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baby clinic says my baby needs to lose weight!(84 Posts)
Hello mums! I'm newly registered here so please give me time to adjust on how the whole forum works. I've been a regular reader for a while reading threads that relate to me.
So i'm a first time mum and loving it. I have a 6 month and 2 week girl.
so i've payed a visit to the baby clinic today morning and got out of there extremely upset and worried. my little girl is quite big, although i should first tell you that her father is 6ft tall and extremely big boned, his family's babies so far all have been big babies so naturally she has chubbiness n her genes. She is currently in the 95 to 98th percentile weight on their charts, she weighs 9.3/4kg.
the health advisor told me that i feed her too much and should decrease her formula intake to 18 oz a day. she currently has 5 6oz a day (although she usually doesn't finish them) and 3 meals a day, breakfast lunch and fruit for desert. She told me keep her meals the same but give her about 4 3 oz milk a day but for her to be ruler dilute the bottle with however much water i want.
I just think that's a bit too extreme but i also don't want my baby to stay like this and also she still doesn't sit up and hasn't rolled over yet, so that worries me a lot!!
the health advisor thinks her development is being delayed due to her weight and told me if she hasn't lost weight from now to 6 weeks she'll refer her to a dietician. I'm extremely worried and really don't know what to do!!
Sorry for the long post but hope i get some advise on what to do, currently i'm thinking of just following her advise and see what happens??
And thinking about it I dont think 30oz is that much - my 50th centile baby at just before 6 months had 5 8oz feeds a day. It will go down to around 20 by 7 months but thats when they eat more solids in one go. Make sure she's eating stuff thats filling, not just pureed veg.
I know that your routine is working for you but I was just wondering what time you eat your lunch? Do you both eat at 3pm? It just seems a little late to me, but then she's not my baby . See does seem to be getting the 20floz in 24 hours too, not the 30 you previously mentioned, or have I just worked it out wrong?
At that age in our house it went a bit like this:
7pm milk. Although if she was still hungry I'd give her something else to eat before the bedtime milk.
You might also want to start introducing her to more substantial meals. There is no reason that at 6 months she can't have fish, meat and other proteins, in fact most things you eat. If you want to keep to the purees, she might like to try some finger food. Last time I was weaning I found this book in our local library and it was very good. My DD also liked feeding herself so it might be worth you having a look at Babyledweaning too.
Many HVs seem to have this bizarre idea that the 50th centile is a target! Personally if you are not worried about her I would just stop going to get her weighed, it's not obligatory.
at 6 months ds still had 5 milk feeds (one was in the night) and he didnt drop to 4 feeds until 8 months. He was 21lbs when he started on solids at around 23 weeks and his weight was never brought up as an issue.
Our day went like this:
7am - milk
8am - breakfast
11am - milk
12pm - lunch
2.30/3pm - milk
5pm - dinner
7/7.15pm - milk
in the night till 8 months - milk
Do you eat your meals at the same time as you dd?
Not to hijack this thread but the advice lovezara has had from her Hv has me worried about my 6 month old dd. My dd was born in the 25th percentile but has jumped to the 90th (and was ebf until nearly 5 months). Neither my dp nor I are very tall so at a rough guess i would say dd is only between 25-50th percentile for height. Neither of us is overweight either. I'm 5ft and 7 stone, everyone comments that I seem to have a surprisingly big baby...
Dd is offered three 7 oz bottles a day but often only takes 6oz at a time. She also has around 3oz mid afternoon but I sense she will drop that soon. She doesn't have any night feeds. Is that really too much milk? It seems to follow the guidance on the aptimal carton...
She also has solids but only veg, fruit and porridge at the moment (3 meals a day). Her appetite varies for these, on a good day maybe 3 ice cubes worth of veg in one meal.
She isn't rolling over or sitting up on her own yet and seems that everyone else's 6 month old that i know is able to...I don't want to hinder her development but neither do I want to leave her hungry...am really confused by it all
MillionPramMiles - i know what you're going through and my dd is very much like yours, she has good days and bad days but usually she'll eat her meals. i would give you advise but i'm confused myself so i don't want to confuse you even more. do what makes your baby happy.
