Hello! I'm new the forums and have introduced myself over on the introductions board. I have a question about my youngest child, Robert who is 4 months old.
Robert was 6 weeks premature, so he's 18.5 weeks old but 12.5 weeks gestational. He nurses well, good latch, lots of swallowing, etc. I'm his pacifier, so he nurses 'all the time.' He has plenty of wet and poopy diapers each day. I have no concerns about his intake.
His weight gain is slow, however. He was 4lbs 5oz at birth, lost down to 4lbs 1oz, and is now (at 18 weeks) 9lbs 4oz. We have a scale at home, and I weigh him each Friday. Four a while, he gained only 3 to 4 ounces per week, then it went to 5 ounces per week. For 4-5 weeks recently he gained an ounce per day, but now his gaining has slowed down again. This previous week, he gained just 4 ounces. Overall, it's an average gain of 4.9 ounces per week.
Last week, he started fussing at the breast and tugging at my nipples, getting frustrated, which made me wonder if he wasn't getting the milk he wanted (whether the amount or the speed of flow). Today I think I'm noticing more frequent let down, so maybe he's stimulated an increase.
Before I start talking about solids, let me say that I used to be an LLL Leader...I've read the Womanly Art of Breastfeeding probably 6 or more times (at least twice since Robert was born....we spent two weeks in the hospital, and I had to have SOMETHING to read ), I've read the Breastfeeding Answer Book, I've read Jack Newman's Ultimate Breastfeeding Book of Answers and all the articles on his website. I've probably spent more hours reading about breastfeeding than I have actually breastfeeding. So I know what the starting solids recommendations are, I know what signs to look for (reaching, interest in food, sitting up, etc). I understand why we delay solids (tiny babies can't digest them anyway, allergies, etc) But since every baby brings up new uncertainties, I have questions!
I looked at the chart on kellymom.com comparing the calorie and fat content of breastmilk and formula to solid foods (http://kellymom.com/nutrition/vitami...dcalories.html). All of the solid foods were inferior to breastmilk, except avocado. The chart says that per ounce breastmilk has 22 calories and 1.15 fat grams. Unless it's a typo, an ounce of avocado has 46 calories and 4.21 fat grams!
I know that avocado likely lacks some of the other nutrients of breastmilk (I can't find anything comparing that), but I wonder if giving him a little bit of avocado would give him some extra calories and fat to improve his weight gain.
I found an article (http://www.drjacknewman.com/index.ph...127&Itemid=170 ) on Dr. Newman's website where he states, "In some cases, it may be better to start food earlier. When a baby seems to be hungry, or when weight gain is not continuing at the desired rate, it may be reasonable to start solids as early as three months of age." He also says, "The breastfed baby digests solid foods better and earlier than the artificially fed baby because breastmilk contains enzymes that help digest fats, proteins and starch." And toward the end of the article he says, "The most common legitimate reason to start earlier than five or six months of age is poor weight gain not corrected by correcting latch, using compression, switching back and forth, using domperidone." We're doing all of those things except domperidone because it's too hard to get in this area.
So I'd like to know if any of you have any information to share about this issue. Can a little avocado really hurt him at this age? I do plan to talk to his doctor, but I doubt I'll get much extra info. She's a friend of mine, and her kids are younger than mine and she actually comes to me for breastfeeding information
Thank you to anyone who has thoughts to share.