Breast feeding no problem, but baby not gaining enought weight,. Any advice thx

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Vanessa - posted on 07/02/2013

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my baby is 10 months and still breastfeeding she is not drinking any formula I try all kinds and wasn't succeed I was looking for sum advise my doctor tell me am not taking proper care of her she has 13lbs only but she is very active .....so I am looking for advise plz help ...

[deleted account]

Hi all



I got my daughter weighed yesterday and she did not put on any weight in a week, which I was shocked as I have been feeding her more, including night time feeds, My HV said am I getting butterfly's sensation while feeding, which I haven't so It may be I haven't been feeding long enough, but I feed and average 20 mins, however I feed her  yesterday for 40 mins or longer on 1 breast, and got a tingly sensation after a while as thats post to be the thinker part of the milk where the calories are, if that makes sense and she woke up twice last night and I did notice that I was really hungry this morning, which I don't normally feel as a whole, so I'm hoping by next week she has put some weight on.  I felt totally useful yesterday and I'm quite a healthy eater too. The HV is going to keep an eye on her over the next fornight as she is very alert, smiling alot, plenty of no.1 and 2's in nappies, a normal healthy baby basically.  I Hope this also helps if going through thae same thing.  I don't want to try formala yet as I  have enough milk, too much sometimes as I do leak alot( I'd be lost without breast pads.  I did use formala on my other daught as she was too demanding and I ended up drying up as I have a very tramic birth and she was in special care  for 24hrs+



take care all



sarahx

Debbie - posted on 02/27/2009

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I just read this interesting article http://www.promom.org/101/ which contains the following: "Cow's milk is designed for baby cows, while human milk is designed for human babies
Human milk contains completely different proportions of protein, fat, carbohydrates. Cows milk is designed to help put on weight quickly, grow amazingly fast, and develop only as much brain power as a cow needs. After all, a calf is able to stand and walk on the day it is born. The natural hormones in cows milk are geared toward cows, not humans. The fact that human beings can even partially digest the milk of another species in sort of amazing when you stop to think about it. Human milk is designed for baby humans. It's designed to build brains, and to foster gradual physical growth "

Emily - posted on 02/27/2009

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Might I also say... my kids are still fairly short for their age, but closer to average in height while their weight is super low... according to Wii Fit (which is, of course the best source of info for this *wink*), my kids are still borderline between "Normal" and "Overweight"... so I think maybe our culture as a whole has accepted the chunky, kids and though that has been seen as "normal" for so long, maybe it's not actually the healthiest... maybe the slower to gain, tiny kids are the healthiest.

Please don't jump on me for this, I'm not saying your super adorable chubby baby is going to be obese when they grow up... I'm just saying as a general rule, maybe the growth charts are showing the "average" but not necessarily the "healthiest." Just a couple of random thoughts. :)

Amanda - posted on 02/27/2009

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I think we are all so used to seeing the "ideal" of a baby as chubby (and one can't deny they are very cute!) that when people see a "small" baby the immediately think something is wrong.  Which is not always the case!

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Lori - posted on 07/02/2013

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Vanessa - please start a new thread. This conversation is more than 4 years old and will be locked.

Only 13 lbs at 10 months may be a small baby... but by itself isn't reason to get overly worried. You say she is very active. Has she been meeting milestones? Does she pee and poop well? Does she seem healthy to YOU?

http://drjaygordon.com/pediatricks/newbo...

Do you still breasfeed on demand? A 10 month old can certainly be eating some solids by now, but breastmilk should still be the mail source of nutrition. It's good to keep offering to nurse your 10 month old frequently.

If you have further questions or would like feedback from more than just me :)... as I mentioned at the top here... please start a new thread. Thanks

[deleted account]

people always give meaningful advice or they think they do. I have mj who is 2.5yrs and alfie who is nearly 9mths, i breast fed and feeding both of them, i found that if i did not eat enough my milk was weak and not as filling, i looked into this and you should try to eat 3000 calories a day to keep your milk rich, though as long as she is happy and healthy and doc says she is ok, i would not worry too much.



hope this helps, stressed mum of two x

Casey - posted on 03/05/2009

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Hi just a suggestion I've heard friends of mine say their babies failed to gain weight but grew in length. The health nurses said failure to thrive but the pediatrician said perfectly normal. If she's happy in herself I'd be seeking a second opinion. I used fenugreek seeds helped to up my supply when I needed it. Oh and with weighing maybe weekly is to often no baby puts on that much in a week and if she's just done a poo or just had a feed that will affect her weight. You may not want to risk not weighing her often if she's not gaining weight but maybe have a look at the past weights first in monthly increments and compare her on the growth chart is she in the same percentile as when she was born? Did she lose a significant amount of weight after birth? If so what percentile was she in then and then compare is she in the same percentile now but just not caught up to her original weight percentile? These maybe things the health nurse has over looked remember they see hundreds of babies your the one who sees yours 24/7 and will be the best judge of her health and no one who cares more than you or will be willing to invest the time and effort into finding the cause of the problem.

Emily - posted on 02/27/2009

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I would also like to note, that the "healthiest" weight is totally different for each baby. While, my super white-European descent kids are perfectly healthy at only 16-18lbs at one year... I might be seriously worried about a Samoan baby who's only 20lbs at one year... heredity, activeness, diet and physical differences can all affect how much a child gains, and how much they *should* gain.

Emily - posted on 02/27/2009

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My kids are all super tiny... my 14 month old is only 16.5lbs now. The last time we had her weight checked they were super concerned... until they saw her running around and responding to me. She's growing and developing just fine, but since she started walking at only 9 months, she just doesn't hold still very long... she just burns too many calories to gain any weight. But her development, other than size, is right on track and even a bit ahead of what she "should" be. Basically, she has the intellect and the physical ability of an 18 month old... but is the size of a 9 month old. :)

My other girls are still pretty tiny too... my almost 4 year old is 28lbs, and my almost 3 year old is 25 lbs.

Janice - posted on 02/27/2009

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thank you for posting this, when we were having the same problem i just couldn't bring myself to reach out to people.  It was devastating to me to hear the words failure to thrive which my baby was deemed at 2 appointments.  She was eatting great and just not gaining, she wasn't crying to let me know she was hungry, i think she was getting just what she needed but not getting the extra to get her on the growth chart.  she was born at 7 11 and went down to 6 10 the first week and at her 4 month she was 9 1, i cried for 2 days straight!  And then we had to give her more formula and concentrated formula because she was so far below the chart.  we took her back the next week and she had gained a pound and a half and is now growing crazy quick.



First things first, if your baby is happy and not crying all the time, you are not starving them.  If you are feeling anything like i was, nothing i can say will help, except to say you aren't alone.  Sometimes they just need more than we can make, it's ok, what matter is if your baby is happy and growing.

[deleted account]

Quoting Katryna:

I dont know if your local hospital has a breastfeeding support group. But I live in Rockland Ma and the south shore hospital in weymouth has a great support group. You go and weigh the baby and feed them and then weigh after to see how much your baby is eating. The lactation consultants give excellent advice. I would call and see if your hospital has one. Mine is free and is mon-fri. They also have one on one appointments which you just need your childs pedi. to say you need. I hope this helps and good luck!


Hi



This is a great idea, I will contact my local hospital to see if they have one.



Many thx sarah

[deleted account]

Quoting Katryna:

I dont know if your local hospital has a breastfeeding support group. But I live in Rockland Ma and the south shore hospital in weymouth has a great support group. You go and weigh the baby and feed them and then weigh after to see how much your baby is eating. The lactation consultants give excellent advice. I would call and see if your hospital has one. Mine is free and is mon-fri. They also have one on one appointments which you just need your childs pedi. to say you need. I hope this helps and good luck!


Hi



This is a great idea, I will contact my local hospital to see if they have one.



Many thx sarah

[deleted account]

Hi all



My HV did mention dream feeding.  Lat night I put my alarm for 2am and feed charlotte, she didn't wake up, she feed for about 30-40 min,which I was pleased with, but I was tired. I'm going to do this for 1 week and get her weighed next week to see if she has put on any extra weight, she had been gaining at least 1oz each week.  If this works I will be sticking to it.



