Happy Mothers Breastfed Babies
Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: 2 m/o EBF not gaining weight UPDATE

  1. #1
    Join Date
    Jan 2007
    Posts
    24

    Smile 2 m/o EBF not gaining weight UPDATE

    Since our visit to the Doctor with Hannah on Wednesday, quite a bit has happened. Our Pediatricians Office operates an after hours/walk-in clinic, or urgent care clinic. We saw them first on Wednesday because I was convinced Hannah had an ear infection. She acted as though she was in pain when nursing on one side. They found nothing, but expressed concern about her weight as you may remember from my previous posting. http://forums.llli.org/showthread.php?t=15070

    On Thursday morning I was able to speak to a local LLLI support member to discuss my concerns over starting solids this early. She provided a few tips on how to increase the amount of hind milk Hannah may be getting at her feedings as well as suggested increasing feedings at night for at least a little while. That afternoon, Hannah began running a fever and still appeared to be in some sort of pain. We returned to the Pediatrician that saw her the day before. There was nothing obviously wrong with her on the physical, so they collected urine and blood and performed a chest x-ray. They were 75% sure they were going to find a urinary tract infection. The Doctor seemed a bit too excited to think he found the reason for her poor weight gain, but I was probably as excited for any explanation myself. They were going to culture the urine to be 100% sure. Meanwhile, they performed the chest x-ray just to rule out other possiblities. That was clear. They found SOME white blood cells in the urine, but no bacteria the first time they looked. The second time he looked at the urine, he did see the bacteria. They started her on antibiotics (injection) immediately and sent some home with us.

    I took my 1 year old to a friends house on Friday so that Hannah and I could focus on our feedings. She ate every hour that day, so thank GOD I had taken Jesse to a friends. The Doctor called around noon to check on Hannah and say that the culture was negative that morning, but by lunch was positive. Based on the type of bacteria they were growing, they changed her antibiotic, but had not yet received the sensitivities. They were happy to hear her appetite was healthy and no more fever.

    On Saturday, another of the Pediatricians from the group called to check on Hannah. They advised we were 100% sure we were fighting a UTI. They are starting to freak me out by this point. They have never called to check on any of the other kids this frequently. I know they mentioned the POSSIBILITY that her kidneys could be the source of the problem since they believed she had this infection all along...by all along, we believe since she was only a couple of weeks old. I am more familiar with this Pediatrician since she sees our 7 year old on a more frequent basis. He has Tuberous Sclerosis with seizures and autism, so we keep her pretty well up to speed with what is going on with him. I asked her how common this was in infants this age to get UTI's and her voice sank a little when she said it wasn't common at all. The antibiotic is taking its toll on her poor little tummy, but her appetite remained pretty well up there. Today, it has tapered off some so that has me concerned. She smacks and licks as though she wants to eat, but when I put her to breast, she doesn't seem to actually nurse...so I am watching this today. I did see a difference in the bulk in her torso last night. She had that little full pot belly look that I had never seen before on her. I was received. Now, today, her appetite has dropped off again...so that is where I am now. I will keep an eye on this today and hope that she is just getting off to a slow start this morning. On the plus side, she has returned to her smiley giggly little self at least parts of the day.

  2. #2

    Default Re: 2 m/o EBF not gaining weight UPDATE

    Hi Julie
    Thanks for the update! I'm sorry your baby is battling a UTI, but it sounds like maybe she's eating a little better. Will you go in for another weight check soon?

    Just keep doing those things that I listed on the other thread to get more milk into her, and follow the tips your local LLL gave. Hopefully the antibiotics will get rid of the infection. Do they think the infection has anything to do with why she isn't gaining weight very fast?

    Hang in there mama!
    Jen
    "Mothers are designed to be available to their babies--to help them make the transition into this big, wide world. To teach them to trust, and love, and feel good about being alive."
    --Elizabeth N. Baldwin, Esq., So I Nursed Him Every 45 Minutes

    Click here to find your local LLL Group
    How to tell if your breastfed baby is getting enough milk!

  3. #3
    Join Date
    Jan 2007
    Posts
    24

    Unhappy Re: 2 m/o EBF not gaining weight UPDATE

    Yet another update on our Hannah's inability to gain weight efficiently.

