IUGR baby, breastfeeding and weight gain

[Softkittybitingmyfoot]

DD, now 2.5 weeks old, was born at 38+5 weighing 4lb7oz and diagnosed with IUGR, cause unknown. She has no other health issues and after supplementing with EBM for the first 1.5 weeks because she had problems latching is now exclusively breastfed.
She is producing lots of wet and dirty nappies and is getting more and more alert each day, we've had her latch checked by a lactation consultant and it is fine.
However, she is not gaining weight at the rate the HVs want and so I'm concerned there will be pressure to add formula. She gained about 4oz in the last week, they want it to be more like 8oz.
It seems unrealistic to me to expect her to gain weight at the same rate as a normally sized newborn - but i've had trouble finding any information about expected growth curves for babies with iugr.
Does anyone know where i could find this information, or have experience of iugr babies and weight gain?

I don't know if there are IUGR growth curves, but you could have a look at the premature baby growth charts - they are in the red book just in front of the usual charts. I agree it seems odd to expect 8oz a week, in fact I think that's on the high side even for an average sized baby!

4oz is within the normal weight gain range especially for such a young and small baby. Well done you.

Even if you do get pressure to do formula top ups there is absolutely nothing they can do to make you do it so if you don't want to then don't!

Iugr babies tend to gain weight faster than similarly sized non-iugr babies. But you don't have to supplement. Are you getting lots of skin to skin? Bathing with your baby? Cosleeping? Using a sling that allows your baby's head to rest on your chest (the Close carrier is a good one, or a ring sling, any but eg Ellaroo's are good)?
Any/all of these things can promote more frequent bfing and help you pick up on even the subtlest signals that your baby might be thinking of a wee snack/drink.

And Congratulations!

softkitty, difficult start but you sound as if you are battling it :)

If your baby's sole issue is a need for extra calories, then you have these - in your breasts, all ready and available to your baby. If she needs to supplement, this can be done by feeding more often, and using more 'sides' each time.

If someone says to add formula, you can say you intend to add more breastfeeding :)

4oz a week is normal weight gain though no??
you can't force feed her

have you had a look at the kellymom site?