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Weaning

Find weaning advice from other Mumsnetters on our Weaning forum. Use our child development calendar for more information.

'Underweight' and weaning

11 replies

SmallPurpleCat · 17/04/2011 20:27

My LO is 16 weeks and weighs 11lb 14oz (7lb 14oz at birth). Initially she gained weight well but since about 8 weeks she's only gained about 6oz every fortnight and has dropped 2 centiles.

We saw a paediatrician this week and he recommended starting weaning the end of this month when LO is 18 weeks to try and get her to gain some weight.

Anyone else been in this position?

OP posts:
fifitot · 17/04/2011 21:30

How can weaning onto food help with weight gain at 18 wks? I am no expert but that seems far too young. They get most of their calories from milk still, for ages. Is LO BF or FF? Maybe you need to increase milk feeds?

I am not saying go against the advice of a medic but really do think it is odd advice.

Kleftico · 17/04/2011 21:37

More calories in BM or formula than veg and fruit purees. They are talking twaddle. I told my HV to f off when told same advice re DD a few years ago. I invited him to come back when DH was home and have a look at the long steak of tea he is! Btw I'm not huge myself. Stop worrying, it's a centile scale for a reason. If all babies were on the 91st it wouldn't be realistic IMHO. As long as your baby is gaining however, small the amounts I personally wouldn't worry. Presumably you're changing lots of wet and pooey nappies? That's your indicator.

Rosebud05 · 17/04/2011 22:08

AFAIK, 3oz weight gain a week in within 'normal' weight gain for babies as young as yours. It's losing weight or not gaining at all which is a concern.

Do you want to wean? You could post this in the breast/bottle feeding topic and people with more expertise re: feeding will hopefully come along with advice.

RitaMorgan · 17/04/2011 22:21

Underweight compared to what? Not all babies are fatties.

If your baby is gaining weight, healthy, happy and alert then maybe she is just small?

SmallPurpleCat · 19/04/2011 22:18

Maybe 'underweight' is not the correct term - more like slow weight gain and dropping centiles.

I really am undecided whether to try weaning her at 18 weeks.

She is chewing her fingers alot but other than that isn't showing any other signs of being ready to wean.

Will do some more reading over the next few weeks and see what I think then.

OP posts:
Morebounceperounce · 20/04/2011 13:09

Am dealing with the same issue with my 22 week old DD, who has dropped three centiles now from birth and just doesn't seem to put weight on. After some great advice on here and a super personal response from a La Leche League advisor (help form available here, DD put on 11 oz in a week after previously achieving not even half that. The advice I got helped me realise that nice creamy milk is going to put the weight on, and DD was getting distracted during feeds and some time spent skin to skin in bed helped her focus and boost my supply.

If you are BF and you have a couple of weeks before you're thinking about trying weaning, maybe try some different strategies?

Best of luck, I know it can be stressful but if your baby is alert and happy, hang onto that!

loftyjen · 20/04/2011 22:11

My DD was born weighing 4lb 10oz and was a battle to get br/feeding established, had to give EBM top-ups to keep her weight gain up and she persisted on adding her own centile line to the chart - the 0.2nd!

I weaned her at 5mths, not due to her size, but that I was fed up of getting my fingers knawed, she was beginning to sit up well (in a bumbo) and was watching and grabbing at our food. I started with a teaspoon of baby rice, fully expecting to be proved wrong and that I would hold off another month. Instead, she wolfed it down and hasn't looked back since. She turned 7 months yesterday and last week was weighed and now just above the 0.4th centile (little porker!! :) ).

Interestingly, she was a bit pukey (but didn't match any other reflux symptoms) and this has settled a little but as she gets more mobile/active still occurs once or twice a day.

I'd keep an open mind to the paediatricians advice, trying a spoonful of baby rice won't hurt = your baby will soon let you know if they like it or not.

ChunkyPickle · 20/04/2011 22:19

I don't rate this chewing hands thing as an indicator at all.. my little guy chews on everything in site, always has, and still does now he's eating solids as well as milk.

I think babies just chew on their hands.

BertieBotts · 20/04/2011 22:31

It's normal for breastfed babies' weight gain to slow down at 4 months or so - not a sign to wean. Even if you are bottlefeeding, surely following a normal pattern of weight gain for bf babies is fine.

I would have a read of "Baby Led Weaning" by Gill Rapley. It dispels a lot of the myths surrounding weaning and is backed up by research etc too.

kellestar · 22/04/2011 20:36

I just wanted to say [and not in any way competitively] my DD weighed 5lb 13oz at birth and gained well, also for the first 8 weeks. She'd climbed a percentile, but then she dropped down two and is now on the bottom line with a small gain weekly. She's now 18 weeks and weighs 9lb 14oz. She's still gaining, just slowly.

I am getting the opposite advice from you and not to wean just to help improve on weight gain, as they are still mainly getting their calories from Breast or Formula, they would only be taking less than an oz to start with and will not improve immediately to warrant weaning.

My family have made me feel like I am starving my baby. My Gran insists I feed her carnation milk, as that's what she had to do for all her kids as they were slow gaining weight. I've spoken to a few other parents who have babies growing similar rates and they've all done different things. I've taken their info on board, done a bit of research and going to persist with the BF/FF for now. Do you have a feeding group at your local children's centre, it's been a help to me, just to hear other parents tales and to absorb their experiences.

My SiL was told to change from BF to FF as my neice will gain more from FF, this turned out to be old tosh and she continued gaining on the same percentile as before and she regretted her decision. The advice at the time was to wean at 4 months, but she held off until DD was grabbing and trying to munch their food [BLW] which was a little over 5 months.

Remember that you don't have to follow what they say, try and discuss it with them, if it helps write down your questions before you go, and take a pen to jot down their answers and any good sources of information they recommend.

I am going to wait until DD shows signs definate signs of weaning. She can sit up well and has pinched a carrot off my plate before and waggled it about and sucked it, but has yet to give it a munch.

I think sucking is something they all do and isn't a sign of weaning. DD will suck anything and has since she was 9 weeks. I think it's an exploration thing more than anything.

If she can sit well and not supported, slumping makes eating a nightmare for them, poor digestion etc. If she loses the tongue thrust, if you put in some food and it mostly comes back out with her tongue thrusting out then she isn't ready, try again in a few more weeks. You can try putting some safe food within reach of her paws and seeing what she will do. A cooked and cooled carrot stick would be a good example, or a broccoli floret. Make sure it's cool though and not covered in gravy/salt/pepper etc.

It's not easy knowing what to do with so much opinion about, I felt like a failure for quite a while and now starting to get a bit more upbeat. I've cut down on weigh in's twice a week. DD is happy, bright, active and inquisitive. I'd certainly know if she wasn't feeling well and would seek help, but she's gaining slowly but surely.

Sorry for long post. K.

blondieminx · 23/04/2011 23:57

My DD baby led weaned herself at 17 weeks by grabbing my sister's cucumber slice LOL! Do it at your own pace, offer her small amounts and if she likes it carry on. Every HV/paediatrician has ther own take on weaning times - so do what feels right for your baby.

If she's happy in herself (even if she's not gaining weight as quick as is expected - if she's still gaining, not standing still or losing) then you are doing a great job :) - if your baby is happy then you are DOING IT RIGHT!

FWIW my DD did start to whack on the weight after we started weaning but it's an uphill battle in a refluxy baby plus i think she's inherited my slender build. As the poster above said, not all babies can be fatties Grin

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