    She cannot seem to gain more than 1-2 ounces per week. She set a record for herself today with 3 ounces in one week. They did perform the ultrasound on her kidneys and all was normal. I am starting to believe this is all a result of reflux which the Ped suspects she does have and has her on Pepcid.

    Since the Ped expressed so much concern over the lack of weight gained, I have been in touch with our local LLL and attended their meeting. They helped quite a bit and put me in touch with a local LC. She did find that Hannah as not transferring very well, but I find she only does that about half the time. Her suck/swallow ratio was not that great during that feeding session and she only took in about an ounce. Today, I asked the Doctor to refer us to a GI Specialist. I just don't like not having answers. Anyone ever been referred to a GI Specialist and know what I should expect? I understand we will have a 24 test of some sort? I just think I would feel better with some sort of confirmation. I mean, afterall, what if it isn't reflux. She does like to feed in our baby wrap I find, which is something new I am trying this week...baby wearing!

    For anyone doing the calculations...on 12/7/2006 Hannah was 6#8oz. She was born 12/3/2006 6#11oz. Today she was 8#10oz. It is so heartbreaking to put so much effort into extra feedings, pumping during the feedings to speed let down, pumping between feedings to boost supply, which led to the plugged ducts that engorged 1/4 of my right breast which she now will not nurse on, supplementing with breastmilk after each feeding to have so little success. On top of all this, my 18 month old has got really loose BM's. He's been sick. No sooner then I change him and get his clothes into the washer, he needs changing again, and I am not exaggerating. I am not feeling like a very successfull SAHM today. I just want to cry. :-(

  4. #4
    Join Date
    Jan 2007
    Posts
    16

    Default Re: 2 m/o EBF not gaining weight UPDATE

    How are her poops and wet diapers? We struggled with poor weight gain for the first few months and finally narrowed it down to dairy intolerance. She had explosive, loose stools and poor weight gain. Once I totally cut out dairy, she's gained normally. We have also used acidophilus to restore normal flora in her tummy. Anyway, sounds like you're doing everything possible to help your lo, hang in there!

  5. #5

    Default Re: 2 m/o EBF not gaining weight UPDATE

    Hi Julie
    Have you been to our Chronic Conditions-Baby forum? There are many mothers with reflux babies there.

    I'm sorry you're still struggling and that your toddler is ill. I am happy to hear that you've been working with specialists in your area though! Good luck with everything and keep us posted!
    Hugs
    Jen
    "Mothers are designed to be available to their babies--to help them make the transition into this big, wide world. To teach them to trust, and love, and feel good about being alive."
    --Elizabeth N. Baldwin, Esq., So I Nursed Him Every 45 Minutes

    Click here to find your local LLL Group
    How to tell if your breastfed baby is getting enough milk!

  6. #6
    Join Date
    Jun 2006
    Location
    Not around here as much :(
    Posts
    12,132

    Default Re: 2 m/o EBF not gaining weight UPDATE

    If I am doing my math right, she's gained 2 #, right? lets see - how many weeks is she now? 11? (I hate math )

    When I put the numbers you gave into this pages calculator (using 6#4 - 8#10) it does puts her on the low end of gaining but not shockingly low... I am going to go check out the other thread... I really wanna help get you through this. Its tough ,especially with the older kiddos - but you can do it

    Okay - ETA: The other thread has some good links from a leader about breast compressions too - thats something to look into starting, if you havent already. I also second taking baby to bed with you, if you aren't already doing this.

    Also here's a page in increasing baby's weight gain -incase you hadn't see this one yet.

    You'll find there it says to stop giving solids (I know you're not doing that - just wanted to point that out since doc mentioned it and it was concerning you )...

    Stop or decrease solid foods, particularly if baby is younger than 6 months. Most solids foods have fewer calories and nutrients than breastmilk, plus they tend to replace (rather than add to) the higher-calorie, more nutritious breastmilk.

    Here's one about seeing if baby is getting enough - since i the other thread you weren't quite sure how to tell.

    Regarding the reflux - they can be silent refluxers... I had to battle reflux with my DS in the beginning and it was a battle for sure - my pedi offered no help so we sought a second opinion and that fella wanted to run every test in the world on him - needless to say I had to do a lot of schooling on my own.
    Last edited by Number3; February 24th, 2007 at 02:33 AM.
    Click here to find an LLL leader near you...or call 1 877 4 LA LECHE for help now.

