My six month old baby boy had his check up today and had what the pediatrician called "poor weight gain". I left feeling worried, alarmed, and kinda worried about my milk supply. Apparently he is now below the 5% weight range and this is alarming because he has plummeted down the growth curve rapidly, and he is also very tall so he weighs very little for his height. And, we are using the WHO charts.
Here is a quick history of the weight/height situation:
born: 8 lbs 6 oz, 21"
2 months: 11 lbs 14 oz, 25"
4 months 13 lbs 8 oz, 27"
6 months: 14 lbs 3 oz, 28.5"
So he only gained 11 oz in 2 months. I will admit I am constantly worried about my milk supply. I went back to work part time when he was 3 months and full time just last month, and I am a horrible pumper. I can only ever pump 1-2 oz at a time, so I have to pump 5x a day to have enough for him. He nurses a lot in the evenings and then again 3-5x overnight (we co-sleep so I can't keep track really). During the work days, I am gone exactly 8.5 hours and he drinks 2 3.5 oz bottles and then also I run home to nurse him at lunch for a mid day feeding. I admit I am super proud of myself for making to 6 months with him exclusively having breastmilk, given how hard it has been to provide for him. It does feel like he empties both breasts each time he nurses. If there was more he would surely drink it. He never is pulling off on his own.
He seems to have plenty of wet diapers a day but he only poops every 3 days or so. It has been this way since he was 4 weeks old.
Today the pediatrician told me he was alarmed because my baby "wasn't growing". My heart dropped. He told me my milk wasn't enough for him and to start solids immediately. I was delaying solids because my little guy just didn't seem ready yet- he's not sitting up unassisted. I also planned to do baby led weaning. The pedi told me to start avocado since its high in fat and calories, and also sweet potatoes. He told me to give as many solids as he would eat. I am supposed to return in a month for a weight check and if he's fallen further off the growth chart, I need to start supplementing with formula.
I'm hoping someone can help me evaluate this advice. I live in a small town in a rural area and there is only one pediatrician to choose from. I am feeling guilty for not making enough milk to help my baby grow. I tried giving him some avocado today and got him to take a bite, but he looked horrified and confused, and it did not seem like he enjoyed it. I couldn't get him to take any more bites after that one. I want to go super slow with solids, and I doubt he will eat enough avocado at this rate to make a difference in a month's time.
Any opinions or experiences anyone can share with me would be most appreciated! Thanks!