Help!! Doc says my baby isnt thrieving.

Michelle - posted on 03/26/2009 ( 7 moms have responded )

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My daughter is 16 weeks old and EBF, she is happy and very content. She sleeps ok waking every 3 or 4 hours at nite for a little guzzle. I went to my docs today as my girl has cradle cap pretty bad and i just wanted to make sure it wasnt infected. When i was there he had a look at her growth charts and said that they worried him and she wasnt putting on enough weight. I now have to go to hospital next month to see a specialist. She puts on 5 to 6oz every week and has never lost or stayed the same. Im totally disheartend as i thought we were both doing really well. The growth charts he has gone off are for bottle fed babys and i was told to ignore them. Has anyone else been through anythin like this???

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Shari - posted on 03/26/2009

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My daughter was also EBF and at two months old, she was only barely 10 pounds even though she weighed 7lbs 8 oz at birth. The doctors and nurses kinda freaked me out too telling me they were concerned etc. And yes...I know that you do need to be careful in ensuring your baby is thriving. However, like you, I felt instinctively that she was okay. She was healthy, smiling, meeting all milestones and she looked good. I chose to ignore advice to put her on formula although I did take fenugreek and blessed thistle - two natural herbs that are known to increase milk supply. My daughter is now 3 and is off the charts for height (her dad is 6 foot 3) and is in the 85th percentile for weight. She is very healthy, active etc. I think Chantel is right when she says you need to look at whether she has dropped percentile wise...if she's staying pretty consistent, I probably wouldn't worry too much. Keep an eye on it and try not to get too stressed about it...your instincts are probably right!

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Kim - posted on 03/28/2009

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She is putting on an absolutely normal amount of weight, she is just fine.  If she is peeing and pooping fine and meeting milestones she is fine.  My almost 5 month old was 10 lbs at her 4 1/2 month appt.  My ped after giving me all the grief in the world was satisfied with her growth and finally backed off.  When she was 2 mos old they hospitalized her for pneumonia and of course insisted on running the failure to thrive labs which I allowed.  Figured if it made them feel better then more power to them.  Your daughter sounds perfect.

Krystal - posted on 03/26/2009

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having a pedi that supports and is knowledgable about breastfeeding is important.



my son and daughter are both on the small side. my daughter just hit 20 lbs 8 oz at her 18 month check up and my son was just 25 lbs at 2 1/2 years old. all that mattered to my pedi is that they were consistently gaining, reaching milestones, etc. 



perhaps you should consider finding a pedi that would support you a bit more?



good luck!

Joanna - posted on 03/26/2009

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I HAD SIMILAR PROBLEMS WITH MY SON WHO WAS 1 ON 10TH JAN I HAD TO TAKE HIM TO A SPECIALIST WHO TURNED ROUND AND TOLD ME THERE WAS NOT A PROBLEM HE IS JUST SMALL ( I AM ONLY 5'1TALL ) BREAST FED BABIES GAIN DIFFERENTLY SO DO NOT WORRY

Morag - posted on 03/26/2009

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I had this problems. My doc's only ever use bottle feeding charts and she was always overweight/obese. It was really annoying because she suffered from very bad reflux and her lack of drastic weight loss meant she had to suffer in pain for 6 months before they would give her some medication. The way that formula and breastmilk are absorbed are completely different. Seeing a specialist might actually be a good thing, they might actually have a proper look at your child and see there is no need for concern. :)

Chantel - posted on 03/26/2009

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Yes, I have had clients who faced this issue.  First, if he was using formula charts on a breastfed infant he is wrong.  At 16 weeks, or 4 months we would like to see baby gaining up to 1/2 pound a week...but what is most important is symmetrical growth...so head, chest, arms, legs and body all grow equally and baby is putting on fat.  For example if your baby was 6.4lbs at birth, an appropriate weight at 4 months would be between 12 and 16 lbs (10th - 90th percentile) and her length to be between 23 and 25 inches.



One thing that we often look at is growth curve.  So if baby is 10percentile at birth and is 10percentile at 4 months then appropriate growth patter is recognized.  However, most providers are used to seeing formula fed infants and expect the same growth patter out of breastfed infants.



The average breastfed infant will grow in spurts and be inconsistent in weight gain, with a topping off at 8-12 months old and then a steep decline in gain between 1-3 years old.  A breastfed infant can weigh more than a formula fed infant at 8 months and less then a formula fed infant at 2 years.



Based on this information, what do you think?



Here is a helpful tool, you can put her info in and see where she stands.



http://www.medcalc.com/growth/

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