"they" say my baby its too small - Mothering Forums

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Old 11-28-2012, 02:13 PM - Thread Starter
 
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I just got home from my DD3's well baby I'm feeling pretty low. She was 8lbs 6oz at birth but lost 1lb in the hospital. She gained 26 oz by two weeks, but since then she has only gained a pound. At her last well baby her doctor said she was growing in length, so it want a big of a concern (she had only gained an ounce and a half since her 6 week check). This time we had to see a new doc, as out old one has left the practice foR life as a SAHM. My DD3 only gained 4 oz and dropped off the charts completely. She is the size of a 2 month old. They really made me fell like I was doing something wrong. She grew in length again. She is meeting her milestones And Is a very Happy and content little girl. She just doesn't have enough fat. Basically they said my breastmilk want good enough for her and they want me To supplement a couple of times a day With Formula. It was Really heartbreaking to go To the doctor and be told you are doing a bad job. They did not seem concerned that there was anything medically wrong with her, just that my breastmilk Wasn't Sufficient. Does anyone have any suggestions or run across this before?
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Old 11-28-2012, 05:24 PM
 
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Can you post her weights at different ages like this:

 

Birth: ____

4 wks: ____

6 wks: ____

2 mths: ____

 

That would help us picture it better.

 

How many times a day is she nursing? For how long?

 

How many wet and dirty diapers is she putting out per day?


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14yo ds   11yo dd  9yo ds and 7yo ds and 2yo ds  
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Old 11-28-2012, 08:19 PM - Thread Starter
 
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Birth weight: 8lbs 6oz
Hospital discharge: 7lbs 6oz
2 wks: 9lbs
1 mo: 9lbs 1.5oz
2 mo: 9lbs 13 oz
4 mo: 10 lbs 1oz

She eats about 6 times per day for about 45 min total. She has 6-8 wet diapers a day and averages 1 dirty one per day
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Old 11-29-2012, 12:31 AM
 
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Have you started taking hormonal birth control?

 

When she nurses, can you hear swallowing? Have you seen a lactation consultant to evaluate her latch and see how effectively she's transferring milk?

 

The diapers sound good.

 

The first suggestion I can see is to try to get her to nurse more often. I would go for at least every two and a half hours during the day. For example, 6:30am, 9am, 11:30am, 2pm, 4:30pm, 7pm, 9:30pm and midnight. If she wants to sleep from midnight to six, that might be ok (though the extra calories at night could help).

 

Also, rather than formula, you could consider adding calorie dense foods to her diet- egg yolk (no whites yet!) and avocado, for starters. 

 

If that doesn't work, you could request an ENT consult. I knew someone whose baby had a small windpipe and she was working so hard to breathe, burning so many calories, that she couldn't gain weight.

 

This is a great article to read:

 

http://kellymom.com/health/growth/weight-gain_increase/


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Old 11-29-2012, 12:52 AM - Thread Starter
 
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I haven't seen a LCD since the hospital, but sod latch. I can see/hear her swallowing, and I can feel the let down. Tonight I am waking her up and I might up her feedings tomorrow.

The ENT idea is a good one. I was also wondering if babies could have high metabolism. There are times where her body temp goes up for no apparent reason and she gets sweaty. Then it goes away.
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Old 11-29-2012, 02:36 AM
 
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i would just nurse her all.the.time instead of giving formula. 

45 minute sessions are long sessions. keep doing those, but start adding in at least four more 15 minute sessions interspersed. 

are you nursing overnight? this is the BEST time to get the richest milk your body can make. the hindmilk, the "fat" milk 

if you are in a position of needing some therapudic (sp) weight gain and up against "needing" formula, you can probably bypass that situation if you focus on nursing, nursing, nursing, around the clock.

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Old 11-29-2012, 10:01 PM
 
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Quote:
I was also wondering if babies could have high metabolism.

 

I'm going to go with- not babies that young. Generally, growth is an indicator of good health.

 

It looks like she had good gain the first two weeks, but only gaining a pound from 2 weeks to 4 months is definitely concerning.


