Mothering Forum banner

1 - 19 of 19 Posts

·
Registered
Joined
·
1,894 Posts
Discussion Starter · #1 ·
He hasn't regained his birth weight (8lbs, 15oz) yet and hasn't gained ANY weight since his 1 week check up. He's 8lbs, 6oz right now. I don't know what the problem could be. We go through diapers like crazy. He poops a lot, but they are yellow and watery. Sometimes they're green, but I am taking Fenugreek and I'm wondering if it that's what's causing the green? Cause I know about foremilk/hindmilk imbalance but his poops aren't always green. I've noticed they're green just when I've eaten something green (spinach, seaweed) or take Fenugreek. I don't take it regularly, but have started to recently.<br><br>
He seems healthy to me, but I am worried. The doctor we saw didn't come out and say I need to start supplementing, but it was implied. She wants me to bring him back on Tuesday to get weighed again, but I'm not going to. I'm going to try to fix this on my own because I do not want to give formula. I nursed my daughter with no problems whatsoever for 3+ years. So much for thinking I'd have an easy time this time around.<br><br>
I'm taking Fenugreek because I have noticed a drop in my supply, not to mention people around me are constantly questioning it so I started to question myself.<br><br>
Anyone BTDT or have any suggestions?
 

·
Registered
Joined
·
42,824 Posts
First question- was it a hospital birth with an IV? If so, for how long? If it was, then birth weight was inflated and you should measure weight gain from the lowest weight.<br><br>
BUT it does still sound a bit worrisome, especially the no gain in 2 weeks (same scale?)<br><br>
Have you weighed before and after a feed to see how much is going in?<br><br>
Honestly my thought (since there are tons of diapers) is that it's a metabolic issue, not a milk supply issue.<br><br>
good luck!<br><br>
-Angela
 

·
Registered
Joined
·
1,894 Posts
Discussion Starter · #3 ·
Yes it was a hospital birth with an IV, but I don't remember how long. Definitely not as long as I had it with my daughter.<br><br>
I don't have a scale, but I'm looking online for one. I haven't weighed him before and after.<br><br>
He was weighed on the same scale in the doc's office.<br><br>
Baby is jaundiced and last time his levels were checked, they were okay (14) and we rechecked yesterday (still waiting on the results). Doctor thinks he's eating, but not absorbing nutrients. I'm not sure I trust what she says though.
 

·
Registered
Joined
·
1,894 Posts
Discussion Starter · #4 ·
I also want to add that my baby is very colicky and fussy.
 

·
Registered
Joined
·
1,854 Posts
Have you seen a LC? When ds was nb he wasn't gaining and his Dr. recommended a LC...thank G-d she did. He wasn't gaining because he wasn't getting much milk. I got a medical grade pump and in about a week my supply was up and I stopped supplementing. DS is still breastfeeding to this day!<br><br>
You probably know all of this, you sound like you are much more experienced than me. So please don't be offended if my suggestions sound very simplistic. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

·
Registered
Joined
·
2,468 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>alegna</strong> <a href="/community/forum/post/9062518"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">First question- was it a hospital birth with an IV? If so, for how long? If it was, then birth weight was inflated and you should measure weight gain from the lowest weight.</div>
</td>
</tr></table></div>
Absolutely true! My DD was born in the hospital and I was on an IV. She was 8 lbs. 7 oz., and dropped to 7lbs. 15oz. before we left the hospital with her. It took her a FULL MONTH to regain her birth weight. In fact, she remained in the 3rd percentile for weight until her 2nd birthday when she made a big jump to 6th <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
At first her doctor and the NP gave me unending grief about it, had me coming in to weigh her every couple of days, before and after nursing, etc. Like your baby, she had plenty of wet and poopy diapers and was absolutely thriving. I *knew* the issue was that she is built just like her dad. They can both eat and eat and eat and they will forever be long and lean. But, they (doctors) can really wear you down, which can also make your supply suffer just from the sheer stress of the situation. The NP was wanting me to supplement a bottle of formula a day. That absolutely did not work at all. No change. The doc said forget supplementing, forget feeding schedules and just nurse on demand, the baby probably knows better than we do what she needs and when.<br><br>
Everything was perfectly fine from then on.<br><br>
Now fast forward to DS, who is 11 days old. We took him in to the ped at one week, and I wanted to weigh him. The ped here in Costa Rica says, nah, you don't need to weigh him again until he is one month old. We all know they lose weight in the first week or two and we don't expect them to be back up to or over their birth weight until one month. What a difference!! I'm totally relaxed about this little guy because the doctors are telling me to do what I instinctively want to do. That it's the right thing!<br><br>
If you baby is happy, healthy, hydrated and pooping, I would just look at the baby, not the scale.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><br>
Judi
 

·
Registered
Joined
·
3,466 Posts
could a sensitivity to something you're eating (dairy, wheat, etc.) cause weight gain problems? like he can't absorb nutrients properly b/c he is reacting to proteins in yr milk?<br><br>
the poop thing sounds weird. if he's having plenty of diapers maybe stop the fenugreek. but i've never heard of a baby allergic to fenugreek!!
 

·
Registered
Joined
·
2,555 Posts
I think it could definitely be a foremilk/hindmilk thing. If it happens after fenugreek you may be having a spike in your supply and your babe overloads on watery, sugary foremilk. Maybe I am wrong but this could affect weight gain, right? If he were getting more hindmilk, he would have seedier poops and gain better? If so, then it definitely doesn't sound like low supply and block feeding would help him get more hindmilk. This would also help the fussing since it would cut down on gas caused by the foremilk.
 

·
Premium Member
Joined
·
9,138 Posts
Before jumping to lack of absorption I would meet with a lactation consultant for a before and after weigh in. Then you know if it is a supply or baby issue. If he's getting enough yes you need tests for why he isn't gaining. (including digestion, metabolic, consider intolerances). If it is supply you'll know to work on that. But if it is supply I'd be looking at babe again. Is he more floppy muscle wise than your previous child?
 

·
Registered
Joined
·
4,308 Posts
First off, above all else, I'd reccomend you see an IBCLC right away.<br><br>
Does he take both breasts in one feed or just one?<br><br>
It definitely sounds like it could be a fore/hind milk imbalance. A baby getting lots of foremilk will tend to be quite fussy and gain poorly. He'll still have plenty of wet dipes because he's getting lots of fluid, but fewer poopy dipes and will tend to just maintain weight rather than gain or lose.<br><br>
A few things you can do to remedy this are milk expression and block nursing. Block nursing means you offer only one breast per feeding and that same breast for a block of time. Instead of using a block of time, I went by feedings. I did at least 2-3 feedings per breast before switching. Your other breast might get uncomfortable and you can express to comfort. Before putting your baby on the unused breast, express a few tbsp to 1 oz off. This way, you're maximizing how much hind milk he's getting. Also, adding some breast compressions at the end of the feed will ensure he's getting more hind milk.
 

·
Registered
Joined
·
6,938 Posts
OK, this is really long, but I c/p from my intro at MOBI:<br><a href="http://health.groups.yahoo.com/group/mobi/" target="_blank">http://health.groups.yahoo.com/group/mobi/</a><br><br>
I have two daughters, Fiona (born 2/02) and Moira (born 4/05). Before Fiona was born, I was certain I would breastfeed—there was simply no question about it. The first two months with Fiona were difficult in that she had a bad latch, which caused me a lot of pain throughout the nursing sessions. However, she gained weight well and did not suffer. Eventually, her latch improved and her mouth grew and all was well. We nursed until she was over 2 years old.<br><br>
With Moira, I was certain breastfeeding would have no challenges! I was bound and determined to get her latch right from the start, as I naively assumed that would be the only obstacle to be overcome. Her birth was very quick and wonderful—the transition period was only a few contractions. When Moira arrived, I was happy to see that her latch was great, and was completely confident that breastfeeding would be easy. My milk came in 48 hours after she was born, further assuring me that all was well. My nipples were sore the first week, but got better after that. I felt like a “textbook perfect” example of breastfeeding. Little did I know what would lie ahead!<br><br>
Moira was born 6 lbs 9 oz. and went down to 6 lbs 2.5 oz. the next day. She had a mild case of jaundice but was very sleepy, even in comparison to Fiona, whose jaundice was worse. The first week is a blur, but in retrospect, I think I let her go too long in between feedings (3-4 hours, occasionally longer at night). However, I was shocked at her first appointment that she’d lost weight—she was down to 6 lbs 1.5 oz. The doctor even had the nurse recheck her weight because she couldn’t believe it. Moira had more than enough pee and poo diapers, so I just couldn’t understand.<br><br>
I was concerned, so I made an appointment for 4 days later. Her weight was only 6 lbs 3 oz. I had started waking Moira more during feedings, as I began to realize how quickly she fell asleep when nursing, sometimes within minutes! Nothing I did could rouse her, and I was getting frustrated and scared. I realized that Moira nursed very often but was fussy when I unlatched her. Fiona also was a frequent nurser, so it didn’t occur to me that this was a problem until I found out how little weight Moira was gaining.<br><br>
I contacted the hospital lactation consultant on a Friday, but she didn’t call back. We bought a scale to monitor Moira’s weight. That weekend, I started pumping. I couldn’t get much out. I was never very good at pumping with Fiona either but had enough milk for her nursing, so I figured this was the case as well with Moira. However, I started realizing that over the past few weeks I had been leaking less and less. Unlike when I nursed Fiona, I never got tremendously hungry. While there were many signs that something was wrong, I was in denial and also overconfident since I had nursed successfully before.<br><br>
On Monday, I saw the LC. She had me rent a pump to get my supply up. I was to pump, then nurse Moira so she would get the hindmilk. I gave her pumped milk in a bottle, which she gulped down. Moira started gaining weight very well. By Wednesday, I realized that my pumping wasn’t keeping up with Moira, and I couldn’t hear her swallow and suck most of the time. She was fussy after feedings. So, although the LC advised against it, I gave her formula, which she gobbled down. I started taking herbs that day, also.<br><br>
At the end of the week, on Friday, I paid for another LC to visit. I realized that Moira was just not sucking well. Her latch on the outside was perfect, but what she was doing inside was not. It was rarely vigorous or rhythmic. Unfortunately, the LC was not a specialist and had no specific advice for the sucking problem, telling me it would fix itself as she grew stronger.<br><br>
Moira was 6 weeks old by this time. I contacted a third LC who specialized in sucking issues. She did cranial-sacral therapy on Moira and I noticed a difference immediately. Within a few days, she reverted back. I was so worried . . .I decided, she had gained enough weight and was now alert, so we went to almost no bottles and almost constant BFing. I made her nurse just about non-stop. That was a Friday . . .by Tuesday, I realized I did not need to bottlefeed at all, and her suck was great. I weighed her constantly, and her weight gain was amazing.<br><br>
It's always felt like a miracle!
 

