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Thread: slow weight gain

  1. #1

    Default slow weight gain

    i need opinions:

    i went to my sons 4 month appointment and he had only gained 1 3/4 lbs in 2 months. he is hitting all the developmental steps. he is alert. he holds his head up by himself. he rolls over both ways, and he is right on target with his length and head circumference.
    dr has suggested starting cereal and once he gets the hang of the spoon starting veggies. i really didn't want to begin food.
    i recently started back to work. i work 8 hours for 7 days then off 7 days. i pump about 8oz and i work 3-11. am i not feeding him enough?
    i feed him when he wakes up.. between 12 and 3 - he goes to sleep at around 9. and then i put him back to sleep and then whenever he wakes up again b/w 2 to 4 hours and i usually just put him in the bed with me and nurse him for a couple of hours and then he goes back to bed for another hour or 2.
    i feed him when ever he gets up from a nap.
    i am feeding him whenever he wants. and stop when he is not wanting to eat anymore.

    it's really frustrating.
    he did seem to reallly enjoy the rice cereal after he got done breastfeeding though. it was the first attempt at feeding tonight.
    is it good advice?
    are there others with this problem?
    married to my dh on 2-19-08
    ds born 9-25-08 and have been ever since!

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  2. #2
    Join Date
    Dec 2008
    Location
    Utah
    Posts
    373

    Default Re: slow weight gain

    Quote Originally Posted by @llli*jbout57 View Post
    i need opinions:

    i went to my sons 4 month appointment and he had only gained 1 3/4 lbs in 2 months. he is hitting all the developmental steps. he is alert. he holds his head up by himself. he rolls over both ways, and he is right on target with his length and head circumference.
    dr has suggested starting cereal and once he gets the hang of the spoon starting veggies. i really didn't want to begin food.
    i recently started back to work. i work 8 hours for 7 days then off 7 days. i pump about 8oz and i work 3-11. am i not feeding him enough?
    i feed him when he wakes up.. between 12 and 3 - he goes to sleep at around 9. and then i put him back to sleep and then whenever he wakes up again b/w 2 to 4 hours and i usually just put him in the bed with me and nurse him for a couple of hours and then he goes back to bed for another hour or 2.
    i feed him when ever he gets up from a nap.
    i am feeding him whenever he wants. and stop when he is not wanting to eat anymore.

    it's really frustrating.
    he did seem to reallly enjoy the rice cereal after he got done breastfeeding though. it was the first attempt at feeding tonight.
    is it good advice?
    are there others with this problem?
    LLL and the AAP both recommend not starting solids until the middle of the first year (6 months). It sounds as if your baby is thriving well. Maybe you can talk to your ped about just nursing more to get weight up before you go to solids? This can help you determine if your baby is getting enough milk. It certainly won't hurt to offer the breast more frequently when you are home with baby.
    Renee
    LLL Leader


  3. #3
    Join Date
    Dec 2008
    Location
    Victoria, BC, Canada
    Posts
    940

    Default Re: slow weight gain

    Yes, cereal at 4 months is bad advice for a few reasons. #1 babies' digestive systems are not ready for solids until around 6 months. babies given solids early can have life-long health problems as a consquence. #2 early introduction of solids means the solids will be replacing your breastmilk, which is the most important thing for him right now and far more nutritious than cereal #3 early introduction of solids is linked to early weaning, whether the mother intended or not #4 most solids have fewer calories than breastmilk, so the introduction of solids can actually make things worse

    There's a few babies in my baby group that were gaining well in length, but a little slow in weight. Remember, babies gain in spurts, not necessarily linearly. These babies' doctors (and pediatricians) did not suggest solids. One mom pumped after each feeding and fed the baby what amounted to basically a bottle of cream as a 'dream feed' in the middle of the night. She went on domperidone and ended up with a ton of milk. She also offered her baby the breast more often. All this and it didn't make any difference to the babies weight gain. After about a month of no gain, her baby suddenly started gaining again!

    4 months old is when they start getting distractable. So even though your baby may not seem hungry when you try to feed him in a noisy room, he might eat better if you take him into a quiet dark room, lie down with him on the bed, wrap him up and give him time. Keep offering your breast frequently when you are together. Avoid sleep-training as this can cause baby to miss those important night-feeds. You can try herbs to boost your supply.

    La Leche League does not recommend infant cereal for baby's first food. Infant cereal, while convenient, is highly processed, and the iron that is added to it is both poorly absorbed and counter-acts the anti-bacterial properties of breastmilk. The first foods LLL recommends for a 6 month old are: banana, avocado, yam, or sweet potato.

    Here's some other links that may help:
    http://www.kellymom.com/bf/supply/enoughmilk-older.html
    http://www.kellymom.com/nutrition/so...olids-how.html
    http://www.kellymom.com/nutrition/so...ay-solids.html
    http://www.kellymom.com/nutrition/so...rst-foods.html
    http://www.kellymom.com/babyconcerns...ible-baby.html

    Here's about how much to leave while you're working:
    http://www.kellymom.com/bf/pumping/milkcalc.html
    Last edited by @llli*monika.h; February 3rd, 2009 at 05:34 AM.
    Canadian mom and breastmilk fan.
    We have 2 beautiful children: Luana who's 9 y/o, had breastmilk for 2 years and is smart as a whip. Lucas who came out kickin', is 4 y/o and continues to enjoy his milkies.

  4. #4
    Join Date
    Dec 2008
    Posts
    39

    Default Re: slow weight gain

    I could have writtne your post word for word. My son gained plently from month 2-3 (he was sick so he got weighed at the docs) however at his four month he had only gained like 7 ounces from the month before . He is below avg for weight gain, but above avg for length and head. The doctor said he is perfectly fine and this is normal. I send him with about 12-15 ounces to day care. He will sometimes drink less than 12, the doc also said this is normal. I do feed him three times at night before bed and then once in the middle of the night (when he wakes) and once in the am before daycare. I am about ready to buy a baby scale. It makes me very nervous, but everyone says it is normal.

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