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slow weight gain, 12 mo old

post #1 of 25
Thread Starter 
Just had our 12mo checkup yesterday, and lil man only gained 3oz from his 10mo weight.

We've been doing child led weaning since 6 months, with limited success. He's gone through phases of being a good eater, but 'lousy eater who prefers boob' seems to be the primary narrative. His pedi wants to give him til 15 months to resume gaining, and implement PediaSure if he's still lagging.

And I hate the idea. She suggested cutting down on nursing to force him to eat high calorie solids, but that's so...not what we've been going for as a parenting philosophy thus far. Problem is, lil man doesn't do well with dairy, hates most carbs, and isn't crazy about fruit. He wants meat, veggies, and potatoes...I doubt he'd touch pediasure if I were to offer it, which I'd prefer to avoid.

Help! What can I do to increase calories consumed? We already nurse every few hours around the clock in addition to three solid meals a day.
post #2 of 25

Add more fat to his diet.  If you give him potatoes, load them down with butter.  Choose fattier cuts of meat.  Toss veggies with olive oil.  Try avocados.

post #3 of 25
Thread Starter 
Pedi also suggested replacing all water with coconut milk (or hemp milk, got that to try too). Thanks for the suggestions...I'm really hoping we can bump up his weight gain with real food and with minimal disruption in terms of teaching healthy eating habits.

Is there any reason to strive to replace nursing with solids as much as possible for weight gain though? It seems like bm is more nutritionally complete and that more would be better for a baby struggling to gain weight. Pedi said that not every woman's milk is nutritionally adequate, but I really don't think that's a common occurrance...especially not in a first world country!
post #4 of 25

No, don't cut down on feedings to try and plump him up, that's just silly, IMO.  Breastmilk is pretty fatty.  If anything just up your dietary fat to add calories to your milk.  Also, maybe pump a bit of the foremilk out so he's getting more hindmilk.  Does he go a long time between nursings?  That can lower the fat content of your milk, since your body reabsorbs the fat between feedings.

post #5 of 25
Thread Starter 
Nope...he still nurses like a newborn, every 2-4 hours around the clock. Boy loves his boobies! I'm at a loss, because he's so healthy in every way but weight %ile. He also started walking/running between his 9 mo and 12mo checkups, which I think is to blame for the slowed gain. He only has two teeth...could that be to blame for limited interest in solids?

I'm more or less inclined to keep doing what I've been doing in terms of nursing, but focus on loading his solids with fat/calories and making sure he doesn't nurse any closer than two hours before meals. And if he gains, he gains. If not, we'll likely be looking for a new pedi who doesn't think breastmilk is nutritionally inadequate!
post #6 of 25
You sure you're talking about your kiddo and not mine? We are dealing with issues too... 12months old in a few days, doing BLW and won't eat much most days.. we are trying so hard to give him all the nutrients he needs but a bite here and there won't get him nowhere.. lemme know if you figure out something
post #7 of 25
Thread Starter 
We've found that his habit of all-night snacking kills his appetite during the day, which is why cutting back on day feedings didn't translate into increases solid intake. *I'm* not getting any more sleep thanks to the extra effort required to comfort him without boob when he wakes up, but he's eating somewhat better as a result. And that's with 4-5 nursing sessions during the day. Still barely gaining weight, but he's happy and energetic and healthy, and I'll take that over a chart's genetic expectations for how and when growth should happen.
post #8 of 25
Thread Starter 
Accidental double post
post #9 of 25
It may help to feed from one side for a few feedings in a row before switching. I did this with my DD after my LLL leader told me she would get more of the milk that is richer in fat this way and it did seem to help.
post #10 of 25
Quote:
Originally Posted by janna-beth View Post

We've found that his habit of all-night snacking kills his appetite during the day, which is why cutting back on day feedings didn't translate into increases solid intake. *I'm* not getting any more sleep thanks to the extra effort required to comfort him without boob when he wakes up, but he's eating somewhat better as a result. And that's with 4-5 nursing sessions during the day. Still barely gaining weight, but he's happy and energetic and healthy, and I'll take that over a chart's genetic expectations for how and when growth should happen.

