Why is my 2 month old not gaining weight?

User - posted on 05/08/2012 ( 5 moms have responded )

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My daughter was born at 7lbs 7 oz. She was 6 lbs 12 oz at her 1 week appt. No gain at her 2 week appt, however at a weight check 5 days later she gained 2 oz, so the doctor ok'd me to continue to bf as normal. She has since then only maintained or lost if I exclusively bf, even though she seems fully satisfied at the breast. I have started supplementing 4-6 oz a day through a sns feeder to try to boost her weight. She is currently hovering at 7 lbs 10 oz, despite the formula she only seems to gain an ounce every 4 or 5 days. She is happy, healthy, alert. She takes a 2-3 hour nap during the day and sleeps 7-9 hours at night, give or take. She nurses about every 2 hours, again give or take, spending around 15-20 minutes per breast.
A little background: I only breastfed my 1st dd for 6 weeks, 2nd not at all. I had a breast lift after 2 dd assuming I wasn't having any more children (oopsie!) My 3rd daughter was exclusively breastfed, but had very poor weight gain as well, she was only 8 lbs 6 oz at her 2 month appt (born 7 lbs 15 oz.) Doctor had me start supplementing, then supplementing with a higher calorie formula mix. I knew nothing about the sns system, so by 4 months dd was more interested in the bottle and effectively weaned herself. I do not want to give up breastfeeding with this baby!!!!! I know without a doubt that the doc will have me repeat this process with this baby, as she maintains I have low calorie breastmilk (though I am not sure it's not a low supply due to the lift.) (I have tried all the techniques to increase supply including pumping (with last baby, not this one) and fenugreek (and huge amounts of oatmeal!) Does anyone have any other suggestions or experiences they can share? Thanks!

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Dove - posted on 05/09/2012

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Judging by diaper output I would say she is getting enough. You might want to get a second opinion from a different doctor about what may be the issue. I know someone who was formula fed (so no supply issue to be had) and was the same size at 6 months as at birth. I believe steroid shots were given or something like that in order to 'kick start' the ability for the child to grow.

Other than that I don't have any ideas. Good luck!!

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Jo-Anne - posted on 08/14/2012

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Because of your history (particularly the breast reduction) production and weight gain could be real issues. Usually babies don't lose and gain steadily, even if slowly, when everything is going right I would suggest calling a La Leche League Leader in your area and give her the details. Ideally, it would be good to see a Lactation Consultant to get really solid information; this is a bit of a special case.

Susie - posted on 08/12/2012

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Many times, pediatricians go ONLY by their standard growth chart, which is not always the best things to do. MOST babies lose weight after the first week or so, but will then start gaining. The following things are important:

If you are producing milk, and your baby is having wet diapers several times a day, and at least 2 poop diapers every day, then that is a sufficient amount of diapers.. IF SHE IS skipping days -- do you mean poop diapers or wet ones too? If it's wet ones too, then more needs to be investigated. Many babies will miss a poop diaper here and there, usually because their little system gets blocked up. That's normal. BUT if you're talking about missing WET diapers, then this is NOT the normal..and she should be checked out more thoroughly and putting her on formula or oatmeal, etc. does NOT help answer the question of wet diapers. She should definitely have wet diapers every day. If there are not wet diapers every day, please have your pediatrician address this question - and possibly send you to a specialist.

If she is having wet diapers every day -- the next question: Is she growing in height? Some babies will not grow in weight, but will grow in heighth for awhile, and then a month to 6wks later, she will grow in weight.Many babies grow in height (without weight), and then will grow in weight but not height for awhile. So, if your baby is having wet diapers every day and has grown in height, then continue breastfeeding, without supplementation. Also - is she acting hungry, and actually taking the breast milk, or are you giving it to her even if she doesn't appear hungry?

Bottom line - if she is having wet diapers every day, and is growing in height - find a new pediatrician that recognizes that some babies grow height then weight, and repeat the process. Remember that most babies lose weight after birth. IF your baby is NOT having wet diapers every day, then she needs to have a thorough check-up of her kidneys and urinary tract to see if everything is functioning properly.

Good luck!

User - posted on 05/09/2012

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She has at least 8-10 wet a day, and usually 1-2 dirty a day, but has skipped a day several times.

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