I want to thx everyone for your advise as It has been great and it been good to talk as I'm a stay at home mum.



will keep updated



Many thx sarahx

Amanda - posted on 02/26/2009

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Sarah- we tried "dream feeding" which is where you gently pick baby up and feed her at night without waking her.  We still do this with our bubba (she goes to bed around 7pm and  has one dream feed at 9:30pm now which sees her through to 6:30am) - she does wake a bit but goes right back to sleep. I know what you mean about sleeping babies!! It seems our main goal is to get them to sleep through the night and then when they do we worry about them!   lol

Melissa - posted on 02/26/2009

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Our little girl was exclusively breastfed until 6 months when we began introducing solids.  She's 9 months now and still nurses in addition to her other meals.  She was born at 6 lbs and 15 oz and did well early on but stayed a thin girl at 75% for length but 10-15% for weight at every check-up.  I asked the doc if she was concerned about her weight and the doc said no.  She said it was a good sign that she is gaining weight and is staying at the same percentiles each visit.  It means that she's thriving, but she just isn't a huge baby in terms of weight.  The doc said she would worry about it if her percentile dropped suddenly but that hasn't been the case and consistency is a great sign of a healthy baby.  She finished her comments by saying that not every baby needs to be obese - particularly when they are reaching all of their developmental milestones! 



It was great to hear that our doc wasn't worried.  Plus, I've since learned that the percentiles that are used were developed for babies on formula so a breastfed only baby will differ slightly considering it isn't an apples to apples comparison.



We're still careful to ensure that Scarlet get's enough to eat - her papa has a crazy metabolism and eats like a horse so I figure that she just may take after him!  I hope our experience is helpful to you!!

[deleted account]

Yeah my 6.5 weeks old goes to bed at 10 wakes at 3-4 and the 6-7am but I would not wake her unless shes losing weight. Every baby is different and if she wants to sleep through the night then let it be she will wake when shes hungry. My friends baby wasn't 20 lbs til 18 months or so but my daughter was 20 lbs at 6 months I think so if shes happy and not losing weight keep on doing what your doing its okay is shes little very few people in this world are.

Amy - posted on 02/26/2009

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Hi all,

My now almost two year old is tiny! She hasn't hit the 20lb mark yet. But, I'm not worried about it. She was almost 9lbs at birth, but only because my blood sugar was a bit high. I worried a lot about whether or not she was getting enough nutrition from nursing, but it turns out she's just meant to be little. My doc told me that as long as she is hitting her developmental milestones and steadily gaining weight (even if its only an ounce or two) she is fine. The good news, she can still wear her size 9 month clothes, which really helps stretch the budget!

Katryna - posted on 02/26/2009

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I dont know if your local hospital has a breastfeeding support group. But I live in Rockland Ma and the south shore hospital in weymouth has a great support group. You go and weigh the baby and feed them and then weigh after to see how much your baby is eating. The lactation consultants give excellent advice. I would call and see if your hospital has one. Mine is free and is mon-fri. They also have one on one appointments which you just need your childs pedi. to say you need. I hope this helps and good luck!

[deleted account]

Hi Kellie



Thats really good info, I have thought about using a pump through the night as I know it the best milk to give them, I think I will try and feed through the night, HV  said about 2ish, It'll be worth it if she gains more weight, I feel more happier that you have advised this as another mother.



Many thx sarahx

Kellie - posted on 02/26/2009

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Sarah,



I would set the timer and wake her up every 2 hrs at night.  I know it sounds crazy, "don't wake a sleeping baby" is the common wisdom, however with breastfeeding it doesn't work that way.  And her stomach isn't equipt to go such a long strech without feeding.  I had to wake my 2nd daughter because she wasn't gaining much weight either.  It's not fun.



It's good that she's got adiquate wet and poopie diapers, however she needs to eat at night too.  You can also pump and giver her your pumped milk after she has nursed.  That is one excellent way to suppliment without using formula (which should only be used as a last resort ).  It really sounds like things are fine with her, she just needs to eat at night too.