·
Registered
Joined
·
11,593 Posts
I'm thinking you may have a foremilk/hindmilk imbalance issue going on here. I would try block feeding -- nurse from the same breast for a period of 6 hours (3 feedings), then switch.<br><br>
Good luck, mama! I hope that babe starts chunking up soon.
 

·
Registered
Joined
·
1,894 Posts
Discussion Starter · #13 ·
Thanks for all the replies. I'm going to contact an LC tomorrow.
 

·
Registered
Joined
·
4,308 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>becoming</strong> <a href="/community/forum/post/9071376"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I'm thinking you may have a foremilk/hindmilk imbalance issue going on here. I would try block feeding -- nurse from the same breast for a period of 6 hours (3 feedings), then switch.<br><br>
Good luck, mama! I hope that babe starts chunking up soon.</div>
</td>
</tr></table></div>
I'd reccomend trying 3-4 hour blocks initially. If it's not a fore/hindmilk imbalance, 6 hour blocks could mess with supply.
 

·
Registered
Joined
·
1,995 Posts
If not foremilk/hindmilk imbalance, I'd think of what a PP said about food intolerance. I know its seriously hindered DD's weight gain and growth
 

·
Registered
Joined
·
813 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Kierdan'sMom</strong> <a href="/community/forum/post/9086038"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">If not foremilk/hindmilk imbalance, I'd think of what a PP said about food intolerance. I know its seriously hindered DD's weight gain and growth</div>
</td>
</tr></table></div>
<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">:<br><br>
Someone in another post mentioned galactosemia -- I would think that if it were somethign that severe, baby would be losing weight, not just not gaining. It is a possibility, I suppose, but I would think it was something more simple. Do try the block feeding, and if that doesn't help then consider cutting dairy and other allergenic foods. Dairy in my diet caused my daughter to stop growing for four months (if you've heard me say this before, sorry to sound like a broken record, but I was really surprised as were many of my breastfeeding friends), so it is quite possible.
 

·
Registered
Joined
·
1,894 Posts
Discussion Starter · #18 ·
Just wanted to update. My baby will be 4 weeks old tomorrow and all is well now. We saw an LC who said our latch was fine and baby looks good. He's 9lbs, 4oz now. We have no idea why he wasn't gaining.
 

·
Registered
Joined
·
155 Posts
I gave birth to a boy in August, 8/10, and he was also 8 lbs., 15oz. His first checkup the day after discharge he was down to 8 lbs., 6oz. The pediatrician wanted to see him once more to make sure he would be starting to gain weight, so a few days later I brought him back, and he was down to 8 lbs., 4oz. Finally he had gained enough a week later for the doctor to say we didn't need to return until the 1 month checkup. He was really long when he was born, almost 21 inches. I knew I had enough milk, I had nursed both of m daughters for 1 (5 yo) and just under 2 (2.5 yo) years, and so was familiar with all that, and felt that my supply was fine. He did have a latch problem, but that was fixed by the LC recommending a nipple shield, which I found kept him awake and nursing longer (he was rather sleepy the first week), and he gets more milk this way definitely. So I was completely shocked at the 1 month checkup to hear the doctor was still concerned about his weight. I had been nursing him as much as possible, and he had even gone through a growth spurt a few days earlier. At this checkup he was 9 lbs., 2 oz. My husband says not to worry, that he looks and acts like a healthy baby but I feel like the pediatrician should have more of an idea of what's going on. I do feel like she just doesn't. She said he looked great, and he is meeting developmental milestones, and if it wasn't for her worrying, I would not be worried at all. She seems to be mainly looking at his drop in the growth curve- from 95% in height and weight to 75 height/25 weight. Furthermore, looking online, I see on kellymom.com that a gain of 5-7oz per week for breastfed babies is normal, and he is very slightly below this (4.7), according to the infant growth calculator. Adding in that I am smaller than average, and my husband is rather skinny, I think he was just (for whatever reason) was born large and is adjusting. I asked my pediatrician about this and she thought genetics wouldn't play a role until months later in a baby's growth. I can't help but wonder if she is more used to seeing formula-fed babies? I don't know...but it was great to see someone with the exact same situation posting here, so I thought I would add in my experience. I am currently debating finding another pediatrician (2nd opinion) if she is still concerned at the next appointment.
 
1 - 19 of 19 Posts
Top