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Weight gain issues...

post #1 of 7
Thread Starter 
I need some help here. My little boy is a bit over 12 weeks old. He was 6 lb. 10 oz. at birth, 6 lb. 4 oz. at 24 hours and then 7 lbs. at 5 weeks. These weights were all on the midwife's scale, then I switched to the baby scale I got. Last night, he weighed 9 lb. even.

He's fully breastfed -- on demand when he's with me and then I pump for him during the day when he's at the sitter's (he started there only 3 weeks ago). During the day he drinks between 9-12 oz. and he's there generally for 8 hours. I think that he's started to reverse cycle because he will nurse through out the evenings and night, when he had been sleeping 5 hours at night.

Here's the issue: I finally got him in to see the new pediatrician and it wasn't a good experience. The biggest problem is B's low weight gain, and the doc has given me the choice of putting him on formula or doing a bunch of blood tests (liver, thyroid, etc.) and if nothing shows up and he continues to gain poorly, I guess still put him on formula.

I have a BIG problem with this because I have 3 other kids that gained exactly like this. The first was put on formula at 2 months for low weight gain and ended up having serious reflux issues that almost landed her in the hospital. She was 15 lbs. at 1 year, and is now 16, tall and thin and absolutely healthy. The next one was 15 lbs. at 1 year, but fully breastfed, and is now 10, tall and thin and healthy. The third was 16 lb. at 1 year, fully breastfed and is now 3, tall but kind of stocky and healthy.

I have 2 other kids that were put on formula at 5 months and also gained somewhat slowly, but I don't remember how much they weighed at 1 year. I think my oldest was 22 lb. but that was 20 years ago, so the memory is a bit foggy.

Anyway, obviously, being tall and thin runs in my family (I'm 5'6" and normally 115 lbs.). The skinny kids all hit their milestones appropriately and B seems to be following the same pattern. In fact, he has been rolling from his back to his tummy for at least 3 weeks now.

I honestly don't know what to do here and I'm really frustrated. I'm already taking domperidone because B was a sleepy newborn and I think that hurt my supply, plus I had to go out of town a couple of weeks ago and pump the entire time. I have since rented a Medela Symphony and have been pumping during the day while B is at the sitters, plus I often pump in the evening while he nurses on one side.

The doctor is using the old charts and was kind enough to give me a copy of B's. It's so nice to see the list of Ross formulas down the side. I don't know that this doc is even familiar with the WHO charts!

Any thoughts?

(And I apologize if I sound like I'm venting. I guess I am to a certain degree because I feel like I've done this fight about the slow weight gain too many times already. I also feel like this doctor is giving me no options besides giving formula, so it seems as if he's not breastfeeding friendly at all.)

TIA for any help you guys can offer.
post #2 of 7
Is another doctor an option? Or a good LC to consult?
post #3 of 7
I agree with PP. It sounds like that is just how your kids grow! If you can't get a new ped then I would bring him the WHO charts and emphasize that your other kids were small and slow gainers. Would you be comfortable supplementing with donated milk rather than formula if you needed to supplement?
I wouldn't worry about the extra night nursing. Even though it's tiring it IS extra calories for him.
post #4 of 7
Thread Starter 
Thanks, ladies!

I ended up calling my midwife and she advised me to fire this doc and go with a homeopathic ped that's much further away, but who won't push formula.

I realized that I felt way too uncomfortable to return to this guy. I don't think a doctor's visit should be confrontational -- especially not the first one.

I explained how the older kids followed the same growth pattern and he said something like that since he doesn't have their records, he can only go on what I say. I felt like he was essentially saying he didn't believe me. I also pointed out that he is using growth charts that include formula fed babies, and that among breastfed babies, there's a wide variance of "normal." He didn't care. I also brought up my concerns about reflux -- it runs in the family and B has some signs. He didn't pursue that at all, and I would have thought that would be the first thing to try to treat to see if it made a difference.

