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Infant feeding

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

Low Birthweight Baby and Weight Gain

27 replies

BB01 · 15/09/2013 13:54

DD was low birthweight (4lb 9). We've been exclusively breastfeeding but her weight gain has dipped for the second time (not second time in a row) to just under bottom centile. Hospital are concerned and wanted me to top her up after feeds with expressed milk or formula. NCT and La Leche previously warned this should be last resort due to supply issues etc and also cos I just felt it wasn't something I wanted to do unless really necessary (and hospital doctor didn't seem convinced it was previously). They have now suggested trialling her on Calogen, a high calorie supplement, and also advised waking her up again at night every four hours max. They say the Calogen might also help suspected reflux. I kind of feel like whatever I do someone is sat there saying 'don't do that. Do this!'. I'd much rather exclusively bf if poss but would never do this if doctor and dietician said outright that DD really needs top ups. I hate expressing with a passion and as she's a velcro baby and quite unsettled sometimes (she's 12 weeks but was early) I find it hard enough add it is to get out the house but feel I need to every day for my sanity. Really would rather avoid having to express as well as breastfeeding her and then doing top ups. On other hand am worried about formula being a slippery slope and kind of felt I wanted to commit to just breastfeeding for the time being. Feel like hospital think I'm being silly and they said they can't see any reason NCT and La Leche disagreed with their advice. Meanwhile NCT and La Leche seem to think hospital is too risk adverse, obsessed with the weight chart and underestimate the benefits of ebf. Would really really appreciate any advice or even just a hand to hold!

OP posts:
NoForkNKnife · 18/09/2013 16:15

Thanks, poppet. I did ask the gp for omezeprol, but I was refused. We see the paed in few weeks so I'm planning on asking.

It's nice to know that we are not alone or too 'unusual' Grin.

Poppet45 · 18/09/2013 16:32

In most nhs trusts it has to be prescribed by a paed rather than a gp as omeprazole isnt licensed for under ones. Thats because its manufacturers havent paid for additional testing rather than their being any specific safety concerns that outweigh its use in severe reflux. Thousands of prems are probably on it in the UK right now. If they get the dose right reflux symptoms can almost totally disappear. If they linger its a sign of an ongoing intolerance rather than a valve issue and as well as meds you need to find and exclude the dietary offenders - normally milk, soya sometimes eggs or gluten. Good look until it settles reflux is so tough.

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