baby clinic says my baby needs to lose weight!

(84 Posts)
lovezara Wed 14-Nov-12 14:25:51

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??

SamSmalaidh Tue 20-Nov-12 10:43:20

I haven't mentioned bf confused

RandallPinkFloyd Tue 20-Nov-12 10:32:36

Massive apologies for the hijack op.

Ignore the bickering and just take whatever advice you feel is relevant to you.

This motherhood's a tricky business smile

RandallPinkFloyd Tue 20-Nov-12 10:30:13

I have zero interest in entering into a bf vs ff debate. Never have never will.

How someone else feeds their baby has nothing to do with me and I would never presume to comment. I don't have the arrogance.

New mothers have enough to feel guilty about. Why anyone feels the need to patronise I will never know as I have no desire to feel superior to anyone.

Clearly you are very pro bf, that's great, it was obviously the best choice for you and your baby. Don't preach though. It's not nice.

beyoglu Tue 20-Nov-12 10:01:34

Wow that's very comprehensive but as I'm on maternity leave and don't have an ATHENS login I suppose I will just have to take your word for it!

SamSmalaidh Tue 20-Nov-12 09:32:08

Sure, here's some papers that have been posted before:
Key Issues to Address With Bottle-Feeding
Pediatric Nursing, Jan, 2001
– a discussion among paediatricians and others in the US which highlights need for parents to be aware of overfeeding.

Feeding Patterns in Breast-Fed and Formula-Fed Infants.
Seivers et al.
Ann Nutr Metab 2002;46:243-248
- highlights difficulty of true ‘demand feeding’ in a formula fed baby and the difficulty in matching intake with need.

Mode of infant feeding and achieved growth in adolescence: early feeding patterns in relation to growth and body composition in adolescence.
Tulldahl J et al.
Obes Res. 1999 Sep;7(5):431-7.
“our results imply that formula fed infants may be at risk for overfeeding, which might lead to overweight, even up to adolescent age”

Do Infants Fed From Bottles Lack Self-regulation of Milk Intake Compared With Directly Breastfed Infants?
Li et al.
Pediatrics, June 2010
- This paper answers ‘yes’ to this question and interestingly, looks at bottle feeding with ebm, as well as formula, and concludes that the same risk applies.

Mothers' experiences of bottle-feeding: a systematic review of qualitative and quantitative studies.
Lakshman et al.
Archives Disease in Childhood, July 2009

Randall - I don't think this is about making anyone feel guilty confused Surely it is important to be aware of any risks in baby feeding though in order to make informed choices?

beyoglu Tue 20-Nov-12 09:24:49

Could you post a link to that research, Sam?

RandallPinkFloyd Tue 20-Nov-12 09:21:54

Oh whatever. I'm getting really annoyed now but arguing isn't helpful to the op who asked for different people's views.

You have yours , I have mine.

I'm not in the slightest bit worried that I over-fed my baby and am not the least bit defensive about it.

New mothers reading this type of thread however don't need it to be used to give them another reason to feel guilty about ff'ing.

SamSmalaidh Tue 20-Nov-12 09:10:30

Sorry Randall but that's just not true. Babies can be overfed, research shows they can be persuaded to take more from a bottle than they need/want. Not vomitting isn't proof that a baby isn't overfeeding. Overfeeding is a risk of bottle feeding regardless of whether it is formula or ebm, and is one of the reasons that bottle fed babies are on average heavier than breastfed babies.

Now, I'm not suggesting for a second that you overfed your baby, but just because you didn't do it doesn't mean it is impossible, or even unlikely.

RandallPinkFloyd Tue 20-Nov-12 09:04:17

Totally right beyoglu.

There certainly are babies who feed for comfort rather than hunger but that is true whether you ff or bf.

The difference with bf is you don't know how much they're drinking.

Imo the best thing to do is to be led by your baby.

Mine drank bonkers amounts but was never sick and never over-pooed (i don't think that's a word!)

He was also never a massive baby. Chubby yes but not massive.

My niece barely drank half as much, she was just as chubby!

If a baby doesn't want to eat or drink there's no way you're going to make them do it!

beyoglu Tue 20-Nov-12 06:53:03

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)!

RandallPinkFloyd Mon 19-Nov-12 23:51:46

ok

SamSmalaidh Mon 19-Nov-12 23:50:02

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.

RandallPinkFloyd Mon 19-Nov-12 23:22:15

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.

RandallPinkFloyd Mon 19-Nov-12 23:20:34

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 grin

SamSmalaidh Mon 19-Nov-12 23:17:15

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!

lovezara Mon 19-Nov-12 23:09:06

oh and i've tried prunes and the vaseline thing - both don't work sad

lovezara Mon 19-Nov-12 23:08:05

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!

RandallPinkFloyd Sun 18-Nov-12 14:46:35

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 hmm

brettgirl2 Sun 18-Nov-12 13:56:21

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.

5madthings Sun 18-Nov-12 03:15:27

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

stopthinkingsomuch Sun 18-Nov-12 03:02:50

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.

noblegiraffe Sat 17-Nov-12 21:53:21

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).

lovezara Sat 17-Nov-12 20:45:02

dr gave me lactose syrup, 2.5ml twice a day, hasn't helped so visiting gp again on tuesday sad

I had the same from my HV when DS1 was 5 months old..and 22 pounds grin
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!

Worry not...

noblegiraffe Sat 17-Nov-12 12:27:21

How are you treating her constipation? Only giving non-constpating foods isn't a solution as she'll need them at some point.

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