My little man was born 7/12/12. He weighed 8lbs, 15oz (although I think that may have been inflated a little because I was on fluids for so long.) When we left the hospital he was 8lbs, 1oz. He was back to his birth weight by his 2 weeks appointment. At his one month he weighed 9lbs, 3ozs.
At our two month well baby visit, he weighed 10lbs 2oz. The pediatrician was concerned and asked us to come back for a weight check in two weeks. We did, and he'd gone up to 10lbs 10oz. The doctor said he looked great and would see us at 4 months. For my own piece of mind, I contacted a LC. A friend recommended her LC to me and we set up a meeting.
Well, at the meeting she pulled out the calculator and told me how he was only gaining .4 ounces a day and he needed to be gaining at least half an ounce, how he looked underfed, she was concerned that he had rigid muscle tone in his legs and maybe in his jaw, thought he had a weak suck, she wanted his tongue checked for tongue tie...basically this whole laundry list of issues that I didn't think existed until I met with her. She advised me to set up a meeting with a pedi she recommended to have his tongue looked at (as well as his muscle tone), to stop freezing what I pumped and instead have my husband give him a 3oz bottle of BM in addition to his normal feedings each day.
I did all of that, and at our next meeting two weeks later, he was gaining .6 ounces/a day. I thought, yay, we're on track! But then she said she wanted him to be gaining between an ounce and an ounce and a half a day to make up for his earlier slow gaining. She wanted me to add another pumping session and have my husband feel him a second 3oz bottle daily.
Well, my husband doesn't even get home until 6:30, and LO's bedtime is 8:30-9 and we have dinner in between, so there just wasn't enough time in the day for the second bottle. So I kept pumping, and he kept getting his one bottle.
A few days later, LO came down with a cold. We took him to our pedi, who weighed him with his clothes on (and a wet diaper) so the scale wasn't accurate, but they said other than his sniffles he looked great.
Now at our third meeting, he's back down to only gaining .4 ounces/a day for the past two weeks. She wants us to put him on a 2 hour feeding schedule around the clock, have me pump after every other feeding, increase his supplemental BM bottles to 2 or 3, depending on how much I can pump...and all of this is coming 2 weeks before I go back to work full time.
We called our pediatrician and explained how the meetings have been going, and they told us there's nothing to worry about. He's not on WHO growth charts (just below 3% last time I checked) but the pedi says he's growing on his own curve and that's fine. He's also grown almost 5 inches in length since birth, which I sometimes wonder if that's a factor in his slow weight gain.
But now I'm not sure what to do. Our LC is ringing the alarms and our pediatrician says everything is great. I want to trust our pediatrician--we've been really happy with them so far--but I also want to make sure my son is growing well. (We haven't had the meeting with the other pediatrician yet for his tongue, so I don't know where she'll weigh in.)
For background: he's alert, meeting all milestones, has at least 8 wet cloth diapers a day, sleeps well and is all-around a very happy (but skinny!) baby. The LC weighed him at 11lbs, 6.5oz today. He'll be 4 months on 11/12. He eats every 2-3 hours and according to the weighed feed, he took in about 85ml/just shy of 3 ounces each time.
He's not a great sleeper and with this new schedule she gave me--basically feeding him every 2 hours around the clock, with one 3 hour stretch in the middle of the night--she wants us to interrupt his naps and longer night time stretches to feed him. He doesn't go back down easily and I worry that he's we're all going to lose a lot of sleep with this.
She also hasn't come out and said it directly, but from some comments and questions she asks, I get the feeling she's going to suggest I switch to exclusively pumping, which I would hate to do and lose so much snuggle time with my little man.
Any thoughts or advice would much appreciated!!