Take a deep breath, drink plenty of water, get plenty of rest- lay down with her lots of times during the day.  Get plenty of skin on skin contact too!  And remember the more she nurses the more milk you will make.  I think that you will start seeing some changes really soon! Hang in there momma!!!

[deleted account]

Hi



I want to thank everyone for the advise, you have all given me some really good advise.



My daughter is 9 weeks today, she weighed 8lb8 and was 8 days early.  She is a quiet baby, most of the time I have to wake her for I feed, I have load of milk, which I don't want to waste.  She is gaining weight but not what her yellow(some red) books says.  My HV said wake her up through the night, but she has a good sleeping pattern( I don't want to disturb it), Iput her down about 9pm and she will sleep till 6-7 am, she's happy with what I give her.  On the other hand my other daughter was breast fed which I dried up when she was 2 months old she was very demanding and I didn't feed her until after 24 hrs old as she was in special care, it was a very tramatic labour.  My daughter(youngest) has plenty of wet nappy's and dirty one's and she is happy ion herself.  



 



I wanted to get another mother's opinion, who has experienced a similar problem, you can't put a price on mother nature, HV are helpful, but have guidelines to stick too, but every baby is different.  I will keep updates.



Many thx sarahx

Louise - posted on 02/26/2009

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Hi, I am only really going to say the same as other, but my son is almost 6months now, he is an extremely active baby. Between 7 weeks and 18 weeks he only put on 1lb (ebf) I started him on some solids around 19weeks on advice of HV, and he started to gain some weight, MY son is now on 3 meals a day and is putting weight on steadilt again. He still has all his normal bfs and is still waking of a night for feeds too. He just needed the extra meal.



As long as you have a happy baby as pp said with plenty of wet nappies then you shouldnt worry too much, just keep doing what your doing, your doing the best for ur baby :D

Christine - posted on 02/25/2009

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Quoting Lacie:

Depending on how old your baby is.... I would just try adding cereal. My daughter started on cereal at 2 1/2 months old because she jusst wanted more than I could give her. They dont reccomend cereal until like 6 months but thats mainly to make sure they wont choke on it. but if you concentrate it so that it just has a little bit of texture(even to be still on a spoon but not water) its ok for them. the doctor just says do NOT! evrer put cereal in a bottle.


Actually, that's not the reason why cereal (or any solid) isn't recommended until 6 months. As another user said, it has much more to do with the readiness of your baby's digestive system. Babies' guts are immature when they are born and are more or less like a sieve. Particles can get through directly into the bloodstream. If they are given solids too early, the particles pass through and it can lead to an increase risk of food allergies, among other things. The Dr. Sears website has some great information on it - http://askdrsears.com/html/3/t032000.asp...

Krystal - posted on 02/25/2009

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I too question who is telling you that your baby is not gaining enough. And i second the advice about as long as they are having enough wet diapers. How old is your baby? How often does your baby nurse? Is your baby on any solid food? Try pumping for a couple of minutes on each side before you nurse - that way your baby can get to your hindmilk faster, which is more loaded with all the super good stuff for them. Formula is a tough decision for nursing Moms...just make sure that you know all the facts for both sides.



Honestly, i don't even worry about the growth charts at the pedi's office. I just took my daughter for her 18 month check up and she was only 20 lbs 8 oz. The "average" baby is that weight at their 1 year appt. I weighed my son at the office the same day and at 2 1/2 he is only 25 lbs. Breastfed babies and formula fed babies should have separate growth charts. We're not worried about the weight for either of them because although they have been gaining weight slowly they still have been gaining. They reached milestones at the right times, eat 3 meals and 3 snacks a day, and are active (like most 1 1/2 and 2 1/2 year olds!).



Good luck

Kellie - posted on 02/25/2009

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If you look at baby's growth chart....does baby consistantly gain weight?  If baby started off at the 20th percentile...does baby continue in that percentile now?  If that's the case you really don't need to worry.  However if baby started off in the 90th and has dropped down to 20th in 2 months....then you might need to start lookin into why. 



