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Infant feeding

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

Mighty oaks from little acorns grow - slow weight gain support thread

692 replies

FireworksScareMossyPets · 03/11/2007 16:57

Thread for those of us whose los are:

  • Healthy
  • Meeting developmental milestones
  • Producing plenty of soaking wet nappies
  • Producing several pooey nappies (quantity varies after first six weeks or so)
  • Gaining weight...

but just much more slowly than the centile charts tell us they should.

This is a thread for help, support and understanding from other Mums who have "been there, done that".

It's where we can share links, share our stories and what if anything we have done to help our lo's weight gain - or whether we've just ditched the scales and looked at the baby.

However, we also don't want to lull other Mums into a false sense of security; if your lo is not meeting the criteria at the top then it is best to get help from a breastfeeding counsellor (or general infant feeding specialist - not all slow gaining babies are breastfed) or supportive health care professional.

Mossy xx

OP posts:
JayJ · 25/02/2008 19:09

Hi all, can I join this thread? Could do with some reassurance regarding my little one's weight (or lack of.)

A bit of background info, DD was born weighing a healthy 8.3 1/2 and was on the 75th centile. She was last weighed 11 days ago, at 17 weeks old she weighs 11ib.1 and is on the 2nd centile. Her length has remained consistant on the 75th centile.

DD is formula fed. She feeds frequently, every 2 hours during the day taking between 4 and 6oz. Have had 4 different HV's so far and have not yet received any constructive advice. DD has been referred to a paediatrician and goes next week. What should I expect from this appointment? Is my DD ok? Am worried sick about her, she seems ok in all other respects, sleeps well at night and is alert. Thanks for reading.

Caz10 · 25/02/2008 21:25

hi jayj! it's such a worry isn't it? i can't offer any advice i'm afraid, but just wanted to say that my dd is going to the paed on wed so i can let you know what is said there.
i don't know too much about formula, but that sounds like plenty!
my dd is also bright, alert etc just frightningly small! there is something talked about on here called "catch-down" weight (i think) - where a baby is born above it's "natural" weight, and re-adjusts down to where she/he is meant to be (you will be able to read a better explanation of this elsewhere on this thread!). if your dd ends up following the 2nd, maybe she has now just adjusted to her natural body weight? iyswim?!

JayJ · 25/02/2008 21:40

Hi Caz10, goodluck for Wednesday, please let me know what happens. I read about "catchdown weight" that makes some sense. Hope it is something like that. I know that I shouldn't compare her but she really does look very skinny, also, she is very long. I am hoping that this is just how she is meant to be and that there is no under lying health problem. Having said that she has dropped a centile each time I have had her weighed. She has more than enough milk. I even give her a night feed which she doesn't wake for just to top her up a bit but still she drops down the chart. I feel I am doing everything I can but it is not enough. Sorry, rant over!

ILoveDigestives · 26/02/2008 10:04

JayJ, totally relate. Our LO eats like a horse (she's breastfed) - takes 7oz of EBM at night and yet has dropped through the centiles like they weren't there. Always gaining, but always just "below average". I think she wins the dinkiest baby award, as at 12 weeks she is 8 5oz (she was 6 13oz at birth) and is comfortably below the 0.4th.

But, she is the happiest baby you've ever seen - grins at all and sundry and has just started giggling with amusing regularity. Plenty of wet and dirty nappies - holds her head up and is developmentally ahead of her peers (Hah!) - so although we do worry about her, until there is another reason to be concerned about her health (and there isn't), we are just learning to love our beautiful petite DD. Some days easier than others, but we are getting there...

Caz10 · 26/02/2008 10:09

thanks! and don't worry re ranting, that's all i do on here. i am worried re there being something underlying too, hopefully tomorrow will put our minds at rest.
mine doesn't wake for a night feed either - i've stopped waking her as she wasn't feeding when we did - i just stay up quite late with her, she is cluster feeding in the evenings at the mo anyway, so last feed is normally about midnight then she goes till 5 or 6.

