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Infant feeding

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

Weight gain problems at 2 weeks

47 replies

violeta · 12/03/2008 15:15

I had problems at the very beginning with breastfeeding as I wasn't getting lo to latch on properly. This led to sore, cracked and eventually bleeding nipples. I then used nipple shields for 4 days last week to carry on breastfeeding, expressing when I couldn't feed on one side or the other because she was making me bleed even though the shield. Since Fri now, nipples have mostly healed, lo is latching on properly (m/w checked latch yesterday) and I've chucked the nipple shields (hated them though they served their purpose...). Problem now though is that at 2 weeks, lo is still to put on weight (3364g at birth, 3200 at 5 days, static after that and now at 14 days has lost another 100g). I'm feeding every 3 hours day and night, getting plenty of wet and dirty nappies, baby bright and alert and pink but she's still not putting on the weight .
If there's still no weight gain at m/w check tomorrow, I'll be told to top up. I'm not keen as that's going to affect my supply and I'm scared it'll be the beginning of the end of breastfeeding for me. But of course I want the best for my daughter as well...
Help!

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PortAndLemon · 13/03/2008 11:25

My God, Tallis!

That is quite possibly the worst HV story I have ever heard on MN, and there have been some corkers.

I would be putting in an extremely official complaint.

Tallis · 13/03/2008 17:50

Thanks all.

It really was so dispiriting. I did, in fact, go back to her clinic the following week because I was so cowed and worried about dd. But I went mob-handed with my mother and another friend, and I think the HV realised we meant business! Did lots of fake-o cheery smiles and patronisingly loud cries of "well done" when dd turned out to have regained birthweight. Which of course simply made me want to smack her in the chops.

What really really irritates me, in retrospect, is that much of her advice was quite sensible: make sure you rest a lot, don't have too many friends/family over to visit, don't overdo things. but the way the advice was delivered - well, words fail me. "Start the hard work" is such a negative phrase, regardless of the criticism it also implies of my behaviour in the first two weeks of my baby's life.

I honestly was imagining referrals to social services/at risk register, you name it. Makes me realise just how vulnerable and I was: talk about getting things out of proportion. Luckily I had my mother and a maternity nurse around and I'm quite a sturdy person anyway. I dread to think what effect the HV would have had on someone with less support.

When I told the GP what the HV had said she winced and said, well, yes, she can have an unfortunate brusque manner, "but she means well". I couldn't face taking it any further; felt they knew about the problem but weren't prepared to confront it really.

The other HV in the practice, thankfully, is a darling. She's officially attached to some other GPs but doesn't seem so surprised that I've, er, migrated to her. Perhaps I'm not the first!

violeta · 13/03/2008 19:30

Caz: Great to hear that your lo has put on weight - you must be really pleased.
Tallis: What an absolute nightmare of a woman - how insensitive can some people be?! Glad though that things are now back on track for you.

Well, little Sophie has still not put on any weight . I fed like mad yesterday evening - I think she was permanently affixed to my breasts for about 4 hours last night . I just don't have the time to express though, but I just hope the direct top-ups will eventually do the trick. The m/w I saw today was very sympathetic and on my side (I deal with a team of m/ws and have seen different ones each time (each with differing advice!)), told me that I was doing all of the right things, that Sophie looks bright and well and that if the scales didn't exist there just wouldn't be any problems as she doesn't look like a baby with weight problems. So, I'm hoping that all of the extra feeds will eventually pay off and we're going for another weighing tomorrow. The m/w also commented that it was a shame Sophie hasn't been weighed on the same scales at all over the last 2 weeks and that they're not going to judge based on small differences because of this. So, onwards we go!

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rozzyraspberry · 13/03/2008 19:37

Glad the midwife you saw today was supportive violeta. I'm sure the feeding you're doing will have effects soon and if she's happy to keep feeding lots from you I'm sure that's better than expressing.

We too have the cluster feeding in the evenings. Usually from around 6 to 9 but he's really good during the night so don't really mind this. Means I have an excuse to sit down and watch tv whilst feeding after my older 2 dc go to bed

Tallis you're experience with that hv is shocking. You're right you are really vulnerable just after having a baby - especially your first I think - and really turn to mw and hv for support and advice. It's a shame that mothers don't always get that!

StarlightMcKenzie · 13/03/2008 21:03

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violeta · 13/03/2008 23:28

Thanks Starlight. Yes, it's the same m/w doing the weighing tomorrow - as much as anything else the m/w wants to use the same scales tomorrow as have been used before for Sophie as the ones today hadn't been used before - hopefully this should mean a more accurate reading anyway. But, I imagine that as long as Sophie hasn't lost any weight the m/w will be happy to let me have another couple of days to see if all of this increased feeding has made any difference.

Yes, I am feeding from both sides now and Sophie is quite happily going along with it.

Thanks again for all of your help and advice.

