I personally know of an incident just this year (I mean, I personally know the mom) where her 2 week old baby was weighed twice in 24 hours on two different scales and the two checks indicated the (normal, breastfed baby) gained half a pound-again, in less than 24 hours. Obviously that is impossible but when the mom pointed that out, she was told to be happy because baby was gaining! But what if she had done the two checks in reverse order of scales? It would have looked as if baby lost half a pound (or close) in 24 hours! Going just by the weight, this healthy baby could have ended up in the ER on an IV! So yes, I know it seems impossible but I would say it may be remote but IS possible. I am not the only person who thinks this about scale error-Dr. Jack Newman writes about how scale error is rampant with newborns.
I guess that is a thought. He was weighed twice, two different scales two weeks ago, both saying 9lbs5oz. This past week was yet another scale saying 9lbs0oz. A whole 1/3 of a pound discrepancy though? Especially since he should be gaining weight?
If I had any concerns about my baby’s weight gain, here is what I would do as far as weight checks go. Weight checks MUST BE on the same digital infant scale, every time, with baby in a dry diaper or naked, with mom watching carefully to make sure there is no rush or error and with mom writing down the number and making sure it jibes with what the nurse or whoever records, and to be on the safe side, REPEAT the weight check immediately.
Yes your baby should be gaining. I am not suggesting all is well. I am suggesting that if there IS a problem we do not really know how severe it is until weight checks are done on the same scale, other health factors (like output) are taken into account, and some before and after weight checks are
done. This information will be important in determining how much your baby may need to be supplemented and if and for how long baby needs supplements. So it is really important it is accurate.
You don't. your babies doctor does.
How would I even go about determining if baby has a health problem?
how long is baby sleeping without nursing? Personally yes, if my baby was not gaining well and baby was sleeping longer than 3 or 4 hours at night I would wake baby to nurse or dreamfeed.
Should I wake him up in middle of the night to feed?
No pacifier use, correct? No swaddling?
How long has baby been pooping twice a week? Was it ever more frequent? Are the poops pretty big?
Can you follow up with this?
She mentioned sending me to a lactation doctor to see if there could be anything done about his tongue if the position change in nursing didn't help the pain with nursing. However as for his latch, as far as I can tell, it's a picture perfect latch now with no pain and feels better than ever.
You saw an IBCLC 2 weeks ago and she was not alarmed about babies intake, I take it. an you say baby nurses frequently. So SOMETHING is not jibing here. So I strongly suggest you see your IBCLC again and yes, if your baby has a ptt treating it may help. At the very least, a "lactation doctor" is hopefully goingto be helpful in getting a second opinion (if you want one) about supplementing.