Friday, February 23, 2007

Healthy Baby Diagnosed with Failure to Thrive - again

Hi, your internet healthcare provider here, another diagnosis on the nets in which I counter a doctor's horrible advice to wean since the scale said her baby lost a pound in ten days. In short, her baby is happy, healthy, and passing milestones promptly but the almighty scale said the baby lost a pound in ten days. So the doctor told her to cut out nighttime nursing and give water instead. To limit the nursing and give more solids. After a return visit where the baby had gained weight, she was coerced into supplementing with formula, and the baby only drank an ounce and then played with the bottle. Here's what I replied in her thread on

So sorry to hear that your ped is putting you through this grief.

Is he using a BF baby weight chart, or does it have formula ads on it? Did he recommend a lactation consultant? Does he have one on staff?The advice he gave you is aimed at weaning, not producing more milk. Most of the education he's had recently comes from the formula rep who visits with free samples and helpful office items. There is no boob rep.

When babies get mobile, they slim down. A one pound weight loss in ten days is not something I would believe. Something must be wonky with that scale. When you press on the baby's skin, does it go white and then return to normal quickly? Did he even show you how to check for hydration? If your baby had actually lost a pound that fast, you probably would have taken him to the ER for the more obvious signs of trouble, like projectile vomiting for a week.

I feel sorry for your ped, he can't handle the way that boobs don't have rings to measure ounces, and is trying to force you to use methods he can see.If all other signs are good, weight is not the end-all be-all of health. Milestones, temperament, skin color, and a full diaper pail of breastmilk poop are your health indicators. Please reconsider the slippery slope of supplementation he has coerced you to ride. How heavy is that diaper pail when you empty it? Diapers weigh very little, that weight is your milk.

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