    "No one can make you feel inferior without your consent."
    Eleanor Roosevelt


    "Do not go where the path may lead, go instead where there is no path and leave a trail."
    Emerson


    Ban the bags. ......... Watch your language. ....... Help keep Dr Newman's clinic open!

    We demand that our childcare providers are CPR certified... why don't we demand the same of ourselves! Get certified!

    I lost 22 lbs in 8 months... with a bit of determination and common sense information from this book.

  7. #7
    Join Date
    Jan 2007
    Posts
    24

    Default Re: 2 m/o EBF not gaining weight UPDATE

    Thanks Ladies for all your input and resources offered...they have been quite valuable!


    More updates on Hannah...
    On Friday, I took her in to get weighed. I thought she looked as though she had gained weight. She just looked fuller in her face. I was wrong..she dropped an ounce. :-(

    I did not think much of it. I assumed babies fluctuated from day to day and someone different had previously weighed her...etc. That evening, the Doctor called to say he spoke to the GI Specialist, which I requested a referral, and they wanted me to supplement 1 oz of Isomil with 1 tsp of Oatmeal Cereal after each nursing. I was not dedicated to doing so after EVERY feeding, so would go 2 ounces every other feeding or so. We went Monday to weigh her and she gained 6 oz!! Yeah Hannah! Quite a big jump for her.

    Meanwhile, they got us in to see the GI Specialist on Monday as well. I can see they are still quite concerned about her low weight (which is now 8# 15oz and 22 1/4 inches long) and she will be 3 months this weekend. Now, I have some concerns about this specialist who is suggesting that I STOP BF'ing and only feed from a bottle whether it is BM or Formuala thickened with cereal. We are going to have a pH probe test on Thursday to decide if she has reflux or not. The theory for now is that she is burning more calories BF'ing then she is taking in. I wanted to march right out the door right then and there. I think the first question for my next visit will be exactly how many BF'ing babies has he treated??

    So, to appease him, we are bottle feeding BM or formula until this test is completed so that he can know how much she is taking in at a feeding. Since, I can only pump 2 ounces, he felt that was all she was taking in at the breast. I think someone needs a BF class before they can possibly manage my DD's healthcare anymore than diagnostics!! My opinion of course! Just venting here...thanks Ladies!

  8. #8
    Join Date
    Jun 2006
    Location
    Not around here as much :(
    Posts
    12,132

    Default Re: 2 m/o EBF not gaining weight UPDATE

    thanks for the update! I wish I had more to offer at this point.
    Click here to find an LLL leader near you...or call 1 877 4 LA LECHE for help now.

    "No one can make you feel inferior without your consent."
    Eleanor Roosevelt


    "Do not go where the path may lead, go instead where there is no path and leave a trail."
    Emerson


    Ban the bags. ......... Watch your language. ....... Help keep Dr Newman's clinic open!

    We demand that our childcare providers are CPR certified... why don't we demand the same of ourselves! Get certified!

    I lost 22 lbs in 8 months... with a bit of determination and common sense information from this book.

  9. #9
    Join Date
    Apr 2006
    Posts
    1,064

    Default Re: 2 m/o EBF not gaining weight UPDATE

    Just a few thoughts come to mind from your update. First, you are right--doesn't sound like they have much knowledge of BFing. The amount you can remove with a pump is USUALLY less than a baby can remove through nursing (is sounds like you are already well aware of this ). Second, the only way that she would be burning more calories BFing than she is taking in (at least that I can think of) is if there is a problem with her latch/suck so that she is not transferring milk effectively--which is what the LC thought was going on right? Were there not recommendations regarding how to fix that problem? That would seem to be the key to me. Something has to be causing that. I didn't have time to read back through all the posts--has she been evaluated for possible tongue-tie? I understand that there has been another form of tongue-tie that has been recently identified which is not readily visible just by looking under the tongue. It appears normal but the baby is still not able to extend the tongue out past the lips--which is required for successful transfer of milk during BF. Did the LC weigh her before and after a feed to actually see how much she was getting? I don't understand the recommendation to go to all bottles--why not nurse first and then supplement with the bottle or give a supplement through a nursing supplementer?

  10. #10
    Join Date
    Jan 2006
    Posts
    18,063

    Default Re: 2 m/o EBF not gaining weight UPDATE

    I agree try the nursing supplmenter 1st!

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •