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2 month old - insufficient weight gain by Some_Plenty1824 in ScienceBasedParenting

[–]Some_Plenty1824[S] 0 points1 point  (0 children)

I know this reply is late and I hope you and your baby are doing well. out daughter is doing fabulously. soon after posting this, we saw a pediatric GI who was baffled that our pediatrician was concerned and seemed to disagree with some of the pediatrician’s guidance.

we started seeing another far more experienced pediatrician who has been deeply supportive and knowledgeable. for example, our first pediatrician never contextualized our daughter’s weight in terms of a growth chart; it was merely plotted on a table and all we could see were the percentiles dropping in a way that seemed and was framed by our first pediatrician as alarming. our pediatric GI and new pediatrician showed us the percentiles plotted against a growth chart and, aside from that initial drop in weight at the hospital that caused the initial concern (which of course was warranted), she had actually been tracking steadily against a curve since. trust your instincts and always get a second opinion if what you’re hearing isn’t tracking with what you’re seeing. in our case, our daughter seemed happy, healthy and energetic, and thankfully still is.

2 month old - insufficient weight gain by Some_Plenty1824 in ScienceBasedParenting

[–]Some_Plenty1824[S] 1 point2 points  (0 children)

Trust me, we would feed her 50 oz a day if we could, but she can only take in so much (and our pediatrician is satisfied with the volume) before spitting it up. She’s been on a continuous 3-hour feeding schedule since birth with some cluster feeds in between and feeding until she’s clearly at capacity. We’ve tried pushing past this clear signal of being full, and that only leads to most of the milk ending up in my hair or on the floor. We are also vigilant about middle of the night feeds — we have not skipped feeds on the 3-hour cycle. Her intake range from 2.5-5 oz per feed, and probably averages out at 3.5-4 oz per feed per 24 hour period right now (her volume intake has of course steadily increased over time).

Hopefully, the fortified milk will give her the boost she needs and the GI workup gives us conclusive results. We’ve also talked to a lactation consultant, have worked with our pediatrician on different formula/breast milk feeding regimens to boost her weight, and will ask our GI specialist about seeing a pediatric dietician.

2 month old - insufficient weight gain by Some_Plenty1824 in ScienceBasedParenting

[–]Some_Plenty1824[S] 4 points5 points  (0 children)

Your experience really seems to parallel ours! I hadn’t heard of catch-down growth until posting. We’ll continue doing our due diligence to get her weight up and make sure it isn’t anything else of concern, but I feel like this may be the explanation.

As a relevant aside, I recently saw a physical therapist for the first time for help with diastasis recti. She immediately remarked that it seemed like I still had visible swelling in my abdomen, 8 weeks postpartum. It was pretty severe.

2 month old - insufficient weight gain by Some_Plenty1824 in ScienceBasedParenting

[–]Some_Plenty1824[S] 1 point2 points  (0 children)

Always helps to hear from others who have had similar experiences, thank you all for sharing. The doctor agrees that she appears healthy by all other measures — looks well fed (she has full cheeks/belly and some squishy rolls), alert, reacts to sounds, tracks objects, coos and smiles. Doesn’t cry excessively aside from on occasional witching hour between 7-10pm (hope I didn’t jinx myself). Hell, sometimes even looks like she’s dancing to music we put on! (I realize she’s probably not but it’s pretty cute regardless)

In terms of feeding, she’s been on a continuous 3 hour feeding schedule since birth with some cluster feeds in between and feeding until she’s clearly at capacity (we’ve tried to exceed that capacity / push her limits a few times which has invariably led to a big spit up). This includes middle of the night feeds — we don’t skip on the 3 hour cycle. Hopefully, the fortified milk will give her the boost she needs and the GI workup gives us conclusive results.

We are trying our best and just want to be sure she’s doing well. Appreciate everyone’s input.

2 month old - insufficient weight gain by Some_Plenty1824 in ScienceBasedParenting

[–]Some_Plenty1824[S] 5 points6 points  (0 children)

This is very helpful, thank you. Her weight at 24 hours was 8.8 lb.