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Infant feeding

Get advice and support with infant feeding from other users here.

Poor weight gain at six weeks

29 replies

maisie215 · 10/08/2011 21:36

I had an absolute disaster feeding Ds1 who is now 2. Was desperate to breastfeed and thought all was well until he had lost 12% of his birthweight at 2 weeks and was readmitted. I was given no choice other than supplementing with formula. Cue three weeks of feeding, supplementing, expressing on a 3hrly cycle day and night with fenugreek and domperidone. I reached the point where I just couldn't sustain it and gave up. He immediately started to gain a pound a week. No one could tell me what went wrong- it just didn't work. I regretted giving up and even though it was the right thing I'm still not really over it and feel very raw that I was denied a full breastfeeding experience. That's the background to where i am emotionally at thus stage.

Dd born 6 weeks ago. I was determined this time i would succeed and saw LC antenatally. I even expressed colostrum antenatally (and had a shed load to express). We had a bit of a rough start with jaundice on first 24hrs and a skin infection requiring iv antibiotics- in hospital for 6 days. Again all seemed well but she has had really poor weight gain. She is on the second centile gaining just under 4oz per week. She was 6.13 at birth, now only 7.8. At the moment she feeds virtually all day. Plenty wet and dirty nappies. She never really comes off the breast on her own but is relatively contented and sleeps a 4 or 5hr stretch at night.

I guess I just need to decide what is best for her. Do I reconcile myself to a skinny EBF baby (she looks unhealthy) or supplement and have her gain properly? I am so committed to bf and don't know if this is clouding my judgement. At the moment she has a 2oz top up of ebm (expressed after night feeds- I can't get much when i express and although I know it is no indication of how much milk she gets it is pretty confidence sapping) at bedtime given by SNS. I just feel it is a bit unsustainable and I need a slap one way or the other but don't know the right thing to do. My confidence is rock bottom and to be honest I feel I have failed again this time already. On the plus side DH is an angel and really seems to get it and is there for me. He thinks she is doing ok but I'm not so sure.

Any thoughts or experiences appreciated. Sorry for the essay but thought it would help to write it all down. Oh and she also had a posterior Tongue tie snipped at three weeks but I wasn't sore and don't know if it has made much difference- they said it was a really minor one.

OP posts:
maisie215 · 18/08/2011 12:02

Hi everyone! I know there has been some controversy on other threads but wanted to add an update about DD. I decided that I should add in 2 x 3oz top ups of mixed EBM/formula after she dropped off another centile. In the last week she has put on 10 oz!! I am thrilled!

I will continue as we are for another couple of weeks then start to think about cutting down. She is feeding a lot still (virtually constantly) but at least I know she is getting enough. It is just what I needed to boost my confidence.

Well done to all the other slow gainers who are turning the corner and thank you for the support.

SWLondonMum- I am considering consolidating the top up to one at night in a couple of weeks once I can reduce it a bit. Can you remember how much your LO had at this stage? I don't want to fill her up with 5oz and risk her expecting that at every feed or is that not how it works??

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lilham · 18/08/2011 12:41

There's nothing wrong with using formula when the baby is failing to thrive. (It's such a horrible word isn't it)? You can a caring mother doing your best for your little one. By giving her any amount of breast milk, you'd have given the goodness of antibodies etc. Every day she can take breast milk, she benefits from it.

Mollcat · 18/08/2011 13:54

maisie215 if she still clicks and falls off, and the tie was posterior, it's possible it wasn't as minor as thought and hasn't been fully clipped. Only a thought though - hope you find a way forward which works for you all.

maisie215 · 18/08/2011 14:56

mollcat TBH that thought had crossed my mind. HOwever, I have never had sore or cracked nipples and still don't. They also were 50/50 about whether to snip it but decided to go ahead. She does click occasionally and her latch does sometimes slip. Will maybe ask HV to consider re-referral... THanks

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