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Infant feeding

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

Helo - thought I'd cracked it but now weight gain is slow. What to do?

29 replies

rebeccacad · 18/06/2010 11:13

Hi there

bit of back story, started topping up DD at 6 weeks as she was always cranky, slow-gaining and was staying with my parents who persuaded me (regret it now).

She piled on weight at about 7 Ozs a week from then on, was generally happier until about the 10 week mark when she started breast feeding for shorter and shorter periods - nipple confusion.

After seeing BF supporters I started using a supplemental nursing system and expressing after every feed. Was really hard work but after 4 weeks I had weaned her off it and she has been exclusively BF'd from then apart from a bottle of mised EBM and FF before bed (can't express quite enough).

I had her weighted 2 weeks ago and then again today and she has only put on 3 ozs in 2 weeks which isn't in the normal range.

She is feeding every 3 hours (sometimes a little more often, sometimes a little less). Longest feeds 15 mins - usually more around 10. She is very distractable (but am already feeding her in quiet, dim room wherever possible) and has always been much less interested once the flow slows down. She has both breasts - I offer her the second when she gets fed up with the first (she's very impatient once flow slows) comes off on her own, I offer first breast again until she gets really cross and then I sit her up.

She doesn't ever seem hungry, she wees and poos fine (we've had 1 green poo over last couple of weeks all the rest nice and yellow) is very content and smiley and alert.

She has also started dropping all the night feeds. We were down to 1 at around 4am, but last few weeks she has dropped that 3 nights in a row. The last 3 nights I have soothed her back to sleep without feeding her if she woke (to see if it was habitual or if she needed it) (after first night this has only taken a couple of mins) and she has gone back to sleep and frequently had to be woken at 7am.

I guess what I'm thinking is that her weight gain isn't enough so I'm worried and really don't want to start topping her up again. But she doesn't seem like she wants more food and surely wouldn't be so content in day and sleeping through often at night if she was hungry?

So any BF experts can you help? I plan to start expressing again after each feed to try and get supply up, try and feed her as much as I can during the day and keep her on as long as I can.

But, should I start messing with the nights? Obviously if she seems hungry at night I'll feed her, but if she doesn't I confess that I am enjoying the extra sleep and would love not to have to force night feeds on her if she isn't really asking for them.

I wondered about doing all I can in the day for the next 2 weeks, having her weighed again and if it hasn't gone up enough then introducing more night feeds.

Any advice really appreciated.

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rebeccacad · 18/06/2010 11:13

p.s. sorry about typos - dashing this off too quickly.

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logrrl · 18/06/2010 12:27

what age is she now?

rebeccacad · 18/06/2010 12:30

She's 17 weeks today.

Thanks

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rebeccacad · 18/06/2010 15:22

bump

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rebeccacad · 18/06/2010 18:00

bumping again -sorry it's so long, just really need some MN wisdom as have really worked at this and feel like it's all going wrong and not sure what to do.

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mum2JRC · 18/06/2010 19:59

How often is she feeding in the day? If she is wanting to sleep at night I would not necessarily wake her.

It sounds like she is weeing and pooing fine and she there are no developmental concerns.

I think one weigh in in isolation is difficult to know if she has true slow weight gain.

Try not to worry too much. You've worked really hard and your doing really well.
Could you try the NCT breastfeeding helplines or La Leche League for advice and support.

crikeybadger · 18/06/2010 20:02

Sorry no one's around to offer you some help rebeccad.

Can only think that maybe the drop in night feeds has led to her not gaining so much. My LO did a similar thing in the night (and I thought at the time - fantastic!) but it really affected his weight. I ended up having to wake him in the night as the bfc thought that he was maybe saving his energy rather than wake up to feed.

OK, so this may not be the case for your LO. What does your HV say? Perhaps give one of the feeding helplines a call- they are going to be more knowledgeable than me!

Hope you find a way forward.

rebeccacad · 18/06/2010 20:02

Hi there

thanks so much for replying. I do know one weigh in isn't that indicative - it's just hard when it's the first time she's been weighed since I stopped supplementing. I have this constant worry I'm not giving her enough and just feel like this confirmed it.

She's feeding every three hours, give or take 15 mins or so from 7am to 7pm. Though today I've shoved my boob at her at every opportunity!

Thanks again

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GetThePartyStarted · 18/06/2010 20:17

Apparently they now advise that babies are only weighed at their jabs (so 8 weeks, 12 weeks and 16weeks) because if you weigh them more frequently you can get really worried when in actual fact, everything is fine.

What centile was she born on, and is she following a centile now? They are meant to slow down their weight increase as they get older as if they kept on putting on the amount they do when they are just born, they would end up elephents!

From what my HV (who specialises in BFing) has said, the important thing is whether the baby seems alert and well, poos, wees etc which you have said your DD does. She would also check the latch and interact with the baby a bit if it dropped more than 2 centile spaces in 4-6 weeks, but it is apparently very common at this age, especially in breast fed babies (my 19 week old DS has done the same, dropped from 98th centile to 75th over the past three months but is fine in himself)

If you are worried, why not go along to a LLL or Baby Cafe, and get some advice from them? They see hundreds of babies, so would be able to tell you that everything is fine, or if you should keep an eye on her.

She sounds great to me, wish DS would drop some of his night feeds!

ZuzuandZara · 18/06/2010 20:25

Hi
I'm no expert but for what it's worth...

I definately wouldn't force night feeds, you both need your sleep!

Mine are 19 weeks and weight gain was rapid in the first couple of months (twins born at 3 and 4lbs) then tapered off so they were only gaining a couple of ounces each per week.

Now weighing fortnightly, M only put on 1oz over a fortnight - 1 flippin oz!! Don't know why I bother feeding her! But 2 weeks later had put on 14 oz!

