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??

DialMforMummy Wed 14-Nov-12 14:44:21

My 6 mo DS doesn't sit up yet, my other DS never really turned around much (mind you, he HATED being on his tummy).
I think your HV is being alarmist.

colditz Wed 14-Nov-12 14:48:12

Let her refer. Eighteen ounces isn't a pint of milk, which is what a six month old should be drinking, so if I were you I'd insist on seeing the dietician now, because the Hv is a bit ignorant

helibee Wed 14-Nov-12 15:19:47

Diluting formula is very bad practice and no HV should be recommending that. My ds2 turned 7 months old yesterday and he has 5 6oz bottles however he doesn't really eat. He is just not interested in food-neither was my ds1 until nearer to 9 months.

Could you try any distractions for dd to prolong intervals between feeds & food at all? Sorry that's prob not very helpful. I would say that your HV does not sound at all supportive.

Also as you say of your dh is 6ft + tall then it's no surprise that your dd is on the top centiles. As long as she's on the same for both then I really don't think a dietician will be very interested. I wouldn't be surprised though over the next 6 weeks if your dd does become more active.

Big hugs and please try not to worry bear

DawnOfTheDee Wed 14-Nov-12 15:24:25

My DD (9mo) has consistently been at the top of the centiles since birth. HV's have told me 'not to worry' I wasn't but anyway as she's in proportion.

Is your DD quite tall? If she looks ok to you I wouldn't worry about it. Ime babies tend to go quite chubby just before they start crawling. Once they start moving around a lot it any 'extra' weight comes straight off.

JugsMcGee Wed 14-Nov-12 16:55:58

My DS was the same weight at that age, he is usually around the 91st centile. No HV ever said it was a problem? He didn't roll until gone 6 months either. He slimmed down when he got mobile. I don't think you need to worry tbh.

lovezara Wed 14-Nov-12 17:13:57

i mean her height is normal, she looks totally proportionate to me, but then again her weight seems normal to me as well, i never thought it was a problem until they suggested it.

I mean she is always constipated so that might contribute to her not losing weight as well. tbh so far i've been using the feed on demand method cuz i see that's what makes her the happiest. i didn't think i had to worry about a diet until at least she's out of the 'baby' stage and becomes a toddler??

anyway ur replies helped a lot, i think i'll just continue doing what I'm doing and just hope she'll prove them wrong in the 6 weeks coming!

thanks everyone

gymboywalton Wed 14-Nov-12 17:16:03

what is 9.3kg in the old money?
what centile is she on for her height/length??

EBDTeacher Wed 14-Nov-12 17:34:37

My DS is, and always has been, off the top of the chart for his weight. However, he is off the top by exactly the same amount for his height and head circumference.

It is about the proportions. Can you measure your DDs length and plot that on the graph in your red book yourself. I would say if her weight and height roughly compare then don't worry and stop going to the baby clinic.

PickledFanjoCat Wed 14-Nov-12 17:39:41

I gave ds three bottles from 6 months usually,

Morning afternoon and before bed so 21 oz in all.

My problem though is the polar opposite of yours!

I think that is a fair amount of milk if she is eating well but u wouldn't worry about it.

lovezara Wed 14-Nov-12 17:42:12

her heights is 24in/2ft, don't know what centile that is in height. 9.3kg is 20lbs if that's what you mean by old money hehe

SoulTrain Wed 14-Nov-12 17:49:10

My little boy didn't really roll, sat up about six months...didn't do anything else until 10 months when he crawled. Has only started walking a few weeks ago at 16 months...doesn't say a word apart from Mum and the noise of a horse and has always eaten loads and was considered overweight by all the HV's. I disagreed entirely. He's only ever eaten meat, fruit, veg, etc and in my experience you can't get a FF fed baby to keep any milk down that they don't want/need. Have you noticed a dramatic increase in weight since weaning?

EBDTeacher Wed 14-Nov-12 17:51:47

I only have the 'boy' graph so I can't help out there. Maybe somebody else will check.

lovezara Wed 14-Nov-12 17:55:14

nope she has always been a big baby, she doubled her birth weight in less than 2 months! she was exclusively breastfed until 5 months so her weight gain was not due to formula..

SamSmalaidh Wed 14-Nov-12 17:58:33

That is really bad advice! Babies need around 20oz of formula a day between 6-12 months in order to get all the vitamins and minerals they need - if they take less formula than that then they really need a multivitamin as well.

12oz of milk is recommended for babies over 12 months.

NatashaBee Wed 14-Nov-12 18:54:44

Your HV sounds awful. Supposedly (not sure how true it is) EBF babies cannot overeat - it doesn't matter how much they drink, the breast milk just provides the same amount of fat regardless (ie if they're drinking lots the milk becomes more 'watery' and they will get the same amount of fat in total as if they were drinking less - then the BM would have more concentrated amounts of fat in it. DS was on the 100th centile for weight but also on the same centile for height, so the dr wasn't in the least bit concerned - he was all in proportion. The HV should have looked at both height and weight before making her stupid and probably wrong determination.

To be honest I'd be happy to accept the referral to the dietician, if only to get some better advice than your HV is giving you. I wouldn't water down the formula unless the dietician recommended it. What are you feeding her - purees, or finger foods?

NatashaBee Wed 14-Nov-12 18:56:27

And whether the 'overweight' label is correct or not - I don't think a child should ever need to actually lose weight. Surely the aim should be to keep the weight the same while the child grows, so that they level out?

sandberry Wed 14-Nov-12 19:13:44

Looking at her height on the UK-WHO charts here chart, she is only below the 2nd centile, yet her weight is at the 98th so very out of proportion assuming you measured correctly. However the health visitor should not be giving you such dire advice but referring you to a paediatrician and/or dietician for assessment.
I'd ask for a referral.

MrsCantSayAnything Wed 14-Nov-12 19:22:14

I would hold off any action until I had spoken to the dietitian myself but it seems excessive to give her three meals in addition to that amount of milk.

MrsCantSayAnything Wed 14-Nov-12 19:29:09

I should imagine that once she gets more mobile, she's going to even out anyway.

Viperidae Wed 14-Nov-12 19:34:02

My health visitor once told me DS was overweight and then, on checking his height, added almost indignantly "....and he's too tall!" What was I supposed to do? Cut him off at the knees?!

Some health visitors lose sight of the fact that not all children will be average. Try to relax and enjoy your baby.

SamSmalaidh Wed 14-Nov-12 19:44:27

Ah, I misread your post and thought you were giving her 18oz a day and the HV was saying cut it to 12oz. 30oz is a lot, I would try to get it down to 20oz.

2nd centile for height and 98th for weight is very out of proportion - being obese as a baby does have implications for future health, so I would take it seriously. It's not that she is just a big baby, she is a heavy baby without being long/tall.

Coffeeformeplease Wed 14-Nov-12 19:54:57

I wouldn't worry, honestly.
Breastfed babies (as yours was until recently) cannot be overfed.
My son was a really chubby baby, he was 9 kg at 7 months and 13kg at 12 months. And then he just grew. He was still 13 kg when he was 3. Now he is 11 and he is still very skinny.
My youngest daughter was born with almost 5kg, so she was really chubby in the first year.
I think her suggestion that your daughter should lose weight disqualifies her.

JiltedJohnsJulie Wed 14-Nov-12 20:03:28

viper you bad mum! Fancy taking a tall baby to the clinic just to confuse the obviously dim HV. grin

Agree with the others, if you are ff the NHS recommend 20floz per day of (undiluted) first milk between the ages of 6 and 12 months.

Once she reaches 12 months you can ditch the formula altogether and give her 300 ml of full fat cows milk per day, including milk used in cooking, until she is 2.

I'd let her refer you personally and hope you get some better advice on how to get her weight in more proportion with her height.

AppleOgies Wed 14-Nov-12 20:03:59

I think 30 oz and 3 meals a day is too much if I'm being honest. Maybe see your GP who hopefully will have more tact than your HV. I wouldn't use the excuse your DH is 6 foot. My DH is 6 foot 1 and has a rowers build. My DS was in the top percentile for length/height at that age, and 50th for weight.

