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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~Lorien





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iVillage Member
Registered: 06-25-2006
Fri, 02-05-2010 - 4:24pm
We joke that Gideon doesn't have a growth curve that he has a growth dart board. Part of it was not really being able to get 100% accurate readings because of his casts, but a lot of it is his weight has always been all over the place. Weight does slow down after they start moving and it slows down a lot more after they turn 1. Gideon was no where near tripling his birth weight at his 1 year WCC. I think he may have been 20-21 lbs at most (maybe 25th percentile) and he was 8 lbs 2.5oz. at birth (somewhere between 85-90th percentile). The weight check in a month is just to make sure he's gaining, usually as long as the weight goes up, he's fine. Don't worry about not pushing solids. I was the same way with Gideon and he's fine, just has a high metabolism and is always eating.

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iVillage Member
Registered: 01-17-2007
Fri, 02-05-2010 - 10:10am

Hugs! We've had weight angst almost from the beginning with our little dude, and he didn't triple his birth weight by 12 months. He was born 7 lbs. 3 oz. and he was 19 lbs. 10 oz. at his 12 month appt.

Things we've done:

Mix all meals with a good dose of fat. Lunch and dinner get a drenching of olive oil. Breakfast gets a spoonful of Earth Balance or peanut butter melted into his oatmeal.

Mashed avocado (this was actually his first solid since the weight concerns have been with us from the beginning)

If we find anything he really likes (for Ry that's mashed potatoes, yams, salmon, and clementines), we let him eat as much of it as he wants and we often mix those foods with other foods to get him to eat more in general.

Egg yolk (this didn't work out so well for us because eggs make Ry puke, but they might work for you guys)

Coconut milk (he likes coconut curry or if we mix his oatmeal with it)

It's rough with Ry because of his food allergies, so you might have some other options that we don't - shredded cheese for example. Docs usually say you can introduce cheese earlier than plain milk.

GL and hugs! I'm sure Patrick's going to be just fine :).

-Megan

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wttg
iVillage Member
Registered: 08-04-2003
Fri, 02-05-2010 - 8:27am
If your doctor was pretty chill about it, then it's probably nothing you should be worried about. Kids bulk up and bulk down during the year, depending on growth spurts, sickness, activity levels, etc. If it was a huge concern your DR would of recommended steps to help increase his weight. Keep doing what your doing, which is obviously good since he's happy and growing, and see where you are at during his next visit.

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iVillage Member
Registered: 12-04-2007
Fri, 02-05-2010 - 12:34am

haha!! He won't ALWAYS eat that much, but sometimes he definitely can.

Since I didn't finish all I wanted to say before, I want to clarfiy. I'm not saying everyone should stuff their babies full of solids. For a long time I would just give him a small amt (usually one or two cubes) and then stop. Then one day I left him home with DH and he ate like 3 times as much as I was giving him. Sooo now I just let him eat until he starts turning his head or sticking his tongue back out with food on it, throwing the food on the floor, or otherwise indicating that he's done :-) Anyway, I think with him, he's not interested in more milk, but he needs more calories than he was getting before, so the solids provide those extra calories. When I tried to boost my milk supply, he really didn't nurse any more.

I'm thinking I might check out coconut oil like Adrienne suggested. FWIW about doubling/tripling weight, James hasn't doubled, and I'm positive he won't triple his birth weight by a year. he would have to be 28+lbs, and right now he only weighs 18!

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iVillage Member
Registered: 03-19-2007
Thu, 02-04-2010 - 9:43pm

Barrett has dropped to the 50th weight percentile too but his height has dropped to the 25th (he was 75th for both at birth)! The doctor blames genetics (apparently my almost 5'2" height and DH at 5'9" seems to make the doc think that Barrett is not destined for the NBA).

I think Barrett was 18lb5oz at his 6 month and 20lb7oz at his 9 month. He is a chunky baby despite spending 90% of his awake time in motion. And Barrett has been super slow at the solids - I only offer them twice a day (unless he is awake when I'm eating lunch) and he might eat a few cheerios or spoonfuls of oatmeal at breakfast and a little fruit. And then dinner tends to be finger/table foods that mainly end up on the floor, in his lap, etc. But he will nurse from 4-6x during the day and 1-2x at night. I almost always nurse him in his room in the same chair so there are a lot less distractions. This is about the only way I get him to nurse enough anymore but it appears to be working :)

It is very normal for breastfed babies to drop in percentiles - like Sarah said, the charts usually used by the doctors are based on a population that was primarily formula fed. If Patrick is healthy, then he is healthy - whether he is gaining weight quickly or not. Just keep offering him breast milk and food and he will grow as he is supposed to (which is different for each baby!) I really don't have any good advice but thought I'd at least chime in with my experience.

Grace- I can't believe James will eat an entire medium avocado! Barrett would have five bites and then decide he was done and needed to be picked up (or would throw all uneaten avocado at the cat).

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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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~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 - 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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~Lorien





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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: 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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