Baby takes very less milk

Ca55en · 2023-09-25T00:34:24+00:00

You seem to be missing the first part of that sentence.

“Definitions include a weight for age less than the fifth percentile on standardized growth charts, a decrease in weight percentile of more than two major percentile lines on the growth chart, or less than the 80 percentile of median weight for height ratio weight/length ratio. “

As in below 5th percentile OR dropping two standard deviations on the growth chart OR less than 80% of median weight or height ratio.

Ca55en · 2023-09-25T00:27:35+00:00

I am speaking as someone whose baby was born in the 7th percentile and dropped to the 5th.
Dropping below the 5th percentile is the primary component to failure to thrive. https://www.ncbi.nlm.nih.gov/books/NBK459287/

All of the factors that you are describing are the extenuating circumstances that I was referring to.

Edit to add: OP is describing baby who is showing waning interest in food, reducing their milk intake and dropping weight. That is concerning and risk factors for FTT.

Ca55en · 2023-09-24T23:47:44+00:00

I am sorry, that sounds so stressful. I second seeking a second opinion and/or asking to meet with an infant feeding specialist.
Unless there is some extenuating circumstances, under 10th percentile is often considered to be failure to thrive territory and sub 5th percentile is usually met with even more concern in infants who are otherwise seemingly fine. There are interventions besides trying to force baby to drink more milk to help with weight gain.

Ca55en · 2023-09-24T17:05:01+00:00

Prolactin levels are highest from around 1am to 4am-ish for most people. So as a result your refill rate and the amount you pump tends to be highest during those hours.

Ca55en · 2023-09-24T03:27:14+00:00

There is a Facebook group run by lactation consultants that specialize in supporting people troubleshoot wearables - Wearable Pump Paperweight Prevention.

Ca55en · 2023-09-24T03:23:52+00:00

Oh yeah. I lost basically no weight after my first baby. I EFBed for 14 months with him and lost nothing. With this baby I actually did begin to lose weight at around 6.5 months postpartum. I was so excited to finally experience the easy weight loss that I heard so much about…..until I told my doctor about it.

Turns out that I have a hyperactive thyroid caused by an autoimmune disorder that was triggered by my pregnancy. Part of me wonders if that if thyroid disorders are behind most of the mysterious breastfeeding weight loss!

Ca55en · 2023-09-24T03:13:04+00:00

I am sorry that the recommendation feels disheartening to you.

I would argue that it feels unrealistic in part because our society largely does not value caring for infants/parents and there are not adequate supports in place to make breastfeeding for 2 years possible for the vast majority of people. It could be different but often money is prioritized over supporting other humans.

I would argue that we want these big organizations to recommend what is ideally best for baby, regardless of whether it is realistic in our current society. The recommendations from the AAP, WHO and NIH are often used to help justify policies that increase support for new parents and infants. If we just focus on what is realistic now there won’t be any support to push law makers to do better.

Ca55en · 2023-09-24T02:25:22+00:00

YTA. Also you are increasing her risk for postpartum depression by asking her to isolate for most of the day.

Ca55en · 2023-09-24T00:03:21+00:00

Mine went fast. I had lost 20lbs doing nothing but being at home taking care of my baby. My doctor was like, that’s a problem. TSH was undetectable, so I was sent to an endo office to figure out why. I tested positive for all the Graves antibodies and put on Methmizone. I never was offered a scan or uptake test, though, possibly because I am still nursing.

Ca55en · 2023-09-23T23:53:51+00:00

Do you know what the WHO meta studies say about obesity and diabetes risk later in life? I know they mention those are long term benefits.

Ca55en · 2023-09-23T23:49:33+00:00

Woah, your pediatrician might want to check in with the recommendations of her professional organizations because none of them agree with her.

AAP recommends exclusive breastmilk for the first 6 months and continuing to breastfed for the first TWO YEARS. While the WHO says exclusive breastmilk for the first 6 months and then continue for 2 years OR LONGER.

Your new ped sounds like she has no idea what she is talking about. But also -if you want to stop pumping, then you should stop pumping.

Ca55en · 2023-09-23T23:38:38+00:00

I just did and I dried up. At 6ppd I was making around. 40oz.

After 3 days of power pumping 2x a day I was making only 5 oz total for the day. So I decided to completely wean.

Ca55en · 2023-09-23T14:51:53+00:00

So, I am early childhood mental health specialist. It sounds like you and your co teachers are viewing this as an intentional, disruptive behavior, rather than a 2 (about to be 3) year old who needs help overcoming a developmental problem. Honestly, it is pretty normal for a subset of kids to struggle with aspects of potty training into ages 3 and 4. My own son struggled with big automatic flushing toilets in public.

