Breastfed 4 month old not putting on the weight health nurses want him to

Belinda - posted on 03/19/2013 ( 9 moms have responded )

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Hi ladies, I have a four months old son who is breastfed. Since he has been born he will absolutely stack on weight one week and then hardly anything the next. According to the health nurses 'charts' he is not where he should be weight wise. He is growing in length and head circumference. I have asked as long as he is doing this and is pooing and weeing isn't it okay?, but they said he really needs to be putting on something every week, at least 150g. Health nurse already has him on rice cereal and she now wants me to give him formula after his evening feed to top him up. Really didn't want to do this so expressed 100ml to top him up after evening feed. I fed him his usual feed where he fussed a bit (he is on gaviscon for silent reflux) and he took the whole bottle after. I then gave him a top up of formula, 100ml in the bottle and he took all of that! Ended up spewing up a bit when I burped him and then slept the whole night so missed his overnight feed! I want him to put on weight as the nurses worry me so much and am now worried on top of this that his sleeping through the night will lower my milk supply even more! If that's even the problem in the first place! I just thought I would make enough milk for him - supply and demand, but from the way the nurses talk that's not the case! Anybody with similar issues that can offer advice to a first time mum? Please!

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Belinda - posted on 03/19/2013

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Thanks. Yes I nurse him whenever he wants and the rice cereal or any solids are only given after he has had a breastfeed. He just seems to go through patches of putting on lots of weight then hardly any.he seems content after feeds as he smiles and talks to me but can still drink more from a bottle if its offered. Hes hitting all of his milestones and im always told hes advanced for his age. His GP isnt concerned and said hes happy and healthy looking

Dove - posted on 03/19/2013

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If he's continuing to grow and thrive.... let him be. If he stops gaining weight entirely or is losing weight... THEN worry. He sounds perfectly fine to me. Personally speaking... I'd stop the rice cereal, nurse him as much as he wants whenever he wants, and find a new doctor/nurse/whatever to take him to that looks more at the WHOLE child vs. just the chart.

Belinda - posted on 03/19/2013

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He can be fussy to feed sometimes. He pulls off, arches his back and cries. Not sure if it's reflux as I can only give him gaviscon twice a day which he gets at night or if my milk isn't coming out fast enough, although I just fed him and he choked! So hard to know what's actually going on!

~♥Little Miss - posted on 03/19/2013

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Supply and demand feeding is USUALLY the best way to go, except for those children that have medical issues.

~♥Little Miss - posted on 03/19/2013

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I just want to add, that when my son was going through a growth spurt, or just had a growth spurt, I always noticed he was in a lower percentile bracket. Or when he was building up to a growth spurt, they would tell me he was to heavy for his size. I knew he would even out, because I could see he was eating more and would all of a sudden lengthen out. I am not saying your nurses are wrong, just sometimes I think they are often pushy with what the feel every baby should be. If your child is grossly underweight, figure out if this is the best advice from them. But in the long run, he is your baby, and I don't think you would intentionally starve him (not that it is indicated in any way...just saying). Talk to the actual doctor about your concerns, and bypass the nurses. Let them know you are uncomfortable supplementing any further and that you are not certain it is necessary because he is feeding well.

Belinda - posted on 03/19/2013

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Thanks for replying. I think he's at 25 percent at the moment... He doesn't look healthy though. Bright eyes and skin and is a happy boy

~♥Little Miss - posted on 03/19/2013

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A chart does not dictate whether or not your child is healthy and growing. I swear sometimes they are so dedicated to your child hitting certain percentages, they forget to take into account how the child is eating and how he/she actually LOOKS for their size. I mean if your child is at the 10-20% yeah I would be a little concerned, but if he is at 40%...nope I wouldn't be. Each child grows so differently, and no chart should dictate exact terms of a healthy growing baby. You do what you feel is right.

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