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yankeesundbound 11-29-2012 06:49 PM

updated - baby in 5th percentile at 2months
DD was 7.6 at birth, lost a pound within a week, then gained it right back the next week. She was 9.6 at her 2 month appt on Monday, making her in the 5th percent. now. Dr. says she's "borderline concerned" and I need to bring her back in 2 weeks for a weight check. I'm freaking out a little. Technically she has gained only 3 lbs in 2 months. She has been sleeping through the night for the past 3 weeks. I figured she would wake up if hungry... she eats an average of 1 ounce for every hour awake and I feed on demand. So does DH and the sitter. Should I be concerned? I do not want to supplement!

update- Took DD in for another weight check and she has only gained 2 ozs in 2 weeks :( She is still sleeping through the night and appears happy, except for watery dark poop a few times in the last few days. Doc checked her over today and said she seems fine otherwise and come back in another 2 weeks. If she hasn't improved they will start running labs. I asked about supplementing and waking her up at night to feed and she said not to. I am at a loss...

ETA Dr. is using the CDC chart. I checked the WHO chart today and she is the same percentile there, 5% like she was two weeks ago. Thanks for all the support, I was not freaking out today until she said "failure to thrive" and mentioned labs and a GI specialist.

KimKim 11-30-2012 12:20 AM

If you are worried, maybe wake her up one or two times to feed during the night. That's all I can think of, sorry I have no experience with lower percentile weights as my dd is in the 90th.

Yarnjess 11-30-2012 12:43 AM

Re: baby in 5th percentile at 2months
Talk to an IBCLC before you start supplementing. Do you have a strong letdown? Does your baby spit up a lot? With a strong letdown sometimes the baby has a hard time keeping up and isn't able to take in all the milk and/or spits a lot of it back up. Also, is baby dressed warmly enough? I know a couple whose baby had a hard time gaining weight and it turned out that they just needed to put more clothes on her. She was spending too many calories keeping her body temp up and couldn't gain weight. Once she had more clothes on she was able to gain easily. Just a couple thoughts off the top of my head.

Also, are you and/or the baby's father on the smaller side? Is it possible that your baby's just small? If she's gaining steadily on her own curve, then she should be fine.

Other thoughts: is she swaddled at night? Sometimes babies don't wake to feed at night when swaddled because they can't wave their arms to wake themselves up. Just something else to consider.

GreenDahlia 11-30-2012 12:44 AM

Re: baby in 5th percentile at 2months
:hugs: Feeding issues are so scary. It's always hard to give advice in these situations as we're not there with you. I would say go with your mother's intuition. You know deep down. Don't be afraid to do what you have to do. The most important thing is that your child grows and thrives. For what it's worth, both my girls are consistently in the 25% at the most, they are just peanuts as everyone says. I would also suggest finding a professional you trust, whether it be an ICBLC, pediatrician, etc. to get you through this. :hugs: again and good luck.

isabelsmummy 11-30-2012 02:06 AM

Re: baby in 5th percentile at 2months
First of all, someone has to be the 5th percentile! So that in and of itself it not a problem.

So I'm understanding that she gets bottles of breastmilk from the sitter and DH? If that is the case, I can't see any reason you would ever need to supplement unless you can't pump enough. Formula would be suggested by someone who thought the baby wasn't getting enough milk at the breast for some reason. If she were having a problem at the breast, as soon as she got a bottle she'd be gulping down a ton.

How long is 'sleeping through the night'? Maybe sneak a feed in when you go to bed if you want to get a little more into her.

My dd1 has never been above the 10th percentile. She's 8 now and can easily pass for 6. I'm short and my MIL's family is tiny too.

HeatherlovesCDs 11-30-2012 07:35 AM

Re: baby in 5th percentile at 2months
I didn't read the responses, but I've been through this so much. I have 5 of my 6 kids have always been barely on the chart or not on at all. They are slow growers and gainers. Some pediatricians have given me a hard time about it and others have not. It is frustrating because I know it's just my kids and our genes. We are all small.

