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-   -   Did anyone else have a slow (weight) gainer? (http://www.naturallycurly.com/curltalk/pregnancy-parenting/35991-did-anyone-else-have-slow-weight-gainer.html)

mad scientist 01-05-2008 12:57 PM

Did anyone else have a slow (weight) gainer?
 
My little Sandhya is 11 days old and still at 13 % below birth weight. She hasn't gained any weight since we left the hospital at 2 days old. She is 5lbs 5 oz (2.4 kg).

So after being harassed daily by public health nurse visits, I finally took her in to the doctor after a week. He thought she looked fine, but then 4 days later, with still no weight gain, he sent us over to see a pediatrician. Ped thinks she looks fine but and that baby's sometimes take 10 days to just equilibrate to being out in the world, but now we should start seeing some weight gain, however slowly it might happen. If she still doesn't start gaining, then he will look into malabsorption or heart issues - neither of which are apparent.

I haven't been given any real instructions other than breastfeed on demand but don't let her go more than 3 hours without feeding. And since I'm pumping, if she seems hungry after a feed (but too tired to keep nursing), I can top her up with EBM. I do this maybe once or twice a day.

Anyways, I'm not worried about her because she looks healthy and alert. Karan had weight gain issues when he was older, but he was a 9 lb brute of a newborn so this is a new experience. She's just so small and quiet!

Can anyone share their experiences with a little newborn and how long it took for the weight to start packing on?

RedCatWaves 01-05-2008 02:46 PM

She was a few weeks early, and with the babies I've seen that are small and early, it seems to take them a little while to catch up. Then they all-of-a-sudden wake up and gain/grow normally.

Is she staying awake for her nursing sessions? That's probably where I'd concentrate most...keeping her awake and alert for those 10-20 minute sessions at least every 2-3 hours and letting her sleep/grow the rest of the time. Undress her and wet her feet/hands/face if it helps to wake her up a bit.

Pumping and topping her off with EBM is a very good idea. Little ones tend to get tired and fall asleep before they finish feeding...and nursing is much harder work for them than bottle feeding.

She'll be fine...just keep feeding her. Before you know it she won't be so quiet anymore. ;)

mad scientist 01-05-2008 03:47 PM

Thanks RCW. The staying awake through feedings was definitely our initial problem. She'd latch on and suck for only a couple of minutes before falling asleep. That's when I started pumping because not only was she not eating, but she also wasn't stimulating my milk production.

We did do a pre/post nursing weigh-in with the nurse a few days ago and she got 25 mL off only one breast, which is very good (our target is 40-50mL per feeding, assuming 8-10 feedings per day). And my breasts are definitely full now.

I'm just wondering where all that milk is going, if she's not putting on weight? :wink:

cosmicfly 01-05-2008 03:50 PM

My Maya was smallish and quiet and gained, though slowly. She was full term, though. My Maxwell was more than 2 lb. heavier at birth (also full term), but was slow to regain his birth weight and the pediatrician made kind of an issue of it- told me I had to feed him every 2 hours, and of course I did as he was my first baby.

The first thing that came to mind was what RCW said. The other thought I had was whether you had any IV fluids duirng delivery. I did with Max, did not with Maya, and noticed that even though he was bigger and more active and ate more and more frequently, it took him longer to regain his birth weight, and I wondered if it was because the excess fluids from the IV inflated his weight, if that makes sense.

mad scientist 01-05-2008 04:13 PM

Quote:

Originally Posted by cosmicfly (Post 457304)
The other thought I had was whether you had any IV fluids duirng delivery. I did with Max, did not with Maya, and noticed that even though he was bigger and more active and ate more and more frequently, it took him longer to regain his birth weight, and I wondered if it was because the excess fluids from the IV inflated his weight, if that makes sense.

I thought about this as well. I did have IV fluids for about 4 hours since I went into the hospital already dehydrated from the stomach flu, and I was GBS+.

But even taking the target birth weight out of the equation, she's not gaining weight at ALL. Her weight is only fluctuating +/- 20 g from day to day which is equivalent to the difference in whether she peed just before weigh-in one day and not the next.

curly_keltie 01-08-2008 11:36 AM

My DS was (and still is) a slow weight gainer. At his one year appointment, DS weighed just over 18 pounds and the Community Health Nurse sat me down to discuss what I was feeding him. Yes...she used THAT tone. For the record, DS eats like a little piggy but is also extremely active.

As long as they are happy and have enough wet and dirty diapers in a day...I wouldn't be too concerned.

melloweer 01-10-2008 09:29 PM

Just to share my expierence....my son is now 11 but he was a very slow weight gainer and a very slow heighth grower. He's just now started to catch up to the boys his age, but I'm saying just now within the past 3 months. He's gained 15lbs in 3 months and grown 4 inches....allllll of a sudden too! No worries because his doc monitors him but it took him 11 years to get to this point :) I was "talked to" by people all the time because he was always much smaller weight/height then kids his age. For example when he was in 1st grade you should averagely wear 7/8...he was just starting to fit into 5/6 pants if he had a belt.....

I think as long as your doctor says your lil one is fine...it's good.

mad scientist 01-15-2008 06:20 PM

Quote:

Originally Posted by RedCatWaves (Post 457250)
She was a few weeks early, and with the babies I've seen that are small and early, it seems to take them a little while to catch up. Then they all-of-a-sudden wake up and gain/grow normally.

Well, this describes my girl to a T!

We had a weigh-in yesterday and she gained 500 g (1 lb 2 oz) in 10 days. After not gaining any weight in the first 10 days.

Sandhya is now a hefty 6 lbs 8 oz. :wink:

Thanks everyone for your support/ideas!

RedCatWaves 01-15-2008 07:12 PM

Quote:

Originally Posted by mad scientist (Post 465767)
Quote:

Originally Posted by RedCatWaves (Post 457250)
She was a few weeks early, and with the babies I've seen that are small and early, it seems to take them a little while to catch up. Then they all-of-a-sudden wake up and gain/grow normally.

Well, this describes my girl to a T!

We had a weigh-in yesterday and she gained 500 g (1 lb 2 oz) in 10 days. After not gaining any weight in the first 10 days.

Sandhya is now a hefty 6 lbs 8 oz. :wink:

Thanks everyone for your support/ideas!


I'm glad she's finally woken up and started gaining! A pound in 10 days is awesome. She'll grow nicely now, I'm sure.


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