I just had my 4th child, she is 25 days old today. I nursed my first a month shy of 2 years, my second for 5 years, my 3rd is still nursing at 2.5, and now this one. I have been nursing non-stop for almost 6 years, so this is not new to me at all.
All my babies have been over 9 lbs. until this one, she was 6 lbs. 14 oz. at birth. By the time we got out of the hospital (3 days later) she was 6 lbs. 4 oz. which wasn't quite 10% of her birth weight, so they were slightly concerned, but not alarmed. At her home visit 2 days later, she was 6 lbs. 9 oz. so all was well with the world as far as I and the LC's from the hospital were concerned. On the day she turned 2 weeks, I took her to breastfeeding support group to weigh her, and she was 6 lbs. 8 oz. WHAT? So, 2 days later they had me bring her in for a weight check, and she was 6 lbs. 9.8 oz. All is well again, bring her to group to weigh her next week...so I did. At exactly 3 weeks, at group, she was 6 lbs. 12 oz. so, since I would be unable to attend group this next week, I requested a weight check for yesterday. She was 6 lbs. 10.2 oz. Again, WHAT? I nursed her and reweighed her, and she was 6 lbs. 11.7 oz. So, this does not appear to be a volume issue.
The LC is freaked out and send us to the ER where they attempt a spinal tap (fail), 2 IV's (fail) and do some blood work. They admit the baby and the pediatrician on the floor says we are not going to go the route the ER was going and says to not retry the spinal tap, IV, and antibiotics they wanted to put her on. But, because of what they put her through, she was very lethargic the remainder of the day and today too to an extent.
What they wanted to do is have her nurse every other feeding and formula feed the opposite feeding while I pump, but I said "no" to the formula, and so they said there was something called human milk fortifier they were willing to add to my pumped milk...I had my suspicions that was a fancy name for formula, but I wasn't sure. From what I've now read, turns out I was pretty much right. Anyway, I went with the plan, as annoyed as I was with it. It irritated me to no end that I could be nursing my baby, but no, they were off mixing up their concoction while I sat there with my screaming baby that just wanted to nurse. They would argue with me if "this was the feeding where she could breastfeed or not" and wouldn't allow me to nurse her at times.
By the time the doctor came back in this morning, we had accomplished 3 of these fortified feedings plus the nursings and any nursings I was able to sneak in. She weighed 6 lbs. 13.4 oz. She, however, didn't poop a single time yesterday. They then had me nurse her, and she nursed about 30 minutes. The nurse re-weighed her, announced "no change" and zeroed out the scale without allowing me to look. So, since they couldn't find anything via the tests they did (FYI, my 2 year old has congenital hypothyroidism), they decided it is her suck that is the problem, nevermind the night nurse commenting on how strong her suck was).
They allowed me to take her home today, the plan is to nurse her, then pump, then give 1-1.5 oz. breastmilk with a "finger feeder" and every other finger feeding to add formula to the breastmilk to make it 24 cal/oz.
I don't really agree with their conclusion, but what can I do?
Anyway, mostly I am concerned about her weight gain issue. I know this isn't a sufficient weight gain. I nurse her A LOT...we probably get in 8-10 feedings during the day and 1-2 at night. Obviously they have decided this isn't a true medical issue, just a suck issue. Any advice or thoughts for me?