I don't mind the extra night nursing. =) We co-sleep so it doesn't really bother me since I can nurse B and sleep at the same time. That was another thing, though -- the dr. totally lectured me about co-sleeping. I finally told him, "Look, I've read plenty about it, I'm aware of the risks. We do everything we can to co-sleep safely but I really don't have a choice. I have a demanding job that I have to work and other kids to take care of. I'm worthless if I don't get enough sleep, so this is what we do." I understand that a dr. can feel like he has to give you the "co-sleeping is dangerous" line, but he should respect your choices as parents, too. It was if he didn't give me ANY credit at all for having a fair amount of parenting experience.

I also explained B's pooping cycle (every 3 days or so and then it's a blow out) and said that he poops orange. The doc seemed concerned about this! I could understand if he was pooping green, which he did in the early days, but orange is normal. The doc then asked what kind of meds I'm taking and when I said domperidone, he looked at me like he'd never heard of it.

Yeah...so, I think we're much better off changing dr's and hope the new one will be as fantastic as my midwife made her sound. =)
post #5 of 7
sounds like my experiences! my oldest was put on formula @ 2 1/2 mos because she was only 9 lbs (started @ 7.1) and was having vomitting issues. i was told she was allergic to my bmilk. she was 15lbs 14 oz @ 1 and is now 6'2" and 175 lbs of activity and muscle! turns out she had a weak muscle in her throat because the vomitting didn't stop until she was almost 1 yr even with formula.

second baby was put on formula @ 6 mos because she bit my nipple almost off and a nurse friend said it would only get worse. turns out she was dairy sensitive and had to be on special formula. she had grown well on bmilk, weighing 17lbs @ 6 mos. she weighed 19lbs @ 1.

baby 3 was 30 wkr, ep.

baby 4, 5.1 lb @ birth, totally bf, 18lb@ 1.

baby 5, 6.8lb @ 35 wks and is now 19lbs@ 7 mos.

i think my bmilk is fine lol.

dr's are usually ignorant of bfeeding and therefore blame things on it. just keep following your mama gut. he gained just over 5 oz/week, which is on the low end but is normal according to this: http://www.kellymom.com/babyconcerns...ight-gain.html

good luck!
post #6 of 7
Thread Starter 
Thanks! Your experience with the vomiting sounds EXACTLY like what happened with my older daughter. She was put on formula at 2 months for not gaining like the doctor wanted. Immediately, she started vomiting up 1/2 of every bottle she had. She still refused to gain weight as the charts said she should.

She was 7 lbs. at birth and 10 1/2 pounds at 6 months when she was seen by a specialist. He prescribed Reglan for her to take 30 minutes before each bottle. It helped, but didn't come close to eliminating the vomiting. He also wanted her on more solid food.
By the time she was 10 months, she was on much more of a solid diet than liquid.

She's now a bit over 5'6", weighs 110 lb. on a good day, eats like an absolute horse and doesn't gain weight. However, I feel that there are some lingering effects from this experience. She refuses to drink milk and I think it's a combo of the experience of throwing up a milk-like substance, plus I'd bet that she's like the rest of us and has a poor digestive response to dairy. I worry about what the Reglan could have done to her, too, with all of these commercials about the bad side effects.

I'm simply not willing to put another child through this! =)

It would be one thing if B looked bad in any way. He's long and skinny and obviously growing (lengthwise, he's gained 3 1/2 inches and his head has gotten 2 inches bigger). He's mostly a happy baby with a lovely disposition, and shows no signs of dehydration, illness, anything.

I feel much, much better hearing from others that this can, in fact, be normal!
post #7 of 7
teryn doesn't like milk, either! she is slightly intolerant, but mostly she says it makes her throat feel like slime.

she hit a grand slam home run yesterday at the regional softball tourney, so i think she's pretty normal!

here's a link for ya!
http://drjaygordon.com/pediatricks/newborns/scales.html
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