JiltedJohnsJulie - yeh we eat around 3pm plus she goes back to sleep after 7am and she'll wake up around 11! so i don't want her to skip breakfast and straight to lunch that's why her lunch is more of a dinner..
the problem i have is that my gp told me to only give her things that are known not to be constipating; green veggies, pears prunes, cereal. so i would ad rice to her meal but it's very constipating, i don't want to make it any worse so i'm sticking to only pureed veg, nowadays am adding cereal to her veggies cuz i realised it fills her up a bit more.
as for fish and meats i just don't know if she's ready.. i thought maybe let her reach 7 months then i'll introduce some fish? she's 6 months and 3 weeks now
Million the current advice is 20floz per day between 6 and 12 months. If she's just over that, I wouldn't worry too much. As her appetite for solids increases then she should naturally take a little less milk.
If you are really worried you could ask the HV to measure and plot her length but he trouble is that the length measurements aren't always that accurate with babies.
Love, if you eat at 3pm and that normal for your family, then eat away . Is there a particular reason your GP has suggested this? Has Lo been having problems with pooing? Did you know you can make up the formula with an extra ounce of water if constipation is an issue, check the advice on the carton. You can also offer water with meals and water rich foods like broccoli, cauliflower, soup, jellies, melon and grapes, although you would probably want to chop the grapes
Also, most foods are ok from 6 months, starting on veg and fruit purees is how younger babies are weaned when there is little else you can give them. Once they are past 6 months you just have to give low salt foods and avoid whole or chopped nuts and honey. She will be fine with protein
mine never had a bottle but could it be that she may be looking for a drink instead of needing the fillingness of milk. maybe instead of watering it down you could offer juice instead in case she is thirsty after solids.
it does sound like she is having a lot to eat and drink.
hugs hope you get it sorted soon
I wouldnt water down formula but you can offer water alongside meals. A minimum of 20oz is recommended from 6 months to 1 year so it is ok if they have more than that as the milk intake will decrease as the solids intake increases.
Meat, fish, etc is perfectly fine from 6 months as are things like pasta, toast, rice, wheat/oat based cereals, etc. There arent many calories in fruit/veg purees so of course she will take more milk to get her required calorie intake.
How are you treating her constipation? Only giving non-constpating foods isn't a solution as she'll need them at some point.
I had the same from my HV when DS1 was 5 months old..and 22 pounds
To be fair he was a little buddha..and he loved his milk..and his food (in ye old days when we were told to wean at 4 months!)
I worried so much. He was a chunky toddler, a slightly less chunky preschooler and then it just vanished.
He is now the skinniest 19 yr old..struggles to get jeans that stay up (even hanging off his hips they way they wear them!) and is totally unfillable!
dr gave me lactose syrup, 2.5ml twice a day, hasn't helped so visiting gp again on tuesday
Just a warning but my DS got constipated when he started weaning and we've only just come out the other side of it now he's 3. He also started on lactulose which didn't really help make him go, but it did help with keeping what was inside soft.
Our doctor was brilliant and gave us glycerin suppositories which we used so that DS never went longer than 3 days without going. Keeping them going regularly is the key - if they withhold for longer periods it stretches the bowel which then makes it more likely to form a backlog and the problem gets worse. I would recommend asking for them (also keep up the lactulose and increase the dose).
I had a rather large 3rd baby. Double weight really quickly. He was the weight of dc2 at 6months by 12 weeks. He was BF. He was very efficient. Some people suggested I was over feeding him but he was going a good period of time between feeds. If a baby was to be constantly on boob or constantly having a bottle for comfort then I could see it might increase their weight.
All three of my children were different shapes and sizes. Coincidently they all ended up starting on solids when they were the same weight but just at different ages. All three sat up past 9 months and on the first dc I had the concerned HV.
Dc3 is definitely husbands build. 6ft3 and solid. Likes his food still. Dc2 can go longer between meals and dc1 has to eat every 3 hours still when awake it we know it. They are individuals!
Good luck. I'd ask to see paed or dietician just to get a more professional view point.
