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Thread: advice wanted - slow weight gain

  1. #11
    Join Date
    May 2006
    Posts
    21,120

    Default Re: advice wanted - slow weight gain

    2 different scales can be the difference between normal weight gain and insufficient- remember, when a baby is this young and small, you're only talking about a difference of a few oz! And I assume there was yet a third scale in the picture, at the hospital or birth center where the baby was born?

    It sounds like everything is just perfect, save for this nagging question about weight gain. If it's giving you anxiety, how about renting a professional scale from the LC and doing weights at home for a few days/weeks? Those weigh-feed-weigh tests at the LC's are great, but they're only snapshots. A single feeding can be much better or much worse than average. If you have more complete data, you can draw a better conclusion.
    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!"

  2. #12
    Join Date
    Sep 2008
    Posts
    65

    Default Re: advice wanted - slow weight gain

    @Jenna562 Wow, that's a scary drop. We're not quite there yet. I think she's gone from 90-something to 50-something, but I didn't get a very close look at the chart. I'm glad to know that another baby has survived not being supplemented with low weight gain!! Thank you.

    @mommal I suppose you're right - there was a 3rd scale in the hospital. How frustrating! I did ask yesterday about renting a scale with every intention of taking one home but it was cost-prohibitive through the hospital (I was there for my 6 week postpartum check up so I asked and it was $80/month plus a cleaning fee). I have a feeling I can find something less expensive. That's a good idea, it will give me peace of mind to know how much she's taking in, rather than relying on just two data points.
    Last edited by @llli*ohsmomma; August 7th, 2012 at 01:24 PM.
    Mama to
    O - 7/10/08
    and
    J - 6/25/12

  3. #13
    Join Date
    Feb 2010
    Posts
    504

    Default Re: advice wanted - slow weight gain

    You said she goes long stretches at night - could you offer an extra feed during the day? Or even a dream-feed at night?
    Blessed with DS - born 9/2/09 - nursed/pumped for 12 months
    Blessed with DD - born 3/27/12 my dreamfeeder

    903 ounces donated.
    http://www.wakemed.org/landing.cfm?id=135

  4. #14
    Join Date
    Dec 2008
    Posts
    399

    Default Re: advice wanted - slow weight gain

    90th percentile to 50th doesn't seem that bad; I think you and your ARNP are being wise to not freak out. My LO went from 50th at birth to 9th at one point. Even then, our pediatrician just encouraged more feeds, etc rather than sounding alarms. Overall, our pedi thought my son looked great, was meeting milestones, was bright and interactive -- all the stuff you describe about your LO.

    I would think about more frequent weights, and I was TOTALLY freaking out when it was my son who was dropping, but with a lot of reassurance from the pediatrician, I look back at myself and laugh.
    Ellen

    Mama-surgeon;
    DS Ethan 12/16/2008
    Breast fed/pumped 11 months as a surgical resident, 80 hours a week at work
    DS Abram Daniel 12/20/2012
    Feel like we've gotten a strong start

  5. #15
    Join Date
    Jul 2011
    Location
    Maryland
    Posts
    71

    Default Re: advice wanted - slow weight gain

    I agree with what the previous posts say. My son fell off the weight chart at one point. (He started in the 5th percentile, though, so he didn't have far to go!) By 12 months, he'd made it back to the 5th percentile. Between birth and 1 year, though, I never supplemented. I fed him whenever he seemed hungry, day and night. We coslept for much of that time, so he could nurse whenever he wanted at night. I stressed A LOT about it and visited this site A LOT for words of encouragement and advice. I even had him weighed on a produce scale at one point because the pediatrician wanted to charge me for an office visit just to have him weighed.

    It sounds like you are staying on top of it incase it becomes an issue, but for now, it sounds like things are going ok. Good luck!

  6. #16
    Join Date
    Sep 2008
    Posts
    65

    Default Re: advice wanted - slow weight gain

    UPDATE:

    I spoke to the ARNP yesterday and she wanted me to come in for Baby to get weighed on their scale (mommal knows what she's talking about!). I went in today and she was the same as the LC said, 9lbs, 12oz. She nursed while we were there so I got to see that she took in 2.5oz of milk (excellent!) so I suppose if you count the milk she was 9lbs 14.5oz.

