Calling TikTok and other experts on breastfed baby weight

[Sleepstarved]

Have been on here a couple of times about DD2, had reflux (now seems ok), had TT snipped (still has lip tie) and only feeds for ten mins at a time.
Am slightly concerned about her weight again. (GP mentioned it when prescribing trushmeds, that dropping one centile was significant and I should consider formula).
Anyway, weighed today and nearly dropped another.
She was on 50th when born (3.65 kg), dropped barely anything at all at birth but by 8 weeks was on 25th (4.49kg) and now at 14 weeks is just above 9th (5.13kg).
She was 4.77kg 4 weeks ago, and 100g per week does not seem very much to me.
DD is very well, incredibly strong (has been weightbaring from birth!), flipped from front to back at 8 week check, gurgles, coos, shouts and giggles. GP and nurse both separately commented on how bright, alert and 'forward' she is. But she is never still, arms and legs always pumping away.
Should I be worried about her weight? I am feeding her at least every 3 hours in day, she goes from 8pm to about midnight sometimes 1 or 2am and then we co-sleep and I plug her on whenever she moves until 7am.
I guess thing I find odd is that she doesn't seem to want to feed any more often than this, will smile and pull off, have a few sucks and pull off, even good hungry feed only lasts 10mins (not milky drunk anymore - do they still do that at this age?).
Sorry for the essay but wanted to give all the relevant info.

My dd was also born on the 50th, and now follows the 9th centile. She is exactly like yours - even the paediatrician we've had to see for mucusy poo commented how advanced she is. She puts on about a lb a month. I'm not worried at all. My DS did exactly the same.

thankyou Bunty. The HV says she is an active baby but to keep an eye on her and weigh again in two weeks instead of four.
She is not a chubby baby (DD1 wasn't either) but she does feel a little rib'ee when you pick her up.
She physically won't take the boob any more often and am worried she will only get foremilk if I encourage feeding every hour.

I think you know the answer to your own question but like all us mums want 100% guarantee all is well.

• couple of things though, why is 10 min feeding a prob? We often hear about marathon feeds for BF babies but not all are like that; my DD wasn't even when a newbie so I'd forget about that
• feeding frequently does not = only foremilk. Just make sure you offer often and both/more sides
• you feed on demand at regular intervals and baby is sometimes not interested, sounds fine to me

I wouldn't worry and 2 weekly weighing is bound to end in trouble imo, but that's easy for me to say. I thought a movement in 2 centiles was the trigger, not 1, although I see in weight terms maybe you're close.

Just be prepared to be told to top up, use formula, perhaps even weaning early (later down the line) and think how you feel about that.

PS - was baby late, diabetes, anything else like that?

Thanks Pedros, no no issues in pregnancy and birth was very straightforward and quick (so quick she was born in our downstairs loo without even time for a paracetamol, paramedics or anything).
She was two days past due dates.
Short feeds new to me as DD1 could be an hour plus so that's why I mentioned it.
Am still not sure latch is that great, even after TT done, as she still sometimes loses suction but no-one seems to be able to fix it.

If you want some other reassurance of "seeing" the milk go down, and don't mind expressing, have you thought about doing that? There is a teat called the Medela Haberman (available through mail order) which was originally designed for babies with feeding problems, but is great for breastfed babies who have the occasional bottle. The baby has to actively suck to get the milk so it removes the risk of the baby getting lazy and preferring bottle to breast.

Actually seeing the milk might offer you some confidence.

I agree with the PP about weighing too frequently.

Thanks Crazy, I have tried her with a playtex slow flow something or other designed for breastfed babies and she won't have it.
Will order one of these and try it.
I have a fab double pump from going back to work while DD1 was still feeding and can gets loads out with it. Also I am supposed to be going out next week for the evening so would really like to get her to take a bottle.

Normally, a baby who drops through two centile spaces would be considered worth 'looking at' - but the majority of babies who do this are just fine. The sort of things that would be 'looked at' are overall health and well-being, and whether the mum is truly feeding often and responsively day and night....sounds like you are checking all the boxes ok :)

Please don't bother expressing unless you want to for convenience - seeing the milk is not good thing in itself and you might end up judging your milk supply by what you can express....and what a hassle!!

Weigh her in 2 weeks if you want to, but I can't see a clinical reason for doing so ---- maybe ask your HV what she is looking for?

Thanks TikTok.
DD seems very well in herself but is lean.
I may express as I'd like to go out next week but am not holding out much hope as she won't take a bottle at the moment.
And it's hard to get to express as even if DD2 is asleep DD1 hates me pumping and tries to pull it off me.
I may go back to 2 hourly feeds in the day, not that I was keeping to any real schedule, but at least offering it then.
Surely she should be more hungry if she is so active?