Oh my gosh, I wonder if that's our issue too... He feeds CONSTANTLY at night! I will try to cut off a bit and see if he's better during the day.

post #11 of 25
I wanted to chime in and say we're in the same situation with DD. She's unable to have dairy or soy, so getting extra fat into her is difficult. She also has sensory issues, so she pretty much refuses every solid food we offer. If she does try it she NEVER swallows it. She nurses every 2 hours (exactly), around the clock.

The Ped said I'm ruining her appetite by nursing her so often. She likened it to giving DD cow's milk and ruining her appetite for solids. That sounded like typical misinformation to me, but it is hard to have 1+ year old who won't eat anything but breastmilk. Not to mention, DD and I are exhausted from waking up 4-5 times a night...
post #12 of 25
My, now 20mo, DS was like that around that age. As soon as he started walking/running he quit gaining for a few month, but grew height wise. He was also a booby monster and barely ate many solids, thoug he had no problem snacking here or there.

My ped told me to refuse nursing until he ate, but I didn't want to start a battle over food at such a young age. He was active, healthy and I just gave him his own time. But I also kept offering food, especially if we were eating. A couple months later, he started eating m9re on his own and could practically eat me and his dad under the table. Lol! Now he seems to be slowing down again, but again, I'm going to trust him and not make it a battle.

As long as your LO is happy and healthy, I would try not to worry too much. (easier said than done sometimes, I know!)
post #13 of 25
Thread Starter 
Well, a month after his ill fated 12 month checkup...

He's gained a bit of weight, up to half a pound depending on the day, and grown an inch. Solids intake is much improved, but it's apparently having no effect on his weight. He nurses 4/5x/day, and once or twice at night.

I'm frustrated and stressing about his next checkup even though it's two months away. It's hard to put weight on any 12-18 month old *without* a proverbial gun to your head.
post #14 of 25
My dd had a long plateau at that age. She is now 50 pounds and as tall as a 6 year old at 4!! I cried at the time I was so stressed. Hang in there.
post #15 of 25
We just had our 12-month checkup at the end of October. I was so anxious about weight since DD hadn't eaten solids in 2-3 months! But she was still at the same percentile and had grown an inch. The ped was really down on us about the lack of solids (even though we've tried everything), but I felt a lot more confident seeing that DD was still right on track with weight. They checked her iron (the ped smugly speculated that it would be low) and it was perfect! Totally within normal range. Yay, breastmilk! And just in the past few days, DD has been trying more solids. So I think our babies really do know what's best for them.

The ped put a lot of unnecessary pressure on us, but for me it's just a reminder to trust my own intuition over the doctor who's not looking at my DD subjectively. @janna-beth it sounds like your son is doing great and thriving! Try not to feel too worried about what the ped thinks. All kids grow differently!
post #16 of 25

if your baby is growing in other ways - height, developmentally, and happy - then i wouldn't stress. 

 

my older 3 all didn't take to solids until almost a year and their weight gain slowed/stalled when they became mobile. my youngest, at almost 9 months, is following in her older siblings footsteps. their pediatrician says that is completely normal for a breastfed baby to follow that curve.

post #17 of 25
Did had start walking from 10 month appt to 12 month appt? This could gave been why! I wold not worry at all. Your breast milk is making up for any lack in solids. Don't him snack just give healthy meals and keep being. If he's growing in height he's fine.
post #18 of 25
Keep breastfeeding*
post #19 of 25
Thread Starter 
We are! Two weeks ago, for no apparent reason, he started eating everything we put in front of him in near-adult quantities. He's already up half a pound. Guess he wasn't "ready" for solids til 13 months. We still nurse as much as before, but now he's eating well despite it.
post #20 of 25
Thread Starter 
Yep....he literally walked the week of his 9mo checkup. Plateauing weight gain is normal, but his pedi didn't like that his weight was 5th percentile before. Pretty sure we're off the chart now, but I'm sure we'll catch up!
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