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I have the post about the oil in breast milk, baby not gaining weight..<br><br>
I went back for another weight today and it was down even more. I wanted a GI referral. My dr said some people's milk don't have enough calories. Is that true?<br><br>
He gave me some enfamil AR (with rice cereal)..ugh<br><br>
While I was there I BF'd him for 10 minutes or so and reweighed him after. His weight was up 2 ounces from the first weigh in 20 minutes earlier. SO I know he's getting some.....<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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I just read the other thread <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">s<br>
GET AWAY FROM THAT PED! If it is an insurance/medicaid thing keeping you there, just show up at another doctors office. Do not allow this doctor to bully you. RICE CEREAL!!! And your LC sounds about as "knowledgeable" as mine was...<br><br>
Okay, yes, calorie content varies from breast to breast, constantly changing to meet the needs of your baby. If this is the thought process, the LC and ped <i>should have</i> told you to pump off a half-ounce BEFORE feeding him. This takes away some of the low-cal foremilk, while leaving the high-fat hindmilk. It will also increase your supply. Feed for as long as your baby will suck, wake him up if you can, don't get side-tracked by how many minutes he's nursing. If you get multiple let-downs, awesome. You are obviously producing milk, and I would hate to know you are falling in the trap of "low supply." Just lay in bed with him and nurse/sleep/eat and drink.<br><br>
Is your son getting any pain management for his injuries? Everyone on the other thread is right, healing and pain take up a lot of calories.<br><br>
I am also concerned about the antibiotics- I don't want to take up this thread with digestion/probiotics- but a huge knock of antibiotics like your son is/was on can really stress the intestinal flora and cause lots of secondary problems.<br><br>
From what I have read -and no, I don't know the entire story- I would not suppliment with formula. I would go to a different doc and give pain meds and probiotics (with doctor's approval for dosage), and pump slightly before feeding. Did the ped give you a GI referral? You should have one to speak with simply because your son is/was on antibiotics.<br><br>
Feel free to pm me if you would like advocacy help.<br><br>
Rice ceral does not equal formula- I see he has been bf'ed and ff'ed since birth. Didn't realize that, but RICE CEREAL has almost no calories. WTF? Why would a doctor give this advice???
 

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Your ped is not supportive of bf and doesn't seem to understand it very well. I'd look for another ped and get an LC of your own...there is SO much LCs can do to help!!!<br><br>
Also you can get your own scale for feeding weights for $50.<br><br>
Good luck and please call an LC!
 

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Another question an minirant-<br>
What is the specialty of the GI? Pediatric? Standard? Surgeon? It will make all of the difference in how your visit goes.<br><br>
A pediatric GI should be the first to help you get to exclusive bfing and will be more likely to prescribe children's probiotics, even if he or she is pretty mainstream. I would go out of my way to find a pediatric GI (even if i couldn't afford it). A standard GI or surgeon- well, I butt heads with them when it comes to totally unneccesary meds and surgery and I just wouldn't take a baby to one even though I see them for myself...
 

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I think the false impression of breastmilk having too few calories is based on testing the foremilk or something. The first milk the comes is more watery, toward the end of the feed is the most concentrated calories. So if you want to ensure you babe is getting calories, feed for long periods of time, try and keep baby's interest. And just feed more often too, the more milk the more calories obviously whether it's fore- or hindmilk.
 

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It is HIGHLY unlikely that your milk doesn't have enough calories. It is more likely that your baby has an undiagnosed condition requiring MORE calories.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><br><br>
I agree- get a scale- that's the best place to start.<br><br>
-Angela
 

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I'm sorry, I'll disagree. If your baby is losing weight, the first thing to do (besides work on why baby is losing) is to feed him and see if it helps. Ilana was just under 10# at 4 mos, she was not thriving. One week of some formula supplementation and she gained an entired #, in 1 week! I think too many people get so caught up on ebf that they forget there is a baby involved and we're not helping this baby at all if he's starving and not growing at this crucial time in his life. I'm sorry you're going through all this, it's hard and formula may not be the answer, but if it helps than you may at least have a glimpse into the problem and be able to work on getting back to a full supply and not using any formula. I definitely wouldn't use the Enfamil AR though. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
ETA: Do you have a pump at home? A good hospital grade pump? I would nurse (as long as baby wants, don't limit him unless he's just getting to tired), then pump for a good 10-12 mins, then feed baby whatever you get out. Keep this up for several days and see if things get better w/ his weight. If not, you could add formula then or use formula in those few days if he shows signs of still being hungry AFTER you give him what you've pumped. You could ask about human milk fortifier too like they use in the NICU for your pumped milk as well. How are his stools? Is he wetting enough? Nice full diapers several times a day? There could be many reasons why baby is losing weight, including allergies, metabolic problems, milk transfer issues, but I think it's important to at least get baby gaining at least slowly and then start working harder on why it was a problem in the first place.
 

