My 8 week baby is only 6.5 pounds but HV's have been happy with her gain (born at 4 pounds) and she drinks around 18-20 ounces a day, across 9-10 feedings. Never more than two ounces in one go. Today she has wanted more at each feeding, which of course I give her but burping loads in between, as she does have reflux and I'm conscious not to overfeed. Is she looking to take more? How did you know when your babies were ready?
When we were using bottles we just kept giving more and more until dc decided he'd had enough and stopped drinking. If it looked like he was going to finish the bottle the one who wasn't feeding would quickly make another so he didn't run out.
When they drain every or nearly every bottle. HV told me that they should be leaving some about half the time. If you're offering 2oz and she's taking 2oz and never leaving any, it's time to offer more. She may not have it every time and you will waste some, but at least you've made it in case she wants it.
If they continue to drink the whole bottle at each feed add another ounce ect
Do not go off the formula tins, each baby will drink the amount they need. And if your LO does over eat they will puke it back up anyway (hopefully not the whole feed though) it's just trial and error really
It's really common for reflux babies to only take small, frequent feeds. They rarely feed like 'normal' babies. My silent refluxer never took more than a 6oz bottle until the day she stopped having them at nearly 14 months. I fed her an ounce or two at a time for months (am not encouraging this was soul destroying!) but she always gained well and maintained the 75th centile.
OP I would try another ounce, you'll soon know if baby wants it or not! If you can get her having larger feeds you might be able to decrease the number of feeds you're having to do. I always went on the optimistic side once baby was a few weeks old and made 4oz (that's the smallest the PP machine makes). She'd normally end up having about 3 at that age, over three separate feeds half hour apart Is the reflux medicated? The proper medicine make a world of difference.
katie she's on ranitidine, I had her dosage upped two weeks ago but already feel it may need to go up again. She's filled out another set of babygros and Im confident she's put on weight but need to get that confirmed
Yeah Ranitidine is extremely weight sensitive, we used to increase ours every fortnight or so when DD was small and gaining quickly. A word of warning for you - after six weeks or so it stopped working for us and we had to have Omeprazole suspension instead which worked a treat until the reflux went at 7.5 months. I also found that with both medicines once the bottle was two weeks old the effects started to wane, like it went off!
Just trust your instincts, babies don't follow the book generally and reflux babies basically vomit all over the book! If little and often works for you, stick with it. Whatever makes your life easier at this stage!
We had to go to hospital and see a paediatrician for the Omeprazole yes. We actually got the ranitidine from them too because our GP was awful and told me 'thats just how your baby eats' and 'maybe the problem is you stressing so much' So in the end I made a complaint to the practice manager and got a referral to hospital where DD was quickly diagnosed and treated. Took until she was 16 weeks though.
Once we'd had the initial prescriptions and our GP received the paperwork from the hospital they could put it on repeat for me though (good job because I had a new bottle every ten days and the pharmacy at our hospital takes hours). It was a special order too so had to be ordered 48 hours in advance. The tablet version (you dissolve a tablet in a syringe of water and administer it) of Omeprazole is called Losec Mups and that's much cheaper and easier to get hold of. We couldn't give that to DD so we had to have the liquid Omeprazole - works much quicker, can be put into the formula (I used to make 5/6oz, tip 2oz in another bottle, add the medicine to that and then give the rest of the feed after) but it is really expensive so they don't like prescribing it.
Just a quick update/question here LO just took 4.5 ounces in one go...we didn't force her, she wanted it. Most she's done before is 2.5 ounces. It's obviously great if she wants to take more! So I wanted to ask, is that normal? To take I. So much more milk, seemingly overnight?