Has your preemie gained weight too fast? - Mothering Forums

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Old 03-27-2007, 02:56 AM - Thread Starter
 
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I was wondering if anyone else's child gained weight too fast and was it a concern for you and your ped? My 27 week and 6 day preemie, who will be 4 months on April 5, went from 9 lbs 5 oz to 10 lbs 13 oz in a week. The pediatrician is concerned that either I am feeding him too much or that he may have a problem with his kidneys and is retaining fluid.

I don't think I am feeding him too much. My son gets 2.5 ounces of formula 8-9 times a day and EBM about 3 times (got supply issues due to pcos) nor is he retaining fluid. Doc is probably going to suggest giving him a pacifier or water for some of his feeds as he started to indicate last week. My son has reflux too and may be eating to cool his esophogus. Isn't the point of the preemie formula is for them to gain weight and wouldn't a big jump in weight be a growth spurt? One week is hardly a pattern of obesity so I don't understand the rationale.

Any info would be much appreciated!!
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Old 03-27-2007, 09:43 AM
 
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Our ped (who's trained as a neo) told us that preemies gain fast and that they all get chubby for a while. I can't recall if they ever gained that much in a week, but I know my girls gained quickly for quite a long time.

Betsy, mama to beautiful, strong MZ twins Lillian and Kate, born 11 weeks early on January 10, 2006.
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Old 03-27-2007, 10:36 AM
 
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my 30 weekers just hit 4 months and are 11 lbs 11 oz and soooo chubbalicious!!!!! I wouldnt worry and id feed on demand. how much does your son spit up? is he on zantac or anything for reflux?

i just dont see how a baby can be overfed. maybe im niave, but my 4 kids have never eaten if they werent hungry. the twins may cry and i offer a bottle but if they refuse they take their paci and are happy little butterballs they have also just gone through a growth spurt of eating moremoremore, and thankfully sleeping a little better, so ill see what their weights are tommorrow at the dr!
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Old 03-27-2007, 12:45 PM
 
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Ds gained 14oz a week for a while so he was just shooting up there. Both the Ped and LC thought it was great!

In that period Ds wasn't overeating, although he did later on. When Ds overate he had huge volumes of spit up. Otherwise he is a silent refluxer.

Those are both naked weights correct? Was it the exact same scale? Did Dc have a large poo or pee after or just before one of them?
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Old 03-27-2007, 02:20 PM
 
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I woudn't worry about it, but if you're going to make any changes, perhaps change from preemie formula, to "regular" formula. Also was he weighed on the SAME scale with the same clothes, or naked?
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Old 03-27-2007, 03:51 PM
 
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My 29 weeker is 5 months old and is around 14-15 pounds. She is very chubby. I just love all her little rolls. My oldest 2 girls were super chubby babies so I'm not worried about it. She's totally breastfed so I have no idea how much she's eating but she usually only gets up 1 time at night to nurse and she isn't a comfort nurser at all.

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Old 03-27-2007, 07:15 PM
 
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Felix is 6 months old right now and he's about 15 pounds. His legs are nicely chubby.
When he was born he weighed 2.5 pounds, 7 weeks later (when we got him home) he weighed 5.6 pounds.
He was fed with EPM and is now exclusivlely breastfed.
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Old 03-28-2007, 12:42 AM - Thread Starter
 
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It is the same scale each time but Noah is not naked while weighed. I don't recall him having a bowel movement or a wet diaper at the time of weighing, but he had just eaten before. When we were at the pumonary specialist, they were quite happy with his weight gain.

Noah is mostly a silent refluxer with horrible choking (hate it so much) but usually does not spit up. Noah at the most will have wet burps and not every day at that. Since we started taking him to the chiropractor the vomiting and spit ups have stopped. Although the evening after ds gets adjusted, he will spit up or reflux and then the next day everything is better, except the choking. He has been on Zantac for about 3 weeks .5 ml 2x per day which is wonderful because he is not in so much pain.

I think I am going to believe that Noah is just going through a growth spurt for these reasons: He is 3 weeks old corrected and that is a normal time for a growth spurt, he is sleeping a lot more, pulls away when nursing and then tries to latch on again and has increased significantly in his weight, head circumference and height. So when I go to the ped Wednesday I have something to argue with. Unless this big weight gain has something to do the with choleastic jaundice he has from being on TPN for too long. The ped is ok with delaying vaccinations until the baby's liver is better and isn't so uptight about things, so maybe there is a reason to be concerned. I will let you all know what happens. Thanks for your help!!!
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Old 03-29-2007, 01:34 AM
 
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The preemie formula isn't so much for weight gain as it is to help them with their bone growth. It has more minerals in it then regular formula along with being 22cal.
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Old 03-29-2007, 08:57 PM - Thread Starter
 
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Yesterday the doctor was quite pleased with Noah's weight gain for the week and now instead of weekly appointments we are going to every two weeks. Noah is now 11.5 pounds. Same formula still. I always followed up BF with a bottle thinking that I still had drops and I think my supply has really increased so DS was getting a lot of food. Now I bf and wait and see if he wants a bottle and usually he waits for an hour and half to two hours. Thanks for your help!!
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Old 05-16-2007, 08:33 PM
 
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I was also worried about that with my 35 weeker. Nicolas was 5 lbs at birth and he's now 3.5 months and weighs about 13 pounds. He's still small and quite lean though. He wears a mix of newborn and 0-3 month sizes, mostly clothes from Carters. The newborn sizes fit him best and 0-3 month sizes are just a bit too wide and a bit too long.

We go for our 4 month WB visit tomorrow so we'll have an official weight check then.
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Old 05-16-2007, 09:06 PM
 
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It depends on if he continues to gain that fast or not.. My oldest boy (29 weeker) had to be put on a diet when he was only a few months old because he gained way too fast and it was not from other issues.. He still gains really fast.. My 27 weeker has some weeks where he will gain an entire pound (like last week) but it is usually sporadic.. He is on a breastmilk with neocate added for extra calories diet and he gets extra water added to his feeds.
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Old 05-16-2007, 09:45 PM
 
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Quote:
Originally Posted by OGirlieMama View Post
Our ped (who's trained as a neo) told us that preemies gain fast and that they all get chubby for a while. I can't recall if they ever gained that much in a week, but I know my girls gained quickly for quite a long time.
Yesterday my ped said that preemies often gain a lot of weight at sometime between their due date and 6 months corrected.
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Old 05-17-2007, 12:46 AM
 
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Maggie fattened up right at her due date. She now eats like a pig and is growing growing growing. We are in love w her little fat legs. But she also has muscles. She has baby fat but is also very muscle bound. I wouldnt mess w her!

"The true joy of life is the trip. The station is only a dream. It constantly out distances us."
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Old 05-17-2007, 01:06 AM
 
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That does sound like a lot. The point of the preemie formulas is more for bone growth and neurological development rather than weight but they do have added calories for catch up growth which some babies don't need.
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