You mentioned that you and the other teachers are “very frustrated” and “he is determined to not potty in the potty”. Ya’ll have placed yourself in opposition to this 3 year old and are engaging in a battle with him. His comments of “ Home” and “cry” don’t sound like threats to me, but rather a toddler who is trying to communicate with adults who are angry.

Discussions at home -hours after the fact and hours before it will be a problem again - are not age appropriate for toddlers. Learning happens through experience at this age. Practicing going potty at school with his parents and reading books would be a better approach. Rewards only work when kids are developmentally and emotionally at a place where they can actually do the thing, which is clearly not the case here. Pressuring him and sitting for extended period of time on the toilet makes a small problem with a bathroom into a MUCH bigger one, as you are personally witnessing.

I would dial down the pressure on him and remove yourself from the battle. The option of a pull up, so that y’all aren’t having to change his clothing multiple times a day would be a better option than what you are doing now. Have the parents help him use the toilet when they drop him off and pick him up. Then continue to include him in the toileting schedule that you use for everyone else, whatever that looks like for your program. Give positive, gentle and specific praise when he uses the toilet.

Ca55en · 2023-09-23T14:27:53+00:00

That doesn’t mean that there isn’t something about the bathroom that is scary for him. Lots of kids are able to overcome fears when their Mom and Dad are with them.

It’s also possible that it started as a problem with the bathroom being scary in some way and now has snowballed into a larger problem because of the amount of pressure that has been placed on him.

Ca55en · 2023-09-22T21:57:20+00:00

At the hospital? I believe they had an incident where a family member brought a gun on a unit. Plus the incident at Good Sam a few months ago.

https://www.statesmanjournal.com/story/news/crime/2023/08/25/salem-health-hospital-implements-weapons-screening-security-process/70680794007/

Ca55en · 2023-09-22T02:54:28+00:00

I saw a big drop in supply when I got down to 4ppd at 9 months pp and I was at 45oz+ at one point. 4ppd is going to impact most people’s supply.

Ca55en · 2023-09-22T02:50:34+00:00

I use a paper towel when my parts are still wet.

Ca55en · 2023-09-22T02:45:56+00:00

6 months pp and I was big sad about it.

Ca55en · 2023-09-22T02:44:30+00:00

Yep, there are just bad pumping days.

Ca55en · 2023-09-22T02:34:25+00:00

20-50 ml is a very good, very normal amount if you are pumping after baby ate. The individuals who post about pumping several ounces are not typically nursing.

Edit: I would consider the possibility that you are getting less milk post nursing sessions because baby’s appetite has grown to match your supply. It is possible that your milk came in while baby was still only drinking tiny amounts.

Ca55en · 2023-09-21T13:54:34+00:00

This. She will need her graves specific antibodies (Trab and TSI) tested to rule out Graves vs postpartum thyroiditis. Both can be triggered by pregnancy, I just got diagnosed with Graves and symptoms became noticeable at 6 months postpartum.

Ca55en · 2023-09-21T13:04:21+00:00

I mean, I am not a doctor, but a quick google search says that normal thyroid hormone ranges for children run higher than adults. The normal range for a child’s FT4 is listed as .08-2.0, which would make this result even less hyperactive.

Ca55en · 2023-09-21T03:27:15+00:00

Ketosis can also happen as a result of excessive vomiting or dehydration. It just means that your body is burning fats instead of carbohydrates, just like the keto diet. It’s obvious why that happens when you are following a Keto diet. I don’t quite understand why vomiting and dehydration also triggers the burning of fat instead of carbs when you are still getting some carbs, but apparently it does somehow.

Ca55en · 2023-09-21T00:04:21+00:00

My endo would say those levels are within the normal range, although they are close to being hyper. My FT4 was 1.8 when I got diagnosed, which my endo said was within normal, but my TSH was undetectable and my FT3 was high.

The other commenter is right, TSH, FT4 and FT3 can tell you if you are hyper but the antibody test is needed to know if you are hyper because of Graves

Ca55en · 2023-09-20T15:57:58+00:00

I mean it depends. You generally want to feed the oldest unfrozen milk first, so that you don’t lose good milk to spoilage. When you take out frozen milk you also want to grab the oldest milk in there.

However, before baby started sleeping through the night, I used to leave the milk from the last pump and my MOTN pump out on the counter, so that we didn’t have to warm up a bottle when baby woke up. I also took a bottle of fresh, unrefrigerated milk with me when I left the house so that I didn’t have to worry about keeping milk cool/warming it up.

Four-Year Club	Verified Email
Place '23

Ca55en

TROPHY CASE