Sounds like you are doing a fab job, she's happy, lots of wet and dirty nappies, not hungry, definately being offered enough, starting to sleep through (lucky you!)

I think you're doing fine, wait and see what next weigh in shows before you panic!

rebeccacad · 18/06/2010 20:27

Well she was born just over 25th centile (though if she'd been born 3 days earlier she would have been on a higher centile as would have been counted as premature), went down just over a centile in first few weeks and then jumped up nearly 2 when I was supplementing her so all a bit all over the place and hard to tell.

Good to hear that weight gain does slow down, though 1.5 ozs in a week doesn't seem enough - but you are right, weighing too regularly is the way to madness.

She will be weighed again in 2 weeks at her next set of jabs...

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rebeccacad · 18/06/2010 20:32

crikey I ran away from the baby clinic sharpish as the HV is rubbish and I know would just have said -' well give her more formula'!

I'm going to give the helplines a try - it's so tricky as I don't really have anything to compare her weight gain with as she was being supplemented until 3 weeks ago.

Thanks for all the positive comments - rationally I know that alert, happy baby doing lots of sleeping at night, developing well and weeing and pooing means she is basically fine, but hey, Bfing isn't all about being rational!

Zuzu - what an amazing fluctuation in weight gain - that really gives me hope that it was a bit of a blip (ROFL at 'why do I bother feeding her')

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ZuzuandZara · 18/06/2010 20:34

Rebecca, just re-read you're posts and I think you need to have a little more faith in yourself! Look at what you have said about her behaviour and really I think try to relax a bit.

Your comments that you feel like it's all going wrong and constant worry that you're not giving her enough sound unnecessary.

I really hope I'm not completely off the mark, and like I say I'm certainly no expert but I hate the thought of you worrying so when it sounds like every thing is hunky dory. hth.

rebeccacad · 18/06/2010 20:37

Thanks Zuzu - you are quite right. I guess it has just been such hard work getting back to breastfeeding after all the bumps in the road that I feel over anxious about it.

Am going to write 'everything is hunky dory' on my chest and make it my mantra. (shuffles off to find a permanent marker)

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ZuzuandZara · 18/06/2010 20:37

Sometimes I think I'm a little too relaxed!

Ring the helplines by all means but don't be too consumed by the weight gain thing at the moment when there doesn't seem to be anything wrong!

ZuzuandZara · 18/06/2010 20:39

Cross posting!

Write it upside down on each boob then you can see it everytime you look down to feed!

Enjoy the sunshine and the weekend, and of course your lovely baby

rebeccacad · 18/06/2010 20:43

Brilliant suggestion - this is why I love MN!

Have a great weekend too - oh and well done on BFing twins!

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ZuzuandZara · 18/06/2010 20:46

Thank you! [proud]

crikeybadger · 18/06/2010 20:54

You're right rebeccaad, it is so hard to trust our instincts isn't it. It does sound like everything is fine when you look at your dd 'as a whole'. I 'spect her weight will have gone sky high when you get her weighed in two weeks. (oh and I know what you mean about the HV - I've run away from a baby clinic before and got myself another one!)

rebeccacad · 18/06/2010 21:22

Glad to hear it isn't just me who runs screaming from HVs!

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FlipFantasia · 18/06/2010 21:27

Hi Rebecca, I'm loving ZuzuandZara's suggestion of booby notes . But seriously, I agree with her that you should trust in your ability to feed your lovely DD (remember, I've met her so I know she's a lovely baby!). You've been through a lot to get to this point, so I'd say trust your eyes (happy little girl growing beautifully) and not the scales. I say this having spoken with a paed when I was at the hospital for DS's head thing (DS dropped from 75th at birth to hovering halfway between 9th & 25th at 6 weeks and has stayed there). The paed basically said the same thing to me - trust my eyes and enjoy my lively lean baby - and said that he's only worried about things like sustained weight loss or floppy, lethargic babies etc.

Also, I've read on MN (perhaps one of Tiktok's posts?) that for the first 6 months there's no significant difference in weight between FF and BF babies. I'm afraid I can't find the reference (something to do with there not being much difference between the old charts and the new WHO charts for the first several months), but what I'm trying to say is that I don't think the mixed formula/breast feeding would have that much of an impact on your DD's weight.

Anyway, I hate the feeling of worrying about feeding so I really hope you can relax soon. Easier said than done I know...

FlipFantasia · 18/06/2010 21:31

PS I've not had DS weighed since he was 10 weeks, at the hospital app when I spoke to the paed. Our GP doesn't weigh them at the jabs (second lot today). I'm not going near any of those weigh in clinics! Never been to one and from my NCT friends it seems you either love them and are addicted to them (the 2 with babies on the 98th centile) or you hate them and they make you anxious and bad about yourself/your ability to breastfeed but you go along anyway out of some sort of masochism (the friend with a baby just below the 9th centile). I'm steering well clear as I think they'd just stir all the anxiety I had about DS's weight between 6 & 10 weeks.

rebeccacad · 18/06/2010 21:36

Thanks for the lovely words Flip - will add 'I must trust my instincts' to the booby notes.

Good to hear what the paed said too.

I did brilliantly at avoiding having her weighed for a full 7 weeks, but we have to when we get our jabs done. Anyway - maybe I'll get DH to go next time, not tell me and hide the red book!

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ZuzuandZara · 18/06/2010 22:08

Rebecca, don't forget that doctors/hv/clinic etc scales may very well weigh slightly differently.

Pingpong · 18/06/2010 22:39

hee hee flip I'm obsessed as baby G is so big so I'm in the same category as your NCT friends. I just can't believe how big she is!I do enjoy getting her weighed and DH and I take bets before hand!

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