Could it be that now you've switched to formula instead of breast that you've slightly misjudged the amount?

I would try to get another opinion, are you overweight? Could the HV have judged you. The amount of formula and food does sound too much to me, have you considered cow's milk instead.

AppleOgies Wed 14-Nov-12 20:05:32

Maybe disregard my cows milk, I can't remember when it's supposed to be introduced as I breastfed for longer than 6 months.

Flisspaps Wed 14-Nov-12 20:08:01

Apple Cow's milk can be given as a main drink after 12 months.

lovezara Wed 14-Nov-12 20:09:15

sorry her height is 71 cm , that's an old measurements

yeh i think i will book an appointment with my gp just to be sure, otherwise i'm not really psyched on starving my baby confused

JiltedJohnsJulie Wed 14-Nov-12 20:09:56

Agree with fliss.

AppleOgies Wed 14-Nov-12 20:10:49

I couldn't remember... Thanks for clarifying. smile

Can I also add op that even if your child is a little 'overweight' (although I'm not sure that term can or should be used about a 6 month old)... I'm sure it has nothing to do with rolling or sitting up. Babies do that at very different times, please don't worry.

JiltedJohnsJulie Wed 14-Nov-12 20:14:23

Oh god I can't work it out then. The who chart, is the measurement down the left side in centimetres?

AppleOgies Wed 14-Nov-12 20:15:06

IME I had lovely HV who were reassuring and helpful and others who made me worry about things that hadn't occurred to me until they mentioned it, one panicked me about asthma (until my GP informed me babies that young didn't get asthma and my DS had a cold) and another who was forever trying to get me to stop breastfeeding. If I was ever in doubt I referred to my GP and of course MN! smile

JiltedJohnsJulie Wed 14-Nov-12 20:16:19

Don't worry apple, cows milk is fine in cooking at that age but not as the main drink until they are one. I think a lot of people get confused over that too smile

Flisspaps Wed 14-Nov-12 20:21:59

Using the weight 9.3kg and height of 71cm, an online centile calculator says that your DD is over the 97th centile for both - which puts her in proportion.

Big, but in proportion, and that's the important bit. Some people do not understand that all babies shouldn't be on the 50th centile.

The HV has given you shocking advice in telling you to water down your DD's feeds, and I'd consider reporting her for that. She clearly needs to update her training.

SamSmalaidh Wed 14-Nov-12 20:22:16

OK, 71cm looks like 98th centile to me - 9.3kg is around 98th as well, in which case she is a perfectly in proportion big baby, not overweight at all.

I would keep an eye on her milk intake, it should begin to drop as she eats more. Just make sure she keeps having about 20oz a day until 12 months.

Nuttyprofessor Wed 14-Nov-12 20:26:25

All of my babies were a little chunky at 6 months they soon lost it when they got mobile.

Bumpstart Wed 14-Nov-12 20:27:01

I think that once you are weaning, feeding on demand is not the thing any more.

If she is not finishing the bottles, I would definately reduce them.

I hope you find a way to do this without feeling that you are starving your child! That can't be a good feeling. But over feeding is one of the potential problems with formula.

MrsCantSayAnything Wed 14-Nov-12 20:29:37

I don't think the OP should be keeping an eye on her milk intake as much as she should her SOLID intake. Baby is only 6 months old...that's when tasting is the main part of weaning...a few spoonsful of steamed veg or whatever...not a bowl full and a pudding of fruit after.

MrsCantSayAnything Wed 14-Nov-12 20:30:29

Bump...over feeding is a potential problem when it's given in conjunction with too many solids too early.

JiltedJohnsJulie Wed 14-Nov-12 20:34:21

As she is in proportion I would stop worrying straightaway and actually give yourself a congratulatory glass of wine. You've done a wonderful job bfing to 5 months and she has obviously thrived on it.

