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Discussion Starter · #1 ·
I'm really concerned about E's weight gain. He was gaining wonderfully at 0.75-1oz/day until about 3 wks ago. Then he slowed to 0.5-0.75oz/day. Now he's only gained 3oz in the past 7 days.<br>
He's 12wks now. I'm working 4 days/wk, and he takes 9-12oz per day while I'm at work. I pump 15oz/day at work. When I'm home he nurses every 2-3hrs on demand. He always seems pretty satisfied after a feeding. Occasionally, he'll pop off and on and act like he may want more, but usually a good burp and he seems happy and content. He is having 6 or more wets/day and poops hugely every 2-3 days and it's bright yellow and runny. He sleeps in his own bed and sleeps one 5hr stretch and then wakes and nurses every 2-3 hrs.<br>
Should I bring him back into bed with me and get him to nurse more at night? I had put him in his own bed cause he would nurse so much and so long that he would vomit from it, but I'll bring him back to get him gaining better. Should I increase his bottle size at daycare so that he's getting more than 3oz at a feeding?<br>
I'm a nervous wreck worrying about this. I feel like my supply is good most of the time, and I hear him gulping for most of his feedings (which only last 5-10min per side). I did a quick before and after weight with part of one feeding last week and he got 2.5oz from nursing on one side for 10min. GAH! Tell me this is all going to be alright.
 

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Discussion Starter · #2 ·
anyone? help? should i look at getting some formula as much as i hate it and supplement him? i'm just in tears that he's not getting enough calories somewhere and i feel like a failure.
 

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My baby's weight gain slowed down about that time too. I didn't worry too much about it because he's still gaining, seems content, still soiling and wetting diapers. I do plan to ask about it at his WB appt. tomorrow. I can let you know what the doctor says at that point.<br><br>
My MIL is a nurse and she says that it is fine, and that happened with her BFed babies too.<br><br>
So, I'd say, don't worry, but I'm not an expert. It sounds like you guys are doing great!
 

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It sounds like he's doing fine. He could gain 3 oz. one week and then 10 the next. Try not to stress so much about it and keep doing what you're doing. Watch the number of wet diapers - if he's got at least 5 a day and is happy and meeting milestones, he's getting enough!
 

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Have you plotted his weight gain on the WHO growth chart? Weight gain does slow after 3 months - I think it goes from averaging 30 g a day to 15-20 grams a day... that's an ounce a day to just about 1/2 an ounce a day. His growth may actually be completely normal!<br><br>
If he drops off the curve or has not enough pees etc, I'd bring baby back to bed if that will increase nursing sessions and milk intake.<br><br>
I would not use formula unless you are sure he is not gaining well and you have exhausted your options to increase breastmilk intake - remember that supplementing with formula will likely lead to a decrease in your supply. Plus you would be introducing a breastmilk substitute which can raise baby's risk of certain illnesses when compared to exclusive breastfeeding - not something you want to do if it isn't necessary.
 

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First, calm down! He sounds pretty healthy to me. Is he losing weight? If not, I would not worry about it. Mine only takes 2 oz at a time from a bottle. I'm not sure your baby will take formula. My LO will not. He hates it. He's 10 weeks. Makes the funniest little " I'm not eatin that" face. I had my fiance try it once when I was not home yet and the breastmilk would take so long to defrost that I would be home by then. Baby was throwing a HUGE Hunger fit and STILL wouldn't take the formula.
 

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Discussion Starter · #7 ·
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>PatioGardener</strong> <a href="/community/forum/post/14754175"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Have you plotted his weight gain on the WHO growth chart? Weight gain does slow after 3 months - I think it goes from averaging 30 g a day to 15-20 grams a day... that's an ounce a day to just about 1/2 an ounce a day. His growth may actually be completely normal!<br><br>
If he drops off the curve or has not enough pees etc, I'd bring baby back to bed if that will increase nursing sessions and milk intake.<br><br>
I would not use formula unless you are sure he is not gaining well and you have exhausted your options to increase breastmilk intake - remember that supplementing with formula will likely lead to a decrease in your supply. Plus you would be introducing a breastmilk substitute which can raise baby's risk of certain illnesses when compared to exclusive breastfeeding - not something you want to do if it isn't necessary.</div>
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I've only plotted on a regular CDC chart, and he's fallen off his curve there. I'll look for a WHO chart. Thanks.<br>
I did try bringing him to bed with me last night and he was having none of that. He would not sleep and just made it very clear that he wanted his own space. *sigh* I went ahead and increased his volume on his bottles for daycare from 3 to 4 oz, and he seems to be tolerating that well.
 

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<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>haydn'smommy</strong> <a href="/community/forum/post/14754845"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;"><b>I've only plotted on a regular CDC chart, and he's fallen off his curve there.</b></div>
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Those CDC charts can really damage a breastfeeding mom's confidence! My friend's gorgeous baby (now a beautiful 4 yr old!) 'fell off the chart' at 4 months - but grew absolutely perfectly according to the WHO growth standards (that show how typical, healthy babies should grow).<br><br>
Here is the chart for boys aged 0-6 months. You just have to convert pounds to kilos and be careful with dates because they jump from weeks to months.<br><a href="http://www.who.int/childgrowth/standards/cht_wfa_boys_p_0_6.pdf" target="_blank">http://www.who.int/childgrowth/stand...boys_p_0_6.pdf</a><br><br>
I bet the new chart fixes the 'problem'! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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Discussion Starter · #9 ·
<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>PatioGardener</strong> <a href="/community/forum/post/14755974"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Those CDC charts can really damage a breastfeeding mom's confidence! My friend's gorgeous baby (now a beautiful 4 yr old!) 'fell off the chart' at 4 months - but grew absolutely perfectly according to the WHO growth standards (that show how typical, healthy babies should grow).<br><br>
Here is the chart for boys aged 0-6 months. You just have to convert pounds to kilos and be careful with dates because they jump from weeks to months.<br><a href="http://www.who.int/childgrowth/standards/cht_wfa_boys_p_0_6.pdf" target="_blank">http://www.who.int/childgrowth/stand...boys_p_0_6.pdf</a><br><br>
I bet the new chart fixes the 'problem'! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"></div>
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Thanks!!! I plotted him there and he's just fallen slightly off the curve, not the major fall I saw on the CDC chart. Whew! I need to get copies of those charts and keep in my office and make the nurses (and my doctors) use these on our bfed babies. I knew it was different, but I honestly didn't realize just how different it was.
 

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IMO EVERY baby should get the benefit of these charts - breastfed or not. Fortunately the 'well baby checks' used by Canadian family docs and pediatricians (Rourke's), which are evidence based, just switched to these charts.<br><br>
As a PP said, babies grow in fits and starts, not curves, so he very well could have 'made up' the weight gain by 4 months.<br><br>
Glad to hear things are going well for you and you aren't as concerned - sounds like both of you are doing well <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 
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