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Weight Gain - What is Too Little?

Posted by on May. 7, 2012 at 8:20 AM
  • 13 Replies

At my daughter's check up last week, I put my baby on their scale to see how he was doing.  He had some problems initially gaining weight and was even hospitalized for FTT.  It seems like we've ironed out his problems and then my next thing was to start ending the supplementation, which I did.  Anyways he gained a half pound since his last weigh-in 23 days earlier (he is 3 mos old).  Is that okay?  The dr seemed to think it was a little on the low side but she wasn't overly concerned and didn't suggest coming in to check him again before his next scheduled appointment which is June 6.  Jake is still just a very tiny  baby.  At three months old, he weighed 8 lbs and is fitting in newborn and 0-3 clothing.  He has IUGR and I understand that it can take years to catch up to other babies.  It is just disheartening.  He had been doing so well on his weigh-ins and then to do just okay or less than okay is hard.  I am wondering if I cut back his supplements too quickly for him.

by on May. 7, 2012 at 8:20 AM
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Replies (1-10):
amandae21
by on May. 7, 2012 at 9:26 AM

I speak only from experience with having a tiny baby. No FTT or IUGR (don't know what that is). She was 6lbs at birth and was 41 weeks. She was 10th percentile at birth and got down to 5th percentile for a long time, even as low as 3rd.

My pediatrician wasn't super concerned because she was still gaining slowly but surely and she never had a dip in her growth or lost weight. These were my pedi's red flags.

tabi_cat1023
by Group Mod - Tabitha on May. 7, 2012 at 9:34 AM
1 mom liked this

generally they want a pound a month from 0-6 months...so yeah  think its a bit low.

I really think if baby had IUGR and is STILL having issues growing I would be having testing run for metabolic disorders.

How are daily diapers? how many nursings?

SweetOrangeMama
by Member on May. 7, 2012 at 11:02 AM

I don't know anything about IUGR(not sure what this is) or FTT but some babies are just little. My son was 8 pounds 10 ounces at birth, at his 18 month checkup he weighed 19 pounds even. He has been way below the "charts" since 6 months old and his doctor said as long as he is growing at his own pace and meeting milestones he is good. Good luck!

eema.gray
by on May. 7, 2012 at 11:13 AM

For those wondering IUGR = InterUterine Growth Restriction.  Babies who don't grow the way they're supposed to during gestation.

Mrs.Pedro
by Bronze Member on May. 7, 2012 at 11:22 AM

 I agree with the other poster about the figuring out if there is anything going on. It is a bit low. I don't have experience with IUGR but I do with FTT. I know how disheartening it is to find out that it's not enough...It's downright heartbreaking sometimes. Have a talk with his pedi about what steps you can take to get him growing a bit better. I am in the process of making sure my own little man is gaining right...His next appointment is on the 15th and I am not looking forward to it...I have come to dread the appointments.

lifetimelove
by on May. 7, 2012 at 12:19 PM
1 mom liked this
I had a baby with IUGR and slightly low weight gain and it turned out she has a metabolic disorder (not diagnosed until 2 1/2 years).

However, before panicking, there are a few things to consider.

Was the cause of the IUGR determined?

Had anyone commented on his muscle tone? Does his body seem to hold it's position well when you pick her up or does he seem loose and a little like a rag doll?

How are his milestones? Is he on par?

Has his latch/suck ever been evaluated? Did they consider tongue tie?
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hfs1998
by on May. 8, 2012 at 11:30 AM

He had bloodwork done twice for metabolic disorders - once for the state-mandated testing (we live in NJ) and again when he was hospitalized (they ran the state tests plus more) - and he comes out okay.   They don't know exactly what caused his IUGR but suspect it could be due to the difficulty we had controlling my blood pressure during the pregnancy.  Before birth, they knew he would be small and thought it could be a form of skeletal dysplasia.  He had a skeletal survery done after birth and is okay.  His IUGR is asymmetrical - his head is normal while his body and limbs are small.  His muscle tone is fine, he is pretty strong for such a wee thing!  Developmentally he is on track.  When he was hospitalized for FTT, a speech and language pathologist evaluated his suck and said he was okay, plus he had a swallow test performed on ultrasound and that was okay too.

His wet diapers have been fine.  He doesn't poop very often - he went 5 days at one point before pooping.  The dr said that was normal  but that just when (or IF) he ever goes 7 days without pooping to bring him in due to his issues just to be sure he is okay.  He seems to nurse as much and as long as my previous babies did.  He cries normally, not overboard.  He is easily comforted through holding and nursing.

I'm worried that I cut back the supplementing too quickly.  I am on thyroid meds so I do worry a little about my supply but he seemed content enough so I thought he was okay.  I reintroduced the supplementing - a couple of ounces in the mid morning and evening.  I did this on my own, the dr didn't suggest it but i'm worried. 

Quoting lifetimelove:

I had a baby with IUGR and slightly low weight gain and it turned out she has a metabolic disorder (not diagnosed until 2 1/2 years).

However, before panicking, there are a few things to consider.

Was the cause of the IUGR determined?

Had anyone commented on his muscle tone? Does his body seem to hold it's position well when you pick her up or does he seem loose and a little like a rag doll?

How are his milestones? Is he on par?

Has his latch/suck ever been evaluated? Did they consider tongue tie?


hfs1998
by on May. 8, 2012 at 11:32 AM

Oh and we are going to see some specialists - GI and cardiologist (heart murmur) plus his neurologist would like him to have an eeg.  At my daughter's appointment, the dr wrote him a referral for an endocrinologist. 

GraceHudson
by on May. 8, 2012 at 12:23 PM
bump


gdiamante
by Group Mod - Gina on May. 8, 2012 at 12:33 PM

If you're worried, then bring back the supplements. Since you've done a good range of testing, that's the next step. You can try cutting again later.

The gain WAS low.

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