Don't allow anyone to force you to supplement, especially just because they are at the bottom of the chart. I would make sure you are getting your care from a VERY breastfeeding friendly pediatrician. That makes a big difference. I've been to drs. I trusted to be honest and know when it really was time to supplement and ones who I didn't. With one of my dd's, I got a second opinion. Definitely seek that out if you don't feel comfortable with what yours is telling you.

I also second seeing an IBCLC before starting to supplement.

Some kids are just small. As long as she is following her own growth curve and no dropping off, she is doing great! Hang in there!

PS - My 6th baby is from another planet. He was born at 9lbs 1oz and at 7wks is already just about 12lbs! I don't know what to do with such a big baby. :giggle2:

eLiz21730 11-30-2012 08:33 AM

Re: baby in 5th percentile at 2months
My son has been in the 5th percentile his entire life and he turned 2 in September. Like your child, he started sleeping through the night at 2 months (12 hours sleeping through the night). He pretty much refused to drink out of a bottle when I was not around, never drinking more than an half an ounce to an ounce...maybe 2 ounces if he was really hungry, even as an older baby (8-9 months). He became more agitated if someone tried to continue to push the bottle on him than if they just let him alone about it...he really hated bottles.

I worried a TON at first, but my doctor was not concerned. He said that my son was happy and all of his vitals, etc. were healthy and where they needed to be, that these were big indicators of whether or not we needed to be concerned about his weight. Additionally, I'm tall and thin and do not gain weight easily and my husband is short and petite for a man...both of which contribute to our son's body type. The doctor suggested I could supplement and gave me formula...I was offended some at the time, but in hindsight I realized he was trying to let me know that if I was really worried, I had an option and it was up to me to decide.

It is perfectly reasonable for you to be concerned and one can tell you to stop feeling that way and it's perfectly natural. Try to really observe your baby and ask yourself, "Is she happy? Is she satisfied?" If you can answer "yes" to those questions and your child is responding to you and working on milestones, I would try to take comfort in that and focus on those points. If your child was really hungry or undernourished, she wouldn't be happy and she wouldn't seem satisfied and she wouldn't have the energy to work on her milestones.

Hope you feel better, mama! :)

tibeca 11-30-2012 08:51 AM

Re: baby in 5th percentile at 2months
How is your child measuring on the WHO growth chart? How is she acting in other ways? Is she meeting milestones? How tall/big is your family?

I have 3 kids. 1 was barely 2%. 1 was 90%. 1 is beyond the growth curve (above). All 3 were fed exactly the same way. I make LOTS of milk. My husband and I are small in stature BUT I do have tall family members. My doctor has never once questioned my children's growth because they continue to follow their curve and meet their milestones.

Even when DD2 didn't gain not one pound between 1 year and 2 years old (and even lost some due to illness), she continued to grow in height and was therefore within normal limits. Trust your mama instincts and don't let your doctor scare you. There are certainly times when supplementation is necessary. That said, you can easily supplement with your own milk. :)

myclanof6 11-30-2012 09:09 AM

Great advice so far mama!
What I've figured out is that as long as baby is gaining and gains at the same rate then I wouldn't worry. Some moms produce heavy cream, some produce skim. Your body was meant to feed your baby and aside from any medical condition for either of you it will.
I definitely agree with contacting IBCLC or someone from your local LLL before jumping to formula (which is not evil and has a place;)).

Van1300 11-30-2012 09:45 AM

Re: baby in 5th percentile at 2months
My DD was 5-10% her entire first 2 yrs. Our pedi was pro- EBF and her DS was 6 months older then mine and on an appetite stimulant after 6 months as he was off the charts failure to thrive. She recommended after my DS started eating solids to use whole butter on everything and avocado and olive oil. Until solids though, I just made lean milk and she said that was ok.

My DD is 3 on Monday and she is 26 lbs and thriving. No issues :)

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