    ARNP and another doc in the office saw her nursing, said that looks awesome (great latch, long sucks, "suck-swallow-suck-swallow" pattern, etc). Something I forgot to mention in the original post was that she has a pretty tight labial frenulum which concerned the LC but does NOT concern the ARNP or the doc who took a look today. They both said it's obviously not affecting her latch so it's a non-issue. They took bloodwork (CBC, metabolic panel, and ferritin (iron)) just to rule out any issues Babe might be having absorbing/ metabolizing the milk.

    Their theory, and why I'm posting the update is this: they believe she's getting plenty of milk based on how frequently/duration she's nursing, and how good her latch is, how alert and happy she is, etc. What they think is that the milk doesn't have enough fat and calories. They think I'm making skim milk. They (and my OB said the same thing at my 6-week check up Monday) want me on a high calorie, high fat diet for one full week and then they want to recheck her weight. They are fine with me not supplementing now. They're both super relaxed about it and that really put my mind at ease. Their prescription: avocados, eggs, nuts, sweet potatoes, meats, dairy galore.

    Let me know what you think, and I promise to report back next week after she gets checked again.

    Thanks, ladies of LLL!

    edit: figured out the numbers: she went from 97th% at birth to 47th% today.
    edit #2: In case you're wondering, I am not a skinny woman! I'm about 5'7", 195. I've lost 30 lbs since baby was born, but I'm still up about 15 lbs from my pre-pregnancy weight. I was SURPRISED when they said high fat/calorie diet!!
    Last edited by @llli*ohsmomma; August 8th, 2012 at 10:14 PM.
    Mama to
    O - 7/10/08
    and
    J - 6/25/12

  7. #17
    Join Date
    Feb 2008
    Location
    SoCal
    Posts
    6,467

    Default Re: advice wanted - slow weight gain

    Hi mama! Thanks for the update. I will say that based on the research I've read that the skim milk theory is incorrect. Increasing the fat in moms diet has not been shown to increase the fat amount in milk. You may try increased feedings and breast compressions, or trying a more knowledgeable doctor. It seems like you are baby are doing well!

    http://kellymom.com/nutrition/milk/change-milkfat/

    That's a great link on fats in milk
    Last edited by @llli*Jenna562; August 9th, 2012 at 10:52 AM.
    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

  8. #18
    Join Date
    May 2006
    Posts
    21,120

    Default Re: advice wanted - slow weight gain

    with Jenna. Your doc's advice sounds very fishy. Women don't make skim milk, and when there is a growth problem related to milk, the issue is almost always insufficient quantity, not inadequate quality. And based on the test weights you've done on baby, and the fact that you've lost 30 lbs since giving birth, I'm guessing that you are making plenty of milk.

    That being said, it sounds like they ordered the right bloodwork for the baby, and that's good.

    Have you thought about renting a scale for home use?
    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!"

  9. #19
    Join Date
    Sep 2008
    Posts
    65

    Default Re: advice wanted - slow weight gain

    Oh boy. You know what, I actually read that article that Jenna linked to just the other day! I don't know why it didn't pop into my head when I was at the doc's. I went down a rabbit hole at 4 in the morning last night when I saw your post, looking for the research. I read a study (not an abstract or a reference, but the study itself) and found that you guys are right - at least according to this study, increasing fat in mom's diet doesn't increase fat in the milk. However, increasing protein in mom's diet DOES increase protein in the milk. Given that many of the foods that have lots of protein also have fat it doesn't surprise me that the misconception lingers about increasing fat in the diet.
    FWIW, I came up with the "skim milk" phrase itself, not the doc.

    I just got the call from my ARNP about the bloodwork (literally while I was typing this). She said all the bloodwork looks great except for some liver functions. She consulted with a GI specialist and they want to have an ultrasound done to rule out problems. She wasn't more specific than that (she is not an alarmist and doesn't want me to worry), but you can bet I'll spend the rest of the day googling liver problems in infants.

    My husband is a pediatric nurse on a med/surg unit and thank goodness for that, he keeps me calm.

    I'll update when I know more.

    I'm so grateful to have LLL, thanks for reading ladies.
    Mama to
    O - 7/10/08
    and
    J - 6/25/12

  10. #20
    Join Date
    Feb 2008
    Location
    SoCal
    Posts
    6,467

    Default Re: advice wanted - slow weight gain

    I'm willing to bet you and LO are ok and this will be a distant memory soon as you nurse your happy toddler

    also I was typing while sleepy and in my prior post meant to suggest breast compressions while nursing if you are super worried.
    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

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