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newborn not gaining weight- help please!

post #1 of 7
Thread Starter 
LO was 7 lbs 2 oz at birth and dropped to 6 lbs 2 oz at her lowest. She is currently hovering at 6 lbs 4 oz with little change no matter what we do. We had a rough start. She had a posterior frenulum, so we didn't have a successful latch until 2 1/2 days into it (after we got it clipped). We are using a shield and she is nursing like a champ now. 

We have done the weighing thing (before and after nursing) and she is transferring plenty of milk. She has plenty of wet diapers, but she doesn't have many poopy diapers. Our nurse/LC said that it was probably b/c breast milk is 100% usable and she was playing catch up b/c of the latch issues and using every bit of the milk. 

We tried to supplement with breast milk and a syringe and tube while she was nursing. She hardly took any of it and those were the only 2 times she spit up. I've tried to increase her nursing (I was letting her sleep too long 3-4 hours sometimes between nursing). 

I let her nurse completely on one side and she has access all the time. She's not in my arms maybe 1-2 hours total all day and night. She will not take a second side when nursing. She has fallen asleep  and just gets mad and won't nurse if I wake her immediately. I do wake her for her regular feedings, though (now every 2 hours). 

I've  tried everything our nurse/LC has suggested. I've poured through breastfeeding books and websites. I don't know what else to do. We've attributed part of her lack of gaining to genetics (I have a very high metabolism and don't gain weight easily or quickly). 

I'm  afraid they are going to want to do formula. I REALLY don't want to do that, but I'm starting to worry. FWIW- she doesn't act hungry after she eats and she isn't constipated. She's a very content baby who loves the boob! She comfort sucks a lot. DH is really starting to stress about her weight gain, too.

Has anyone had a slow gainer? What else can I do? We go for another weight check on Thursday but we bought a baby scale and weigh her daily. Help please! 

 
post #2 of 7

How old is baby?

 

Did you have a c-section, and/or have any IV fluids during labor and delivery?  These can artificially inflate birth weight.

post #3 of 7
I'd just keep offering the boob. Every hour if need be. My LO nursed probably 30 minutes or more out of every hour for the first few weeks of her life. Get as much skin to skin contact as you can. Try nursing while taking a bath with her, my LO loved that.

Maybe try having a nurse-in, hang out in bed all day topless with her, and nurse every time LO shows interest. Make sure you have everything you need, books, computer, plenty to drink, and eat.

Is it possible to get rid of the shield? I've never used one, but have read that sometimes they can make it difficult for babe to empty the breast.

I hope you can figure this out. Good luck.
post #4 of 7

I would definitely try things without the shield as well.  Shields can inhibit the transfer of milk.  I know you've done the weighing thing, but I'd still try it without the shield and see if she can get more calories in.

post #5 of 7

My DD was slow to gain weight at the beginning and I was told to feed her often (every 2-3 hrs) but not to let her suck for more than 20 min per breast because she was actually burning more calories by sucking than she was gaining. (This was info from a pediatric nurse, not an LC, but she seemed to do better after I started following that advice.)  She was low on the growth curve, but the important thing was that she stayed on her curve and gained slowly but steadily. 

 

And I did supplement with formula, but it wasn't the end of the world--she had a serving of formula every evening for probably 2-3 weeks while I did extra pumping, fenugreek, etc to boost supply. It did not impact breastfeeding negatively--I bf her past her first birthday. 

post #6 of 7

Does she have awake and aware time when she is not feeding?

post #7 of 7

I'm going through the same thing with my LO and it's so frustrating. I don't have answers...my issue is low supply so I'm just doing everything in my power to increase my supply.

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