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4 MONTH OLD WEIGHT GAIN
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jaysmommi posted:
My son was born 10 weeks early at 3lbs 12 ounces. He is now four months old and weighs 6lbs 10 ounces. I feel like this weight gain is pretty slow and i'm wondering if i should be waking him up to feed him more. I feed him everytime he wakes up on his own about 6oz, he'll stay up for about an hour then go back to sleep for another 2 to 3 hours. Has anyone else had these problems?? my dr hasn't been much help, to her credit though i don't think she has dealt with many preemies so i'm in the process of finding another one with more background.
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simerlm responded:
Hi! My baby girl was born 9 weeks early at 2 lbs. 8 oz and now weighs 8 lbs. 5 oz. We are having slow weight gain issues. My doctor keeps saying I need to feed her more. I am breastfeeding her so I can't tell you how much she eats at a time. I think the most important part is watching wet and dirty diapers and if he is content. Does he spit up at all? Is he growing in other ways, like length? Sometimes my dd would grow more in length and slow down in weight. It's almost like she couldn't do both at the same time. Personally I think that if they are having plenty of diapers and are happy, then they are doing great! Oh and my baby is 5 1/2 months.
 
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Jamelita responded:
Does he get formula or breast milk? I think there are different types of formula that have more calories to help with weight gain. If you are pumping breast milk, there is something called "Human Breastmilk Fortifier" made by Enfamil, again to add calories. When my daughter came home I was told to give her at least one bottle of pumped milk with the fortifier each day. I did that for awhile and it really helped..then she started to refuse bottles so I couldn't give it to her and her weight gain did slow down some after that. Definitely find a new doctor..a good one with experience dealing with preemies will have ideas for you.
 
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mrv77 responded:
Are you using Neosure or Enfacare? If you are breastfeeding you should be fortifying your milk with Neosure or Enfacare for the extra calories. My DD wasnt much of a eater. She was born 12 weeks early and would eat every 3 hours but only 4-5 ounces. I would def. try to see another doctor that has some experience with preemies. You can contact the NICU and they can give you a few referrals. Good Luck
 
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tra0819 responded:
This may be a little late. My daughter was 5 weeks early at 3lbs 11oz. She is now 4 weeks old and at 3.5 weeks weighed 5lbs 11oz. I am fortifying my breast milk at every feeding with the Enfamil human milk fortifier. She is eating every 3 hours about 2oz. I wake her for just about every feeding, she rarely wakes up on her own - but she is still young. This is just my history... My doctor was sure to tell me that preemies DO NOT follow any growth charts, they will grow at there own pace. As long as they are filling diapers regularly and are content, you really shouldn't worry. I would definitley find a new doctor. Not that yours isn't qualified, but you really want someone who has some sort of experience with what you have. Best of luck.
 
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momof24weeker responded:
Hello, My baby girl was born at 24 weeks and weighed only 1 lb 5 oz. When she was finally released from the hospital at 38 weeks she weighed 4 lbs 5 oz. I share your concerns because she is now two weeks away from 6 months old (corrected age: 2 months 1 week) and she weighs only 8 lbs 7.5 oz. Thinking back to what she weighed at 4 months I think your baby boy is on track as he is bigger than she was at 4 months. What formula do they have your little one on? I breastfeed, but they had me giving my little one a bottle with my milk and supplemented with Neosure formula that is for preemie babies. I now only breastfeed her because she won't take the bottle. I would definitely suggest interviewing doctors to find out if they have worked with preemies. Most will even tell you that over the phone. The Neonatologists at our hospital were helpful in that they recommended doctors who have worked with preemies and I am sure would be willing to make a recommendation if you called them. Also, 6 ounces is a good amount. My little one, when she will take a bottle for the babysitter, etc, only consumes about 4.5 ounces. She eats on demand and generally sleeps about 2-3 hours in between feedings. Each preemie is different and they all grow and develope at their own rate. If you are concerned though about his growth patterns, I would definitely find a doctor who has a lot of experience with preemies. Good Luck to you! :smile:
 
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momof24weeker responded:
Our babies are about the same size. My preemie is now almost 6 months old and she is only 8 lbs 7.5 oz. She was born 16 weeks early and her weight gain has been up and down due to getting RSV and being rehospitalized. It's now stabalized and she seems to be gaining ok. Up until two weeks ago we had a home health nurse that came weekly and my baby seemed to be gaining weight at a rate of 1 ounce a night . I breastfeed her solely and her doctor seems to feel that her weight is ok. I wonder why our doctors are on such different sides of the fence? I agree with you about having plenty of diapers and being happy. I think that is definitely a key factor on whether or not they are gaining weight ok.
 
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javabean19 responded:
I would have to say don't worry too much about it. It sounds like your LO may be gaining slowly but that' still gaining. As long as she's content and having wet/dirty diapers i honestly would try not to worry My little guy wasa 25 1/2 weeker and went home just under 4 pounds and he didn't make it to 20 pounds until he was just over 2, but our dr. has a lot of experience with preemies and was never worried as he was gaining and healthy in all other ways. I would however, agree with all the others that it is VERY beneficial to find a dr. that has experience with preemies, it help them to notice anythng early on and not overreact. There are bound to be many scares and/or bumps along the way and a good dr. will help you learn to adapt to them without thinking the worst automatically. They'll also have a much better sense when it's somethng they may outgrow and it's better to wat and see than to go through a lot of possibly invasive and certainly stressful tests and when it's time to notice something and take action. best of luck HTH. My little guy is now almost 5 and it seems like yesterday and i remember every single day seeming so long and it seeming like iwould never end. hang in there! ~Becca Ethan 3/6/04 1 lb 14oz * 25 4.7 wks. Brayden 1/20/08 6 lb 13 oz (we made 37 weeks!)
 
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whaletree responded:
Try feeding him Similac Neosure. That formula is made just for preemies and has more calories in it so they can gain more weight, its also easy for them to digest. My son was born 8 weeks early, and that is what we feed him. He is 5 weeks old now and has gained 2 pounds already. If you breastfeed him, try ordering the ready to feed bottles of neosure and mix it in with the breastmilk. It definantly does help them alot.
 
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lorenzosdaddy responded:
Our son was also born 10 weeks early @ 13" and 2 lbs, 0.9 oz. He turned 4 months yesterday (adjusted age 7 weeks), and as of last Friday, when I took him in for a shot, he weighed 8 lbs. 6 oz. He will get weighed again today at his 4 month appointment. He's gaining weight at a clip of over an ounce a day, taking in anywhere between 18 and 23 oz. of Enfacare 22 (for preemies and low weight infants) formula each day. The professional opinion we got was that he should be gaining at least 1/2 an oz per day, so it sounds like you're little guy is just a little under the average.


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