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Thread: EBF but not gaining weight well and I'm scared

  1. #1
    Join Date
    Apr 2012
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    19

    Default EBF but not gaining weight well and I'm scared

    Hi There, my LO is 4 months and 1 week. He was born at the 75th percentile, dropped and stayed at 50th, then was down to 25th at his 2 month check and now is down to the 10th percentile. Length and HC are both 50th and holding steady. I'm not sure what to think about this. His output seems very normal, he is a bright bubbly and well developing little guy. (rolls both ways, reaches for things, babbles interactively and loves discovering new things). I don't know what I'm doing wrong or why this has happened!! It makes me feel like I am failing him

    Pediatrician says to keep nursing him as I am and offer him a bottle (pumped or formula) after feeding and to start introducing some cereal. He wasn't overly concerned but did say if he doesn't come back up on the chart we'll have to start to investigate why he's not gaining like he should.

    The only factor I can think of is that he seems to have started teething a few weeks ago (drooling like mad, stuffing both fists along with everything else into his mouth and even sometimes crying out when he bites down).

    Any thoughts would be appreciated... thanks so much.

  2. #2
    Join Date
    Feb 2008
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    SoCal
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    Default Re: EBF but not gaining weight well and I'm scared

    I don't see a problem per se, there are just as many healthy kids in the 10th percentile as the 90th. If baby is gaining in height and head and hitting milestones, seems happy and has sufficient output I wouldn't think problem....but what is the weight exactly? Are you nursing on demand? I'd look for a BF friendly doctor and get another opinion.
    Mommy to Maxwell 10-9-07 weaned with love (a party and a remote control monster truck) on his 4th birthday
    My Boy 3-16-10
    And my sweet pea Sam 2-12-11

    Watch Your Language

  3. #3
    Join Date
    May 2006
    Posts
    20,611

    Default Re: EBF but not gaining weight well and I'm scared

    with Jenna. Since baby is otherwise healthy and happy and head circumference and height are both continuing to grow normally, I am not sure that there's anything that indicates a problem here. I assume baby is being nursed on demand?
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  4. #4
    Join Date
    Apr 2012
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    19

    Default Re: EBF but not gaining weight well and I'm scared

    Yep, nursing on demand, and offering the breast in between. We'd had an almost 15 percent loss initially after birth but gained that back really well. I've always been careful to nurse on demand... plus some. Just freaked me out a little that he's saying we'd need to 'investigate', I don't (won't allow) any unnecessary medical work-ups. I'm an FNP and always thought if the other 2 variables are normal and the child is thriving it was all good. But then again, we're here in Austria now and standards are a bit different as are the approaches. I just wanted to see what other peoples experiences have been.

    Tried him on a little cereal this afternoon (I normally wouldn't do this until 6 months). He hated it and spit it out of course. I'm sure he didn't get any of it. He still has the reflex (I can't think of the name of it) that pushes foreign substances out of the mouth! (as I would expect...)

    We'll see how he does.... I'm going to add the extra bottle. I've got a good supply of pumped milk in the freezer.

    Thanks for listening!
    Linda

  5. #5
    Join Date
    Jun 2009
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    6,564

    Default Re: EBF but not gaining weight well and I'm scared

    The only concern that I would have with adding the bottle is that your supply will decrease. Do you plan on pumping that same amount out every day, that you give him in the bottle?
    Tracie

    Mommy to
    Lilah 10/08 nursed 25 months
    Beatrix 01/11 nursed 30 months

  6. #6
    Join Date
    Feb 2008
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    SoCal
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    Default Re: EBF but not gaining weight well and I'm scared

    Quote Originally Posted by @llli*mommy2lilah View Post
    The only concern that I would have with adding the bottle is that your supply will decrease. Do you plan on pumping that same amount out every day, that you give him in the bottle?


    As a personal note; my second son was born at 9 lbs 14 oz, he lost about 10 oz and didn't gain it back until a few days after he turned 2 weeks. He continued to grow in height and head circumference, he was a happy, engaging baby and met all other milestones. By 6 months he was in the 5th percentile for weight and the 95th for height, a string bean. Our doctor threatened that if I didn't start feeding him rice cereal she would call CPS and diagnose him FTT. I argued a little (how can rice, a single grain cereal product be more beneficial than BM ), but in the end I went to see another doctor. He looked at Sam as a whole not as a dot on a chart. He told me that Sam was healthy, that my DH is tall and slender and that there was no problem with my son...he is/was right.

    Keep looking!
    Mommy to Maxwell 10-9-07 weaned with love (a party and a remote control monster truck) on his 4th birthday
    My Boy 3-16-10
    And my sweet pea Sam 2-12-11

    Watch Your Language

  7. #7
    Join Date
    Mar 2006
    Posts
    10,440

    Default Re: EBF but not gaining weight well and I'm scared

    That all sounds pretty normal to me, as all of mine grew insanely until,about 4 months, slowed down at 6, a couple stopped gaining at 6 becasue of moving and crawling and walking at 9 months, and then they grow slowly after that. Never had a suggestion that I add solids in. And actually, solids have fewer calories than breastmilk anyway.
    Susan
    Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
    18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
    Sealed for time and eternity, 7-7-93
    Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!

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