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Infant feeding

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

to top up? or not against hv advice...

44 replies

crazyjane · 07/07/2007 21:12

was just wonderin what bf mums out there may think of the following situation.

sis's baby now 9 weeks old. born 6lb,lost a bit of weight,now weighs 7lb 11oz. the baby was born a little early at 36 weeks, very jaundiced at first but since bringing her home from hospital she has been solely breastfed.she's quite windy some nights and has had some 'feeding frenzies' lasting a few hours,but must add its not every evening. most of the time, she feeds well and is settled inbetween feeds.she's just starting to do the odd smile and have times when shes just awake and looking round . anyway,the hv seems a little concerned that she is not gaining enough weight. on average, she has gained 5-5.1/2 oz per week, but last week only gained 1.1/2 0z.now the hv wants sis to top up with a bottle, the baby is on the 9th centile on the chart and hv is getting twitchy.the hv has suggested she starts with one bottle per day, and that she replaces one bf entirely with formula.sis is not happy about it, but does not want to completely ignore hv advice.this is her 2nd child, her 1st was very much the same in her growth pattern and is now a very average 2.5yr old runing around and causing as much trouble as the rest of them! we would both be very interested to hear other peoples experiences and their thoughts on this one. ive told sis just to wait another week and see what her weight gain would be next week before deciding what to do,thats what id do personally but i don't know if its the right thing to advise her.

OP posts:
kiskidee · 08/07/2007 07:38

weighing 2x per wk is madness. avoid it and hv if possible. would your sis like to try a sling? keeps you hands free to deal with #1 and great for hands free breastfeeding - if she thinks offering the breast more often is a good idea.

katelyle · 08/07/2007 07:50

And if she can, suggest that she spends a couple of days doing nothing but feeding (could you possibly look after her other one?) An day in bed with the baby, the tv a good book and lots of delicious food and drink will bump up the milk supply nicely. HV wants weight gain? We can deliver weight gain!!!

If the baby is alent, responsive, a good colour, pooing and peeing and not actually losing weight, then could she be out when the HV comes round?

moondog · 08/07/2007 10:35

Whaddya mean Crazy?
I never MN having taken wine.

If I did,Gawd only knows what I would say-I'm bad enough sober!

Just to reiterate...

SHE'S TALKING THROUGH HER ARSE

(And have only a huge mug of Tick Tock by my side.)

tiktok · 08/07/2007 11:20

Not much to add to this, except a bit of shared despair at how little help mothers get.

This baby sounds fine (though a little 'over-weighed' - no baby needs weighing that much unless there is someting very serious going on).

There is nothing wrong with that weight gain, anyway.

Giving formula will undermine breastfeeding.

If the HV is really worried (why???) about the weight, then your sis can tell her she will offer more breastfeeds to the baby.

And then stop seeing her...having made a complaint about her as well.

crokky · 08/07/2007 11:38

Have not read whole thread, but my LO was born at 37 weeks (complications of preganancy) and on a low centile for weight. I breastfed exclusively for 6 months, even though weight was on low centiles to start with. I had feeding frenzies like the OP describes and I think that is fine, so long as the mother is fine with it.

HV advice disgraceful. Your sis wants to BF so she should be supported by HV in this decision. It is only OK to give top up bottles if that is what the mother wants to do - not the fekkin health visitor!!

HVs sometimes give out advice that is their own personal opinion - NOT the opinion of the NHS or other recognised body - just some CRAZY WOMAN!! (Sorry HVs, I know some of you do amazing jobs, my new one does, but my old one was a crazy woman).

crazyjane · 08/07/2007 11:58

bump

OP posts:
mawbroon · 08/07/2007 12:54

No need to top up. I recommend (as several others have done too) that your sister contacts one of the breastfeeding organisations. They will reassure her that the HV is talking nonsense. Also, your sis should get the numbers anyway just in case she runs into problems further down the line, because i dread to think what this HV would say in the event of something like mastitis.

akaJamiesMum · 08/07/2007 13:24

crazyjane

Your sister's baby sounds fine. Te HV should not be advising her to top up on the strength of one week of slowish weight gain. The 9th centile is fine - it's not a race to be on 98th. Your sister's baby needs the breastmilk more than she needs formula.

I am a HV too and can tell you categorically that many HVs talk out of their arse when it comes to breastfeeding and centile charts. They are completely untrained to support BF mothers - all I learned about BF comes from my days as a midwife (and a strong personal interest which means I do my best to keep up to date) the BF "training" (if you can call it that) I had as a student HV lasted 2 hours!

I think your advice to your sister is the correct advice. Is there another HV she can see - does she feel compelled to see one? A HV is not a compulsory service.

crazyjane · 09/07/2007 13:12

quick update. told sis to log on to mn and read all of your replies. result= sis told hv she is NOT going to top up, but increase bf. hv backed down completely! hv admitted that the chart is based on bottlefed babies! anyway, much happier more confident sis, so thankyou all for your comments, you have achieved a result.

OP posts:
tiktok · 09/07/2007 13:15

Chart is not based on bottle fed babies - nothing wrong with the chart, it's the way it is used.....HVs like this could have any chart and they would still mess up women's bf.

The chart in the UK is based on UK babies whose feeding is not differentiated.

tiktok · 09/07/2007 13:15

Having said that, it's good news from your sis, jane

harpsichordcuddler · 09/07/2007 13:20

by the way,the techical term for "feeding frenzies" is "cluster feeding" - it is extra extra normal. in my house we used to call it "needing four breasts"
other than that, I am with everyone

lilymolly · 09/07/2007 17:01

Great News

flibertyplus2 · 09/07/2007 17:15

Fab news re: not topping up. Only other thing to add if your sis is still concerned is make sure the baby isn't tongue tied as it's a classic reason for slow weight gain and it's not always spotted. Sounds like she's doing fine though.

tiktok · 09/07/2007 17:58

But the baby is not gaining weight anything but absolutely normally, fliberty....

StarlightMcKenzie · 09/07/2007 18:26

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moondog · 09/07/2007 18:58

Great news Crazy.
I'm starting a new movement: 'Sisters Against Health Visitors Who Talk Through Their Arses or SAHVWTTTA.'

Do you think it will catch on?

flibertyplus2 · 10/07/2007 07:57

Oh, not suggesting baby wasn't having normal weight gain tiktok (I did say it sounds like the baby is doing fine.)

It was just something that occurred to me to mention in case sis is still concerned. My tongue tied baby has been on 75th percentile while bf so know what you mean too StarlightMcKenzie!

StarlightMcKenzie · 11/07/2007 17:28

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