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StarlightMcKenzie · 14/03/2008 17:55

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violeta · 14/03/2008 19:58

Hi Starlight,
Well, it seems that Sophie may have gained 50g since yesterday, though what with the different scales and so on it's all a bit vague. Trouble is though that the midwives are starting to get a bit concerned - the midwife I saw yesterday and today spoke to her boss who recommended that Sophie see a paedeatrician (sp!)because they feel that her weight is basically static and she'll be 3 wks on Tues. In the end, the m/w spoke to a paed at the hospital who has recommended that I give her 180ml in extra expressed milk a day. I am effectively giving her top-ups directly from the breast, which has been working well, but it seems that they want to see exactly how much she's taking in. So, I think I'll do both - feed from both sides and express 30ml or so between feeds to give her after a feed as well. She'll be weighed again on Sun, and they'll reassess then. I am losing confidence a little, fearing I just don't have enough milk for Sophie. Any good tips for increasing lactation? I'm drinking malt drinks and the m/w today recommended fenugreek - any other good tips?

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violeta · 14/03/2008 19:59

I'm really feeling that it was the nipple shields that caused all of this - just how easy is it to increase milk supply after it has dropped?

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StarlightMcKenzie · 14/03/2008 22:41

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violeta · 15/03/2008 11:02

Oh, thank you ever so much. It really means a lot to me to have this kind of support. No, we don't have an appt with the paediatrician at the moment, but I'm sure Sophie will more than likely get referred if there's not much difference when she gets weighed tomorrow (on the handheld scales, ho hum...) I plan to ask to get her weighed on the digital scales on Mon if there still seems to be a problem though.
It's all such a hassle though - I just hope it all gets sorted soon.

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rozzyraspberry · 15/03/2008 17:32

OK I may have miscalculated but is 50g not just over 1.5oz? That to me is a fantastic weight gain for 1 day!! My lo put on 5oz between 2 and 3 weeks and my hv was really happy with this (he was his exact birth weight at 2 weeks so this was his first real gain). He then put on 10 oz the next week. I really think it sounds like you're on the right tracks now.

I also know someone whose dd didn't get back to her birth weight until 4 weeks old. She kept exclusively bf and her lo is now 10 weeks, really big and thriving!

Keep up the good work you're doing brilliantly!!!

tiktok · 15/03/2008 17:48

violeta, it's up to you how you put this to the midwives, but you are within your rights to refuse to have your baby weighed, and especially to have her weighed on inadequate scales.

I cannot see any benefit whatsoever in weighing your baby if they cannot use the right equipment. Spring balance scales can be out to the tune of several ounces either way. No one should be using them for weighing anything but potatoes in 2008!!

Your troubles started with poor help to get your baby latched. You were then advised to use nipple shields with all of their drawbacks. You were told to feed on one side only. Your baby was weighed incompetently. It's a catalogue of poor care.

However, it now looks as though things may be turning a corner Your persistance and dedication is paying off, in the first really trustworthy weight gain you have had...and weighing on Monday (with the proper scales) is surely soon enough to confirm this improvement is being maintained - what do you think?

StarlightMcKenzie · 15/03/2008 17:54

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tiktok · 15/03/2008 17:58

Sorry to bang on about the scales, but they are actually illegal

Here is an article which explains the EU directive, and warns clinics that trading standards could swoop on them, and explains that babies should not be weighed on properly calibrated equipment ie the approved scales.

StarlightMcKenzie · 15/03/2008 18:06

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StarlightMcKenzie · 15/03/2008 18:21

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tiktok · 15/03/2008 18:33

Doh - not 'babies should not be weighed on proper scales' but only weighed on these

violeta · 15/03/2008 22:12

Thanks tiktok for the link about the scales - I've printed it out for ref. I'm not surprised to be honest - I did wonder when the midwife the other day said she was 'about' 3.1kg!
In future, I'll insist that she's weighed purely on the digital scales, and the same ones at that!
Incidentally, is it generally possible to weigh babies in chemists on digital scales? Do chemists generally have the facility for this, do you know?
Thanks again for all of the support and help - much appreciated.

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tiktok · 16/03/2008 00:04

You're welcome, violeta

I don't know about chemists and scales - I have never heard of babies being weighed in chemists, and I would doubt it would be poss. to weigh a naked baby (they have to be naked for accuracy) without a lot of fuss, and I would not trust the scales to be regularly checked and calibrated.

(snorting with derision at 'about 3.1 kg' - honestly....that's fine for a fish, but not for a clinical assessment of an infant!)

violeta · 16/03/2008 14:07

Midwife has been this am and Sophie has gained another 100g! That's 50g a day more or less, which is great. OK, it's the damned handheld scales (but I'm not so much against them when they show an increase like that!) but it certainly seems that we're doing something right at last!

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StarlightMcKenzie · 16/03/2008 15:02

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