Caz10 · 27/02/2008 21:20

shameless copying and pasting from another thread, but have been to see paed...

well ladies and gents...i heart my paediatrician

what a sensible man!

dd is FINE!

he took such a thorough history, and asked really sensible bf-ing questions, like how quickly we'd got bf-ing established in the hospital, did i feed from both sides etc.

he used the thrive line acetates and showed us that even when dd dropped weight she still hadn't crossed any thrive lines.

he mentioned her "finding her own place" on the curve.

he understood the affect top ups could have.

he ALSO mentioned the affect that people uneccessarily undermining your confidence could have on your bf-ng .

he saw no reason to be giving dd formula.

he advised that she should only be weighed monthly, or fortnightly at the very most.

my faith is restored! i was about to say in the NHS but we had to pay to see this one...worth it though

basically we knew all of these things, but much nicer to hear an expert telling you them.

i can't say i'm instantly going to stop worrying, and i still feel annoyed/defensive when people tell me what a "little doll" she is. might get a t-shirt for her that says "my paed says I'm just fine thank you"

PHEW!!

ILoveDigestives · 28/02/2008 11:03

Sigh, only 1oz this week. A 13 week old, full-term, baby at 8 6oz - it's kinda embarrassing, no?

And as the DH, I can't do anything about it I have fought tooth and nail to support DW's desire to breast-feed exclusively, as I believe it's best, but there is still the nagging doubt that DD's not getting enough, and needs more. We were expressing for a while, and this, I think, helped her start putting on weight - but it's was pretty unsustainable, involving DW getting up in the middle of the night to express, and then expressing several times during the day to get enough for me to give it to her at night (she was taking 7oz in one go). It's no surprise that DW decided she couldn't do it anymore.

I have to tread lightly because, whether rightly or wrongly, DW's identity as a good mother are totally wrapped up in her ability to feed LO - but equally I'm getting more and more worried about DD, and can't help thinking that she'd put on more weight if she was getting more of the good stuff (one way or another).

All other respects healthy, etc, but she's far too small, isn't she? Neither DW or myself are petite (I'm 5ft 11, she's 5ft 7) - so I really don't think it's natural for DD to be this small.

HV isn't too concerned still - but should she be? I don't know.

Sigh, just when we thought we were getting somewhere...

verylittlecarrot · 28/02/2008 11:44

ILD, don't despair. I've checked dd's weights and around this age is when she started to plateau too...

11 weeks; 8lb 6
12 weeks; 8lb 9
13 weeks; 8lb 9
15 weeks; 8lb 10
16 weeks; 8lb 13

In fact this plateau is what pushed me to seek a paed appointment, as I lost my nerve around this time, before Christmas.

Your story sounds uncannily similar to mine. I also found it very difficult to express, and gave up when I realised that there wasn't even a very sound reason supporting my efforts. I still, to this day do not understand WHY dd wasn't putting weight on the way she 'ought to' when I was doing everything right. Oh, I'm 5'7'' too, so not exactly wee.

I do understand it must be very difficult for you to not be able to step in and intervene in the process, but I beg you, please continue to be the sensitive dad you clearly are in regard to this. I guarantee you, for every doubt and worry you have about dd's milk intake and weight, your lovely wife will have had that doubt herself, multiplied, and magnified, and dwelt on and anguished over. There is nothing you can say that she won't have already thought of, and probably tortured herself with.

You clearly are extremely aware, sensitive, intelligent and thoughtful. You are of course, allowed to have your wobbly moments too. But please, vent to us here on the thread, and do be so very careful about what you say to your dw. If she feels just a fraction of what I felt / feel, any doubt expressed by you in the success of the bf relationship which she has worked so hard to establish, might do awful things to her confidence.

Further down the thread, I wrote at one point "can the carrots have the 'tiny acorn' prize?". At that point I was freaking out that NOONE had a baby as extreme as mine. I felt some panic at the time.

Your little one is provoking similar feelings in you, and that is to be expected. But, just a few weeks on, here's how I feel...

