Hi all! Does anyone know if there are different expectations for weight gain for preemies vs. FT babies?
My dd was born @ 32 weeks b/c of preeclampsia. She was sent home from NICU 10 days ago at 6 lb 10 oz. She had almost all EBM in the NICU having rarely successfully transferred directly from breast. Our first 2 days home I put her to breast on demand and supplemented 2x w/ 1 oz bottles of BM + neosure 24 cal. At her first ped visit she had gained 2 oz or 1 oz/day. Ped said excellent! I did not give her any more supplements of neosure b/c we've been working on exclusive breastfeeding this last week. We just went again today for a weight check she had only gained 3.5 oz. in one week. Ped says she is concerned and wants me to give her some formula. I am just remembered how NICU staff always talked about how it is harder for infants to breastfeed and how it burns calories and wondering if this may be why she hasn't gained as much? She has the appropriate number for wet diapers and several normal stools a day. She rarely spits up and when she does it it is more of a dribble. She shows no signs of hunger. Ped is new and young and don't know how much experience she has with preemies?
How concerned should I be with 3 oz weight gain in one week? What has been your experience with weight gain? EBF'ing? supplementing?