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Old 12-04-2012, 06:37 AM
 
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I would say that her "output" seems normal, so she is getting milk, but, I agree, the fact that she is not gaining weight is worrying. Have you tried weighing her before and after feeding her? This would give you an indicator of her intake. If her intake seems good, too, then I would ask for additional testing of her digestive system before switching to formula. There are a few metabolic disorders (I don't want to freak you out, but cystic fibrosis come to my mind) that can be pretty easily ruled out (or confirmed).

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Old 12-10-2012, 03:01 PM - Thread Starter
 
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I just wanted to thank everyone for you're advice and give you an update. We saw a Pediatrician on Thursday. She did not agree with the first doctor that breastmilk was the cause. She said because her growth was normal to start with. They ran a full blood panel, checked for a UTI,and scheduled a heart echo and an appointment with a GI specialist. Her blood work came back today and she has a low white count, slightly elevated platelets and liver enzymes. She hasn't been sick lately so we will be repeating that soon. The doctor said no supplementing because with her white count being low she needs more support from me. Although I am still worried about her health, I really feel heard this time. Oh, also, we are doing 2 hour feedings round the clock and she gained 4oz last week. Its not perfect, but its an improvement!
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Old 12-15-2012, 09:12 PM
 
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That's great improvement compared to her previous growth. She reminds me of my daughter (now 20 mo) who tracked similarly (and was a concern - she needed to eat more) her first four months.  She ended up having tongue tie and lip tie and once clipped, it helped some. I kept up for about 9 months of picking her up to feed her before I went to bed around 11p, and I also got myself up around 5am to feed her again (did that till about 6mo), just to get those extra feedings in. I eventually tapered off, but at 2-4mo, my goal was 9-10 feedings a day.  While yours nurses long, mine nursed very, very short and as a result didn't get much or stimulate much supply. Her jaw tired, I believe, because of the tongue tie. After clipping, she started nursing longer and falling asleep while suckling (she NEVER did that before getting clipped). 

 

I never supplemented, and started solids when she sat up around 6.5mo but did not reduce nursing until about 9-10 mo.  She's still smaller for her age, but healthy. I was committed to avoiding formula for her long term health as an adult.

 

Keep up the extra feedings. She does need to grow more at that age - it's too early for weight gain to taper off. Until around 4mo, 5-8oz a week is a good guide. With her situtation, 4oz is great and hopefully that'll keep up.

 

Also, I just *knew* when she was gaining and growing without her being weighed. I could tell after several days of picking her up if she was staying the same...it was usually consistent with what was going on. I knew she was healthy, but I also knew she did need to grow and that fat on babies is very good. I wasn't needing her to be a chub, but wanted her growing more. It weighed on me a lot.


Alicia, wife to an loving and faithful DH, and mama to three fantastic though nutty children (cs, then an HBAC, then a VBAC!!).
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Old 12-18-2012, 05:24 PM
 
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How is your LO doing now, mama? Good for you for increasing the number of feeds! More nursing = more milk so yaaay!

Also, did I read correctly that this is your third child? If so did you happen to exclusively nurse the first two with good weight gain? It would be a definite indicator that your body does in fact make milk enough to sustain a baby!

Hope you are well!

Namaste

Cindy + DH Paul = DS1 (4/26/06), DS2 (11/30/07), DD (12/20/10) & surprise 4th edition coming in April 2014.

Bradley Method Natural Childbirth Educator, Doula, and Breastfeeding Counselor

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Old 12-22-2012, 12:21 AM
 
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How is your little one? How did the test go? She reminds me of my little girl. She was diagnosed with recurrent uti's at 4.5 months, a stricture in her ureter at 9 months and surgery at 10 months. It was scary at the time but she is much better now. I hope you little one gains weight and you get answers.
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Old 12-25-2012, 10:06 PM
 
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it must have felt so good to be heard, glad you got a second opinion, and good for you for keeping at it.


partners.gif 2twins.gif  So what if I don't fit cleanly into a defined parenting style, my kids don't fit into a personality archetype either!

 
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