  1. DD has never been sick at all. She is completely healthy. I ascribe this down to being exclusively breastfed, and more to the point, with ENOUGH milk to keep her healthy.
  2. Despite what the stupid paed wrote to justify his prejudice, I KNOW she has no developmental delays. She is completely normal.
  3. All insidious causes are ruled out, so no worries there.
  4. I'm really glad I held out with the weaning, because she has taken to food with such enthusiasm, and is ready for it.
  5. Despite the worrying plateaus, she still gained weight. My head tells me that calories in > calories used for this to be the case
  6. I have this belief that nature isn't stupid. That, excluding disease or sickness, it has designed a system that protects the health of the infant through breastfeeding.

Even though I still don't have any answers for the atypical weight gain during those first 6 months, I am, in retrospect, sure that bf protected her - not harmed her. I know I'd have punished myself if I had given formula to increase the weight gain, and suspect it would have achieved a number on a page, but not done anything material or positive to her health. It would have been purely a paper exercise.

My best advice to you is this. Seek out a very experienced bfc from the ABM or NCT. NOT one connected with a hospital or the NHS. Get them to observe a feed, or better still, more than one. Ask them this - what should I be doing differently? What could be the cause of the slow weight gain?

If the most experienced experts you can find cannot identify a problem, then you might decide to hang on to your instincts and brazen it out in the face of pressure and doubts.

I truly feel for what you are going through. And wish you and mrs ILD all the very very best.

verylittlecarrot · 28/02/2008 11:55

Caz - I'm thrilled for you by the way. I think I heart your paed too.

We see our paed again tomorrow, and I don't expect such a positive outcome, despite dd's super weight gain since he last saw her. We'll weigh her again today to get a final idea of how she's gained since early Jan.

Still, the weight gain has cheered me up, and I think she is almost back onto the bottom centile based on the WHO bf charts. (which I shall flap in the face of the paed tomorrow)

Caz10 · 28/02/2008 20:09

ILD verylittlecarrot has said much more eloquently than i could what a wonderful dh you are. i second everything she said (fab post!) and i absolutely back up this part:

"do be so very careful about what you say to your dw. If she feels just a fraction of what I felt / feel, any doubt expressed by you in the success of the bf relationship which she has worked so hard to establish, might do awful things to her confidence".

i know that my dh has felt the way you do, and i know he is torn between wanting to support the bf-ing but is also so worried re dd. but if he were to express doubts i think i would a. pack it all in, and b. have very difficult and i suspect damaging feelings towards him

our dd is really no bigger than yours, 8lbs 5oz at 11.5 weeks, she is certainly not going to be massively different at 13wks, so although i am feeling encouraged by what the paed said, i still feel everything that comes with having a (whispers) ridiculously small baby...

vlc uses the term panic and i think that is so exactly right...i feel so happy about dd most of the time but it just takes one comment or off moment and i feel that lurch of panic that SOMETHING IS NOT RIGHT.

the paed took no bloods or anything so i am still worried about something gruesome and underlying.

don't know what i am trying to say here really!

vlc good luck tomorrow you must post and let us know. ild has your lo seen a paed?

SparklyGothKat · 02/03/2008 00:31

Hi all, Callum is now doing well, WITHOUT formula top ups!! He is 11lb 5oz at 23 weeks and is back to full breastfeeding

verylittlecarrot · 02/03/2008 01:02

SGK - you are wonderful. Congratulations on getting back to excl bf, I know that is what you wanted so badly. He sounds a great weight too. Hope those WHO charts are useful to you now he's at the right age

SparklyGothKat · 02/03/2008 11:36

Thanks VLC, He still looks small, especially compared to my sister's LO, And is still very newborn like (apart from the smiles and the chatting) He is in 0-3 clothes now. I know he might drop back down the chart but I can't be bothered with it now, if they want to have a go at me, I will just get them to phone the BF consultant, who said that he was fine even before the formula topups. He seems happy enough without the topup bottle, but he does have EBM in a bottle in the evening.

sukkwan88 · 02/03/2008 20:56

hi everyone, sorry to interrupt the dialogue here, i'm new here! and havent had time to read through the whole thread yet - my ds' weight has also plateau'd; between 11 weeks and 23 weeks he's only gained 1lb&1oz (or 480gms) - that's over 12 weeks!!! he's dropped from the 25th centile to the 0.4th centile now...

i was also advised to start weaning with baby rice first, which i have done. i've also tried carrot and just this evening i've noticed increased dry patches on his arms. I'm so worried that i've given him eczema now

yesterday i cranked up my intake of water to increase my breastmilk supply. up until 5 days ago my ds was exclusively breastfed on demand but i didnt start using a dummy until well after his weight began plateau-ing.. altho with the concern i feel nowadays, i'm of course paranoid the dummy has caused the drop in demand........ maybe...?? argh!!