 

Tiffany - posted on 02/25/2009

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My daughter was exclusively breastfed until 7 months. She will be two next month and only ways 23.6 pounds, which most people consider extremely light for her age. Her doc said not to worry because there isn't an accurate growth chart as far as weight is concerned for breastfed babies. So long as the whole child seems to being doing well. I would ask the doc before adding cereal because it has more to do with the babies stomache being advanced enough to handle something other than breastmilk.

Lauren - posted on 02/25/2009

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We have a similar problem.  My daughter only gained 6 ounces between her 4 month and her 6 month check-up.  My doctor gave me two options.  Work on increasing my supply or supplement with formula.  I decided that I would supplement with formula.  I am still breastfeeding the same as I was before.  Now, I just offer 2 ounces of formula after she nurses.  Total she can get 4-6 ounces of formula a day.  I also increased the amount of cereal she gets everyday too.   I go back for a weight check in a month or so.  We will see if this is working.  Before she never acted hungry or cried for food.  But now that I am offering her more - she takes it.  My doctor said she was eating enough not be hungry but not enough to gain weight. 



My daughter weighed 7lbs 13oz when born, Aug. 31.  She was at 13lbs at her 6 month check-up. 

Lacie - posted on 02/25/2009

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Depending on how old your baby is.... I would just try adding cereal. My daughter started on cereal at 2 1/2 months old because she jusst wanted more than I could give her. They dont reccomend cereal until like 6 months but thats mainly to make sure they wont choke on it. but if you concentrate it so that it just has a little bit of texture(even to be still on a spoon but not water) its ok for them. the doctor just says do NOT! evrer put cereal in a bottle.

Carly - posted on 02/25/2009

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I guess the first question is who is saying "it's not enough weight"?  Is it a health professional?  Are they using the current World Health Organisation growth charts for breastfed babies?  Breastfed babies often have periods of little or no weight gain, then a sudden growth spurt, which is completely natural.  My bub gained no weight between 5 and 7 months, then packed on 1kg (about 2.5 pounds, I think) in a month.



Better indicators of a healthy baby are having 6-8 weight nappies a day, soft poos, reaching developmental milestones and, most importantly, being happy most of the time.



If you want to continue breastfeeding, then offering formula is the last thing you want to try.  Far better to offer the breast more frequently to bubs.  If they are hungry, they will feed, and this will send the signal to your breasts to produce more milk.  Your breasts are never really "empty" so even if it's only been 30 min since the last feed, there will still be something there to keep bubs content.  If you give formula instead of offering the breast, no signal is sent to increase production.



Hope this has helped.  Good Luck :-)

Amanda - posted on 02/25/2009

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I had exactly the same problem- with well meaning people always saying- "Oh isn't she tiny!" about my baby.  I got quite a complex. I am exclusively BFing (bubba is 6 months old now) and she has always had low weight (although born at a fairly normal 3.2 kilos, she gained slowly).  She didn't even go on the weight graph! She now weighs 5.5 kilos (still!) but is healthy, happy and packing away the solids like a champion. She has a quick metabolism like her dad, as well as being quarter Chinese. But our Dr is well happy with progress and she is developing fine.



This is some of the advice I got: trying to fix the problem by looking at your breastfeeding before jumping to formula! Perhaps try to increase milk intake by lengthening feedings if possible or adding an extra feed in somewhere. Increase your breastmilk by starting her on one boob, swapping her to the other and going back to each boob to stimulate more production. Hope that makes sense!



Oh, and also weight may not even be an issue like us. Our Dr said: is she having enough wet nappies (6-8 a day), is she alert and bright, is she generally happy? All yes. He told us to stop weighing her and just look at her as a whole.  If she stopped weeing and seemed sleepy and dopey then there could be a problem. Otherwise, enjoy her! So we did and do! She is a small baby but a very happy one!



 



I hope this helps! Best of luck!

Celena - posted on 02/25/2009

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Quoting Sarah:

Breast feeding no problem, but baby not gaining enought weight,. Any advic


try formala good start is  very good

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