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<div>Originally Posted by <strong>thepeach80</strong> <a href="/community/forum/post/10278434"><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 sorry, I'll disagree. If your baby is losing weight, the first thing to do (besides work on why baby is losing) is to feed him and see if it helps.</div>
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No offense, but OP <i>has</i> been suplimenting with formula, the baby is gaining slowly and has had some other uncommon issues going on:<br><a href="http://www.mothering.com/discussions/showthread.php?t=827399&page=2" target="_blank">http://www.mothering.com/discussions...=827399&page=2</a><br><a href="http://www.mothering.com/discussions/showthread.php?t=824227" target="_blank">http://www.mothering.com/discussions...d.php?t=824227</a><br><br>
So, this isn't the <i>first</i> time the baby isn't gaining "enough"-- and she has been told to pump after allowing the baby 15 mins per breast and is now told to suppliment with rice cereal. Very bad "professional" advice.
 

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I have read that first thread. I have yet to find where she has tried supplementing on a regular basis. He puked it up is part of what I read, which to me points to an allergy possibly which can exacerbate reflux. Try another formula? My kids have to use rx formula b/c of their allergies. I know there are some other issues going on here, but it's hard to get to the root of the problem IMO if baby is not thriving and it's not fair IMO to the baby to not try everything in mom's power to get that baby to gain. Allergies have played a large part in my kids, especially Evan's, lack of weight gain. Also low supply has been a problem too, from very early on even though it takes a while to often see it as a real problem since some babies are just small.
 

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I'd say at five weeks with a NICU stay, it's a little early to be throwing formula into the mix. I may have missed it, but it sounds like this baby is not showing signs of dehydration or distress, just weight loss. Sometimes it just takes some kids longer to start gaining than others and it could be that there's something medical going on here completely unrelated to breastmilk and feeding issues.<br><br>
2 ounces, I thought, was about normal for such a young baby. That's about what dd would gain after I fed her, and after a slow start, she took right off (disclaimer is that we didn't have NICU issues).<br><br>
Further, if there is something medically up with this child, reducing the amount of breastmilk he is receiving seems like it should be the last resort, not the first.
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">He is 5 weeks old. He was in NICU the first 10 days of his life. He is seeing a dr, often. I've been seeing the pediatrician at least twice a week getting weighed etc... He told me to supp with formula with rice cereal added. He told me to give it after BF'ing. Well I don't think he is hungry after bf'ing because when I try to feed him he does not want it. I know my milk supply is good. He is pooping and peeing a lot just not gaining.<br><br>
So what is my next step? My dr's advice is obviously not working. Are there ped specialists in GI/nutrition? He also has a scalp wound from the vacuum which I know can cause caloric expenditure.</td>
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">No I didn't give him rice cereal, <b>I just tried plain formula.</b> I know I think he is not a great pedi. The reason I chose him is because he is non vax friendly and at the end of my street. It is probably time to get another opinion.<br><br>
I'm thinking he may have reflux...he meets a few of the symptoms.</td>
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">He was 42 weeks and had thick meconium aspiration. Apgar of 1. He was on antibiotics for 7 days in NICU. Then he was readmitted a few days after we came home for scalp wound from vacuum. He was on abx again. Then when we brought him home 12-24, they prescribed 10 days of oral Keflex. So basically he's been on them most of his life<br><br>
As far as milestones, he is always smiling, he has great head control for his age and definitely tracks. He is very content. Just not gaining weight The wound on his head opened up and you could see the dura. We are doing dressing changes twice a day. It's getting better but it was pretty nasty looking. I know that's part of it.</td>
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It sounds like he is a <b>thriving</b>, but <b>injured</b> baby.<br>
He is being weighed every few days, and they are taking measurements by <i>ounce</i> not % It is totally normal to loose or hold weight when ill, no matter how old you are. And a tiny bit of pee could make the scale go up or down when you are weighing often and to the exact ounce. (I loose POUNDS when I get sick and no one throws Pediasure down my throat because it isn't such a major % of my weight. Instead, I continue eating foods that are comforting and soothing and my weight will equalize when I feel better)<br><br>
My point is, yes, breastmilk calorie content varies. She says she is not having a supply problem. No, I don't think it has anything to do with <b>cdk's</b> situation and formula isn't a great idea... and rice cereal for weight gain is absolutely insane, therefore, cdk should trust her instincts and find a <i>bfing supportive</i> ped and GI. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 
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