Agree with fliss again on your HV. I would report her and suggest she has her training updated. Please don't worry about doing this as she may be giving this advice to mums who aren't able to come on here and be advised that it is wrong smile

my 8.5 mth old DD is off the scale for both weight and height-she is a FAT baby (and soooo gorgeous, with very squeezy cheeks). My HV, my GP and my whole medic infused family have said nothing but lovely things, albeit whilst also acknowledging her <cough> chunkiness smile I don't know if they are more relaxed as she is a BF baby? She is also not particularly interested in solids, although today did eat "3 meals".

This week she has started crawling, pulling herself up and standing and I swear I can see the chins disappearing already! Your baby has plenty of time to get on the move.

I would second that everyone else said and go see the GP (if your GP is good that is-mine is rubbish and my HV far superior)

I had this nonsense with my DS when he was little. He was on the 98th centile for height and 95th for weight and the school nurse decided he was overweight hmm. I cannot understand why people who are too stupid to understand centile measurements are allowed to give "professional" advice.

He is now 16, 6'2" with a BMI of 20. He is so long and skinny I have to go to specialist suppliers to get trousers that are long and skinny enough to fit him!

catkind Wed 14-Nov-12 21:02:25

It could just as well be on the larger side because she doesn't roll/sit as the other way round. Do you give her plenty of opportunity to move, lying down on floor/bed, tummy time etc? Is she trying to push up, lift head etc?
9.3kg/71cm is about the same as my daughter a month or so ago, so at 7 months. She wasn't fat i'd say, just a bit chubby, and was crawling and cruising confidently at that age.
What percentile was she born on? I think hvs are programmed to worry if they move too far from their starting %ile.
As others say, her advice sounds v dodgy, and you should really thing of reporting.

beyoglu Thu 15-Nov-12 08:44:18

My 6m twin girls take 5x6oz bottles as well, and like your girl they don't usually finish them (they take about 4-5oz) and breakfast, lunch and dinner. Funny - the senior HV at our clinic said that was all fine, although a few weeks ago the older but less senior one said that them going over 5oz was a sign that they ought to be weaned (!) I think a lot depends on how much she's eating - one of mine eats everything, the other loses interest and starts playing with the spoon after about 2 bites! Despite that they're only 10g different in weight. Babies, eh?

Like other people have said, I'd go for the referral - you'll get more sense off the dietician. The HVs worry over everything.

I've had the opposite problem to you till now - as mine were twins, they were quite small when born, although they're now just over average weight. Till now I've been trying to get them to eat as much as possible but now they've caught up I'm going to try and back off a little - I'm going to move some of the milk feeds closer to the solid feeds. Like, at the moment I give the first bottle at 7 and breakfast at 8, and the next milk at 10.30 and lunch at 11.30. I'm going to try and move breakfast to 7.30 and move the second milk feed forward to 11am so that there's only half an hour between those milk and solids. I'm also thinking (in a month or so) of trying to wean them off the 11pm feed.

DialMforMummy Thu 15-Nov-12 09:56:39

Sorry I posted in a rush yesterday and did not quite finish what I wanted to write.

I'd take the advice form this health visitor with a pinch of salt. A HV visitor who advises to dilute formula and who tells you that your child's development is delayed because at 6 months DC does not turn around or sits indicates that she probably doesn't really know what she is talking about.
As someone else said, it is regarded as very poor practice to dilute formula. Equally, if your DC does not spend much time on your tummy, she won't have much of chance to practise turning around.
My DS was never very mobile as a baby, and therefore, looks like a little buddha. The moment he started crawling and walking, he thinned down a bit.

If your DD does not finish her milk, maybe you are offering her too much, so it might be an idea to reduce the milks a little. I do this with DS2 at the moment, I offer 5 or 6oz (depending on how much solids he had) rather than the pre-weaning 7oz.

lovezara Thu 15-Nov-12 18:35:18

thank you all for your replies, they all helped dramatically. tbh although the hv's advise was too extreme i have taken a little advise from here and there and changed her feeding schedule to this:

7am: 4oz formula
10am: cereal
12pm:4oz f
3pm: lunch -pureed veg i haven't introduced finger foods yet
5pm:4oz f
7pm: depends on how she seems sometimes i'd give her pureed fruits sometimes i don't otherwise i'd just give her her night bottle 5-6oz formula at 8pm.
although for the past month she's been waking up at around 3am and i'de give her a little water and she'll go back to sleep. she'll drink about 2/3oz. i used to
five her 4oz formula but when i tried water she would sleep much better, it just occurred to me that she was only thirsty not hungry so that was just an extra unneeded feeding!

she seems happy with that schedule so far, and she's the type of baby that will scream if she's still hungry!

to answer previous questions, she loves her meals, she'd eat anything and enjoy it, but she likes it much more when i let her hold the spoon and feed herself so i let her.

i've been increasing tummy time now to a couple of times a day but not for long periods cuz she really hates it. i mean she has no problem keeping her head up , and sometimes she'll sit up alone for 4 or 5 seconds. and for the past week she's started doing these mini pushups as soon as she wake up, it's incredibly cute.

my dd was born at 37 weeks so she weighed 2.6kg. she moved up to 3 kg in 10 days then at 10 weeks she weighed 7kg. so really she was quite a big baby ever since.

i don't think hv judged her to be overweight cuz of me cuz i'm quite small, i weighed 50.7kg when i gave birth and now i weigh 50.3kg and i'm 5'7. i don't blame her for thinking she too big cuz she was bigger than all the babies that were with me in the baby clinic hehe.

lovezara Thu 15-Nov-12 18:45:41

sorry i weighed *56.7kg, i wish i weighed 50kg when i gave birth lol

Mobly Thu 15-Nov-12 20:35:08

Sounds like you've done a grand job. As he weight is in perfect proportion with her height, I don't think I'd change a thing quite frankly!

PoisonMountain Thu 15-Nov-12 21:15:07

I had this. DS was 98th height and weight. The health advisor told me he was a diet and I should restrict what he eats. She then told me he was stupid because he couldn't speak (aged 1). She then told me it was because of the way I'd weaned him (I'd told her I wanted to do blw and ended up doing purée because he wouldn't eat anything vaguely lumpy but I didn't tell her this) and I should let him eat as much as he wanted hmm

I queried it with the paediatrician at his 1 year check and he told me it was nonsense, he was clearly in proportion and what was I proposing to do, put a 1 year old on a diet? As if it was the most ridiculous suggestion in the world.

Developmentally, my DD couldn't sit at that age (she's 25percentile for weight, 75th for height) and nor could DS. DS hated being on the floor, rarely rolled unless in a fit of temper, but walked before he could crawl. DD crawls all over the place and is pulling herself up on things. Every child is different and your child hasn't read the health visitor's sheet, so she doesn't know what order she's supposed to do things in.

Do you give water with the meals? If she's thirsty this might mean that she drinks a little less milk in between. But you know her best, if that's what she needs, then that's what she needs.

brettgirl2 Fri 16-Nov-12 09:56:28

I just wouldnt bother getting her weighed again.

brettgirl2 Fri 16-Nov-12 10:07:18

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.

JiltedJohnsJulie Fri 16-Nov-12 10:30:51

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 smile. 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:

7am milk
8am breakfast
11am milk
12pmish lunch
3pmish snack
5pm dinner
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.

cheesesavory Fri 16-Nov-12 12:12:02

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.

vodkaanddietirnbru Fri 16-Nov-12 12:48:35

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?

MillionPramMiles Fri 16-Nov-12 15:10:54

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 really confused by it all sad

lovezara Fri 16-Nov-12 15:24:33

MillionPramMiles - i know what you're going through sad 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

JiltedJohnsJulie Fri 16-Nov-12 18:52:10

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 grin. 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 smile

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 smile

mammyof5 Fri 16-Nov-12 19:13:30

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

vodkaanddietirnbru Fri 16-Nov-12 21:40:49

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.

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.

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...

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

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).

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.

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

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.

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

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!

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

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

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!

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

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.

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 23:51:46


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 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!

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 09:21:54

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.

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

Could you post a link to that research, Sam?

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 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!

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.

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

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

I haven't mentioned bf confused

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