12-04-2007
Thu, 02-04-2010 - 7:22pm

Lorein, I dont' have a ton of time to post about this, but it sounds like Patrick is doing great. James dropped from the 90 precentile, to now being like 25th or something like that. Last time I had him weighed (2 weeks ago) he hadn't gained an oz since his 6 month appointment. So basically in 2 months he gained zero. He actually went down and came back up, but overall gained nothing. I think maybe now he's up a few ounces, but I'm not really sure on that. And honestly, I think it's because I've been being more consistent with solids. It's so hard to get him to nurse during the day because he's just so active. Also, BM isn't the be all end all of fatty foods. Typically an oz of breast milk has like 20 calories, I can usually get James to sit still long enough to eat about 3 oz (I've done before and after weigh ins with a LC), so he's getting like 60 calories from that, where as, a medium avocado (which he'll scarf down with no problems) has almost 300 calories. Actually most of his solid meals have more calories than a BM "meal". Obviously I still want him getting plenty of breast milk for the nutrition, but I have a pretty hard time getting enough calories from that alone.

Anyway, all this to say, I think James is fine and patrick is too, they're crawling and way more active now, and I really think it's just a normal thing that happens with BF'd babies as I have a ton of friends IRL going through the same thing.

Ok, I have to go I wish I had more time to post about this, because it's taken up a lot of my mental energy lately, and I could go on and on... :-)

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iVillage Member
Registered: 12-17-2007
Thu, 02-04-2010 - 8:21pm

Alright, it sounds like I'm not at all alone in this experience :)

At daycare today Patrick actually finished all four bottles plus both portions of solids and a bunch of cheerios, and then ate two ravioli for dinner. That's a lot more than he has been eating. I think being sick had just been killing his appetite.

Meanwhile, I only pumped 8oz at work today, when I used to pump 14-18. Blah. I'm glad I'm only in the office 2 days/week and have some freezer supply. I think I may have to start pumping at home some to make up the difference. I also need to be staying better hydrated and this I may try the fenugreek a friend of mine gave me since she had it left over.

~Lorien











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