My 3rd baby,so you'd think I know what I am doing...*sigh*.
All my kids were born 6lb 6oz at 41 weeks or so. The 2 older ones gained very quickly and were the same weight at every checkup. The 3rd, a girl, was only 9.5lb at 2m. The ped wasn't worried as she was on her way to doubling her birth wt by 4 months. Now dd is 4m and has only gained 1.5 lb in 2 months (11lb now). She has been sick for a week, so maybe she would have gained a little more. Today I took her to urgent care for her cough and asked about the weight. The ped thought she hasn't gained enough, and thought silent reflux may be the problem. I've suspected reflux as dd will cry on the breast after a short while... sometimes she'll sleep with the nipple in her mouth, but often she pulls off...definitely I've thought she doesn't nurse as often/much as the boys did. Also I quit dairy with the boys because of blood in the poop, but she's never had any, so I've continued drinking milk.
We see her regular ped in 2 days for the 4m well check...and I need ideas to run past him. They're very pro breastfeeding at this practice, so I don't think they'll jump to formula recommendations.
Developmentally, dd is doing great...everyone comments on how interested she is in everything and everyone.
Married to a wonderful woman since 2010. Baby boy C arrived in June 2013!
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I don't know about low weight gain, but I do know about reflux! DS is just over 10 months and we're finally seeing the light at the end of the tunnel. You might try an elimination diet, but if your LO's issue is organic/structural (e.g., an immature sphincter), then that won't do much. What did wonders for us was osteopathic treatments. Sometimes reflux is exacerbated by (usually hidden) birth "trauma", so to say-- particularly if it was a very long or very fast birth. In our case, DS came so quickly that he had some spinal compression that resulted in a lot of tension in his trunk. However, we're in Germany so the system works a little differently here and it's not so easy to get care like that for infants in the States. I have heard that in the US, however, it's possible to find a chiropractor that will work on very little ones. You might look into that. But honestly, DS ended up on omeprazole (I think prevacid in the US) from about 5 months to 9 months and it was well worth it. He still gets physical therapy for some of his tension issues, but the reflux is greatly improved. It's really hard, but just try whatever combination of meds and holistic treatments you are comfortable with, and you will eventually get through it!
Can you prop her up a bit when she's sleeping? That works wonders for my reflux. Also, if you can, try nursing her in a more upright position (I know nothing of her anatomy or yours, so this might not be possible).
IF the doctor does suggest a medication, I would go with one of the proton pump inihibitors (the generic name will end in zole), not ranitidine (Zantac). It will be more expensive, but has far fewer long term side affects.
So, we had our visit with the regular ped and he thought she was just fine! She weighed in at 11lb 1oz, and was 25" long. He said that bf babies are just all over the curve. I am somewhat confused because the charts I've looked at online seem to indicate she's under 5% and he said she is 5%. He said very rarely does he see a baby with failure to thrive because of reflux. It's strange, because the other ped that we saw in urgent care really felt like dd hadn't gained enough. I've been thinking of all the times that dd pulls off the breast, and it seems like a lot of times she's not so much screaming (as in pain) as in loudly complaining (hard to explain the sound diff!), ... she seems to not *love* to just lay and nurse as much as the my other kids did, but she seems to love just looking at things and demands to be where the action is - usually where her brothers are making noise. I do remember her kind of gagging in her sleep, so I do think she had reflux, but perhaps it's gotten better, as I haven't seen her doing that in a while. I dunno, I feel like she's fine, but I'm hoping I'm not just hearing what I want to hear from the Dr. I asked him if she's not supposed to double her weight by 4 months, and he kind of said that applies to ff babies, not bf. But according to kellymom, bf babies also double their weight by 4 months...so she hasn't done that at all. But if she's growing fine in length and head circumference and meeting her milestones, she's probably ok?
Oh and her little bassinet is reclined...she sleeps either in there or on me. And when she nurses, I just about always have her head higher than the rest of her. Ds2 had reflux and I just got used to that....plus dd has been coughing a lot the last week with a cold, so I've been keeping her inclined for that.
Trish~mama to Kaelie 5/03 and Amelia 12/13, surro mama to Aidan 2/08 & Ellyss 6/09,