Re constipation i always pureed prunes and mixed it in with yogurt to help mine if they were bunged uo. Very easy to do and i froze it in an ice cube tray so i could then just drfrost a cube or two when needed.
And op your baby sounds fine, milk and food intake varies hugely at this age but generally milk should still be her main source of nutrtion and she will gradually cut down as she gets older, try not to worry xx
5 mad things is absolutely right. The 20oz thing is just nonsense. It is an ideal for babies around 7-10 months. It takes a while for it to taper down. Then as they get towards 1 they go down to 2 milk feeds so may have a bit less.
I've had 2 and one pretty much refused milk entirely after 6 months and before never seemed that hungry. I was lucky to get 8oz down her over 24 hours. The second one is a milk monster and went to 20oz at about 7 months but at one point took up to 42oz a day!!! Interestingly their weights have always been similar.
Babies just need feeding on demand, breastfed or formula fed.
Agree with everyone else, just feed on demand.
Babies just don't have the capacity to over-eat, they either shit it out in a nuclear styley or puke. They can't over-rule their bodies like an adult with a family sized bar of dairy milk can!
If the only solids she's having are veg and fruit then she's barely getting any calories from it at all. It's the milk that's filling her so she will still need quite a lot.
There's absolutely nothing wrong with that but if you would prefer her to start dropping her milk feeds then you may want to start including some meat and carbs.
Also always give her a beaker of water with every meal, eating makes them thirsty and it's also a good habit to get them into.
I can't give too much advice as I was very very lucky with ds. He loved food straight away so weaning was a doddle. He pretty much went straight to 3 meals a day (although he never had a pudding, just fruit).
I honestly can't remember how and when he dropped bottles, it just happened along the way, I always fed him on demand and tbh never thought about it.
He could neck 10 oz at a time and was up to 50+oz a day by the time I started weaning! (He was on five 7 to 8 oz bottles a day by the times he was 6 weeks old)
He was on exactly the same centiles for everything at his 8 month check as he was when he was born despite the fact that I didn't have him weighed once inbetween. (he was 8lb 9oz at birth so chubby but not massive)
My advice? Stop taking her to be weighed. Unless you are concerned that she is over or under weight there's no point whatsoever.
He didn't sit up until he was nearly 9 months either. He was perfectly solid and strong he just didn't like bending in the middle, he used to plank rigidly whenever anyone tried and sit him down. Then one day I sat him down and instead of flinging himself backwards he just sat there for half an hour
yeh i wish i didn't go to get her weighed , it's very stressful!
regarding the constipation, i didn't have to ask my dr for that she gave me exactly the same thing today( glycerin suppositories), anyway the lactulose helped , today she went twice and made a big mess. i've ever been so happy to see a poo !!
anyway thank u all for the advice!
oh and i've tried prunes and the vaseline thing - both don't work
Where on earth do you get the idea that babies can't overeat from Randall? If a baby is drinking so much they are vomitting then that is pretty definitely overeating!
Just let her take the lead.
Try not to give her bottles just because you think she'll want them.
Wait until she asks for them.
Excellent news about the shit too
I didn't say they can't overeat Sam.
I said they don't have the capacity to over-eat.
They're bodies reject what they don't need.
I don't think that's true Randall - babies might vomit if they eat too much, but that does not mean they reject everything they don't need. They can still be overfed without vomitting, or not vomit everything they have overfed. Overfeeding is a recognised issue with bottle fed babies.
I've got to say, with the overeating, I think it depends on the baby. My twins were bottle fed from birth and I tried everything to get them to up their feed volumes as they were small for their age but they've always been quite clear about when they were finished and didn't want any more... I've had to be really careful about spacing bottles and solids to make them keep drinking, and despite being good sleepers, at 6 months they've only just been able to go without the 4am bottle. I think sometimes (sorry) among breastfeeders there's an idea that you can just dial up the right amount of formula and they'll take it all but it does depend on the baby. You know on the formula boxes they have those guidelines about how many bottles and what volume the babies will take? It took us nearly three months to get to where those guidelines start (6 bottles a day)!
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