Caz10 · 02/03/2008 22:30

hi sukkwan88 and welcome.

i am faaaarrrrr from an expert, but i don't think drinking water will up your supply (although it will keep you feeling hydrated and healthy). as far as i know feeding (and pumping to a lesser extent?) are the best things to do. just putting ds to the breast as much as humanly possible?

what has the GP/HV said re the slow weight gain? did he gain fast in the 1st 11wks?

sorry i can't offer much help, i'm sure someone with more of a clue will be along soon!

ILoveDigestives · 06/03/2008 15:45

Hi guys,

Sorry for the lack of contact - and big thanks for the warm comments above, most appreciated.

LO was a bit poorly over the last couple of days with vomiting and diarrhea (though thankfully only properly for a day), which annoyed us, because it'll mean yet again less weight gain But she's still coming on leaps and bounds developmentally, now holding her head up like a turtle if she's on her front!

And we've got our right-of-passage entry into the club with a, wait for it, referral to the Paeds about her weight! It's freaked out DW, but I could see it coming a mile off and it's probably a good thing if it rules out all the nasty stuff.

SiL is a GP though, and has been majorly unhelpful in phoning DW to imply that she thinks it could be a serious congenital malabsorption problem - like WTF! TBF, she's struggled with her slow weight gain (and our subsequent refusal to go the formula route) since quite early on, so I suspect it's related to that, but unhelpful nevertheless.

Me? I'm having a good day today, and are feeling quite confident that our PetiteOne? is a picture of health - though I can see that DW is really struggling. Any confidence-exuding tips from you ladies would be much appreciated. There's a limit to the amount of times "Darling, it'll be ok" works...

meebles · 06/03/2008 21:18

ILoveDigestives, I wish my husband was more like you! He's just come home, examined the Red Book, and got in a tizz again about DD's slow weight gain this week - and asked me when I was going to get worried enough to do something about it (e.g. give formula top-ups since that's all he can think about). Now I feel horribly guilty and resentful.

I would keep on reminding your DW that weight isn't the only measure of a child's health, and that breastmilk has more calories than formula anyway!

verylittlecarrot · 06/03/2008 22:39

ILD, have I mentioned that I think you are ace?

Tell your DW that she is incredible. That she IS doing the best for your lo. That she would KNOW if anything was seriously wrong. And you can go to the paed referral armed with lots of printouts and info (and learn from my experience what NOT to say!) And as for the GP - pfffffft. When I first saw the paed and asked him to rule out the malabsorption stuff, he said he would do the tests, but that it was really unlikely, and would be obvious really, as evidenced by not-normal nappies, (blood, mucus, vile poo) and other unhappy-baby symptoms like irritability and so on. From the sounds of it, there are no signs of this, so don't waste your worry on something which looks unlikely, on the balance of probabilities. Get it ruled out and move on.

At the moment (32 weeks / 29 corrected age) I am beginning to feel that I have come out the other end, and babycarrot is gaining half a pound a week - incredible. She is now over 12 lb, yet only a month ago at the beginning of February she was 9lb 10 at 27 weeks old. It is not long ago at all that I was in your shoes and I remember acutely how it felt.

I can now say that I do not regret standing my ground at all, and I know that excl bf to 6 months did amazing things for her. She is so ridiculously healthy, that I would do it the same again. I just wish I could have seen that this would happen as we weaned. I am just not worrying the way I was at all.

That's probably little help to you, but try to ride out the tougher days, because they will be followed by days when you feel you are making the best decision you possibly can.

