My 10 day old is not gaining enough weight (breast feeding).

Maritza - posted on 11/05/2012 ( 6 moms have responded )

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just gave birth on 10/23 to a wonderful little boy. He came into the world weighing 7.13 lbs. The Friday of that week we went to the doctor and he weighed 7.3 lbs which the doctor said was normal. The goal was for him to gain his birth weight by the friday of next week. I have been determined to breastfeed as soon s I found out I was pregnant. I'll be honest, breastfeeding has been difficult from the onset. It was painful and took over an hour for my boy to finish. My husband and I decided to meet a lactation consultant and that helped a ton. Come Friday I'm back in the Doctors office and my son only gained 2 ounces. Even though my son looked healthy the Doctor made a big deal about not gaining weight and strongly suggested we moved to formula or at least mixed. My husband and I freak meet with he lactation consultant one more time. She suggested we rent a breast pump and supplement with finger feeding. For the next few days we were very diligent and feed him every 2 hours. He was far more alert and had many more wet and dirty diapers. The doctor wanted to see us today and we were floored that his lost weight from 7.5 to 7.2. Once again the doctor strongly urged that we stop breast feeding and go strictly to formula. He believed that our baby was expending too much calories just trying to feed. We're both confused and don't know how to proceed. At the minimum the doctor advised us to strictly use bottle to increase flow and once again mix some formula into each feeding.



Anyone have any advice? We are both at a lost.

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User - posted on 03/18/2014

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My baby z one yrs old and i recently took her to the doctor for a check up and the doctor said lost 2 pounds in a week

Lori - posted on 11/05/2012

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The initial weight loss is normal. And the amount of weight loss can depend on things that happen during labor. For instance, if you were injected with IV fluids, the baby absorbs some of the fluids too, and then has a "larger" weight loss than a baby who's mom didn't get IV fluids. So, not being back to birth weight may not be cause for alarm. However.. continued weight loss after 2 weeks might be a reason to start being concerned.



How many wet diapers per day are you getting now? Are you feeding on a schedule every 2 hours? or are you feeding on demand, and that happens to be about every 2 hours or so. If you're schedule feeding, I'd suggest offering to feed more frequently. And if you are using pacifiers at all.. ditch them now. Any and all suckling needs to be at the breast so your baby gets all the extra nutrition he can.



Also, spend time skin to skin with your baby. Baby in a diaper, you without your shirt. Hold baby on your chest. If you're chilly, put a blanket around both of you. Let baby nap on your chest like that. When you need to be on the move, put baby in a sling or other carrier. This additional contact with you can make breastfeeding go much smoother.



And get back in touch with your Lactation Consultant.



And... you may want to consider getting a new Dr. One who is pro-breastfeeding. He shouldn't be recommending that you stop breastfeeding and go strictly to formula. Even in a more severe case, the first recommendation would be to supplement some in addition to breastfeeding. Not to just quit breastfeeding. Many many many Dr.s are just not familiar with breastfeeding, and they don't know what's normal for a breastfed infant. You'll save yourself a lot of headaches with this Dr, by finding another one now.



From what I can tell from your post here it doesn't sound like you need to supplement at all yet. But pumping in addition to breastfeeding, and then feeding that to your baby does seem like a good idea.

Stephanie - posted on 11/05/2012

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Also, stop all pacifier use. All of your baby's sucking should be done at your breast.

If he falls asleep while nursing and you want him to eat more, gently push the bottom of his chin up and he should start to suck again. Nurse for a long time on each breast, as long as you can to make sure he gets the hind milk, it has more calories.

Good luck

Amy - posted on 11/05/2012

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Block feed so just feed on one side for a whole feeding, that way he's getting the fatty hind milk. If after he finishes feeding you feel he wants to feed 30 minutes later put him to the same breast that he just finished feeding from. Always feed on demand! Don't try to get him on a schedule feed him whenever he wants and let him feed for as long as he wants. My kids alway would cluster feed at night so from 6:30-bedtime around 8:30 they would be attached to the breast. If he seems to be falling asleep while feeding and he hasn't finished the feeding strip him down to just a diaper so he's uncomfortable and awake. I would also start looking for a new pediatrician one who is going to be supportive!

Stephanie - posted on 11/05/2012

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Keep track of your baby's wet diapers and bm's if you can. Baby should have 6-8 wet diapers a day and be pooping somehwhat regularly. It is pretty normal for a breastfed baby to go a few days without a bowel movement.

What is your diet like? Are you drinking enough water and eating enough protein and fats? Are you taking your prenatals still, if not, start.

Newborns need to eat a lot! I didn't realize that it was so much work to breastfeed, either. I think my baby was attached to my boob for the first 4 months of her life. Try to feed your baby more than every 2 hours. Anytime you see his mouth moving, feed him.

Make sure his latch is good every single time. My baby's dr suggested to me that I squeeze my areola while baby was feeding to make sure more of the nipple was going into her mouth.

Then, next time you go to the dr, nurse your baby while you're in thw waiting room right before he gets weighed.

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