Mommy Baby Weight Gain Failure To Thrive

Mommy Baby Weight Gain Failure To Thrive

A guide to​ appropriate weight-gain and what to​ look for if​ you suspect failure-to-thrive:

Weight Gain:

Birth – 2 weeks of​ age
 Regain birth weight plus some
2 weeks – 3 months of​ age
 Two pounds per month or​ one ounce per day
4 – 6 months of​ age
 One pound per month or​ one-half ounce per day (should double birth weight by 6 months)
One year of​ age
 2.5 to​ 3 times her birth weight

Failure to​ Thrive:

There is​ a​ difference between slow weight gain and failure to​ thrive. With slow weight gain,​ the​ gain is​ consistent. With failure to​ thrive,​ you will see a​ baby who continues to​ lose weight after 10 days of​ life,​ does not regain her birth weight by three weeks of​ age,​ or​ gains at​ an​ unusually slow rate beyond the​ first month of​ life. Things to​ watch for from the​ mother’s and baby’s side include:

Mother’s side
 Improper nursing technique (poor latch-on,​ etc.)
 Nature or​ lifestyle (not enough sleep,​ liquids,​ nutritional foods,​ etc.)
 Poor release of​ milk (related to​ let-down)
 Feeding too frequently (this can give the​ baby an​ abundance of​ foremilk and a​ lack of​ hindmilk; the​ latter of​ which is​ nutritionally and calorie rich)
 Feeding too infrequently (being a​ slave to​ the​ clock)
 Not monitoring growth signs
 Physical nurturing,​ holding,​ and cuddling

Infant’s side
 Weak sucking
 Improper sucking
o Tongue-thrusting,​ pushing the​ nipple out of​ her mouth
o Protruding tongue,​ her tongue will form a​ hump in​ her mouth,​ interfering with latching on
o Tongue-sucking,​ she sucks her own tongue and not on​ the​ nipple
 an​ underlying medical problem (if you suspect something,​ talk to​ your pediatrician immediately)

Getting the​ help you need

Lactation consultants can be very helpful in​ resolving issues related to​ latching on​ or​ inverted nipples,​ both of​ which can cause a​ problem with nursing. Allow the​ consultant to​ observe your baby nursing and note if​ there are problems in​ position,​ latching,​ or​ something else. Do not permit the​ consultant to​ dissuade you from your flexible routine if​ that’s what you’ve decided to​ do for your family. Remember: if​ flexible routines were unhealthy,​ NICUs wouldn’t use them for the​ most vulnerable of​ babies—preemies.

If you determine that your nursing difficulties cannot be solved or​ are more stressful on​ you as​ mommy than what you need,​ do not feel guilty about switching to​ a​ bottle. it​ is​ more important that your baby receive nutrition to​ grow and thrive than to​ fit someone else’s ideal of​ motherhood.

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