Hello- I posted a little over a month ago about some issues I was having with slow weight gain and lack of dirty diapers.
A quick backstory- my 4th child was born (by my 4th c-section) on 10/2. He was 8lbs 15oz, and dropped to 8lbs 0oz. He did not regain birthweight until 3 weeks 5 days. Since then, he has been pretty much gaining 1lb every 3 weeks, or approx. 5oz per week. Currently at 10 weeks 4 days he is 11lbs 3.5oz (I have a scale at home that I weigh him on daily (naked), and it has always been within 1/2oz-1oz of the Dr's scale. He has gone from the 90th percentile at birth, to 50th at 1 month (and we were doing a lot of EBM supplementing at that time- we had one stretch that he gained 14oz in 14 days). At 2 months he was in the 25th percentile. His head circumference went from the 25th percentile at 1 month, to the 15th percentile at 2 months. His length has stayed consistent at the 80th percentile. I felt comfortable with him gaining 5oz per week (even though this is WAY less than my other kids gained- this baby was my biggest at birth and my smallest at 2 months), but the last 2 weeks he has gained less than that, which I am not super comfortable with. He stalled at the same weight for about 5 days last week, and his net gain was only 2.5oz for the week last week. I panicked and supplemented with 3, 2oz bottles of EBM (I am still renting a Symphony and have been only pumping once in the morning for the last 5-ish weeks). The next day he was up 4 oz. I supplemented with 2, 2oz bottles that day and the next day he was up another 1.5 oz. One trouble I have is that he only poops 1-2 times a week, and when he goes, he loses weight and takes a few days to recover. I have been giving 2, 2oz bottles of EBM all week, although today I only gave 1, 2oz bottle. So Tuesday he was 10lbs 13.5 oz (for the 5th day in a row) Wednesday he was 11lbs 1.5 oz, Thursday 11lbs 3oz, Friday (after pooping) 11lbs 1.5oz, Saturday 11lbs 2.5oz and today 11lbs 3.5oz. I do NOT want to get back to needing to supplement, and while on paper I know his weight gain is acceptable (barely)- I just feel like he should be gaining more. My ped. is okay that he dropped percentiles but said if he drops more at 4 months she will do bloodwork (what would they be looking for)?
I feel like my milk supply is fine. While I have dealt with true oversupply in the past, I definitely don't have that this time. But I feel like it is enough. I pump in the morning 4-6oz total, and get 2.5-3oz if I ever pump in the afternoon. He is a super soaker when wetting diapers and he is meeting milestones. I know the milk is letting down just fine (albeit slower than I have had in the past) He is with me 24/7 and is free to nurse 24/7 (we cosleep). I don't know what else to do. He has been looked at by 2 IBCLC's and neither think there is a tongue or lip tie. I have never had pain and his latch seems fine. When he does poop it is always the right consistency and color. There is a 3rd IBCLC I could see (for a different perspective) but it is expensive and I am not sure a before/after weight feed will help at this point, because the amount has been right in the past. Should I see an ENT just to see about a posterior tongue tie? My husband and I are not tiny people, and all 3 of my other kids have been in the 50-75th percentile. I just feel like there is a piece missing to the puzzle and I am not seeing it. I just cannot figure out why he isn't gaining better. I just feel in my gut that he should be gaining more than he is- his overall net total for the last 6 weeks (42 days is 30 oz)
Thanks so much.