"You can not prevent the birds of sorrow from flying over your head, but you can prevent them from building nests in your hair." ~Chinese Proverb

ILoveDigestives · 07/03/2008 10:45

Thanks guys, I read some select bits of this thread to DW last night (during a middle-of-the-night feed - I try to stay up for part of it so that DW isn't too lonely...) and I think it helped quite a bit!

It's just getting harder because the "isn't she small" comments have progressed into "I think you should see the doctor" and "I'm only telling you this as a friend, but her weight isn't normal - you do know that, don't you?". Hmmmmmph.

Kind of agree with vlc that perhaps the slower weight gain is more normal than people realise because so many people bottle it (if you pardon the pun) and give in to the formula route at the first sign of opposition, thus artificially inflating the weight to achieve a "respectable" position on the page.

So, perhaps, in our own small way we are all helping to redress the balance...

(but, obviously, as long as all the other signs of healthiness are there too).

soremummy · 07/03/2008 11:00

WE HAVE FINALYY CRACKED IT WITH WEANING!!! Yes I am shouting but thats cos its been sooooo hard to get her to eat anything other than half a yorkshire pudding! She has been taking spoon feeds for the last week and has just progressed to 2 meals a day ok I know that 2 tablespoons twice a day isnt much but I am so hoping that when I get her weighed on Tuesday that it will have helped bang a bit of weight on her. Last weigh in was nearly 3 weeks ago she weighed 12lb 5 oz (oops I forgot to go last week ) She had only put on 1.5 oz in 3 weeks but im ever hopeful that we will eventually get onto the .4th centile. I have got the red books out from the other dc and it just proves to me that she is exactly the same as her sis and I am now strong enough to tell the HV that I will not go to a paed just because they think she is little. She is now at nearly 10 months pulling herself up by the sofa and trying to walk so developement is fine shes just a tiny tot and of course since im such a huge size 6 and am 5ft I wouldnt expect her to be huge

verylittlecarrot · 08/03/2008 12:03

congrats soremummy! It is such a huge relief when the food starts to go down, isn't it? I put shocking quantities of cream, creme fraiche, butter, cheese, oil and avocado into babycarrot's food - I add it to everything. I also spoonfeed, alongside finger foods (she feeds herself toast etc) and now a disturbing amount goes down. I really wish you all the best now things are looking up!

ILD; Hope Mrs ILD is feeling better. Keep us posted!

Dalrymps · 08/03/2008 23:43

hi, can I join? Ds is mix fed due to bf probs, was 11lb 5oz at 18wks. Is happy and healthy and weight gain has been slowly increasing lately but he is small. Was 6lb 5oz when born, was gaining between 5 and 9oz a week but then over xmas slowed to 8oz in 3 weeks then it jumped about a bit, one week he lost an oz . last few weeks it seems to be getting better, he'd put on 6oz in 8 days at the last weigh in. Despite knowing he is happy and healthy the weight thing is a constant worry...

Caz10 · 12/03/2008 19:16

Hi Dalrymps!
A constant worry is exactly it!!

I am feeling a bit brighter today as DD got weighed and we are still following her centile line!

OK so it's the very bottom one, but I was worried we'd have dropped off it because I stopped giving top ups and also she has been sleeping a bit longer. So 1lb 4oz in 3 weeks, I am very chuffed. Not relaxed yet tho...

how is everyone else?

ILoveDigestives · 13/03/2008 16:38

Hi Caz, great news!

We are relatively chipper too, as we had DD weighed today and she'd put on 7oz in the last 2 weeks (which included a tummy bug with lots of spewage/pooage) - so that's almost "normal" weight gain - hurrah!

She's not quite 9 pounds yet - 8lb 13oz at 16 weeks, so still the dinkiest-acorn, but a sign that things are moving in the right direction (again).

Warm wishes to you all!

Caz10 · 13/03/2008 18:15

isn't it funny ILD, some babies are born well over 9lbs, and here i am so excited that she's finally hit it at 13 weeks!

well done to your dd! i am trying to put myself in the frame of mind that ANY weight gain is good, also obviously nappies etc as normal.

there was a great link in another thread re the benefits of breastfeeding - you should show it to your dw, good to look at when the going gets tough! will just try to find it...