Tues July 22: 11 lb 3.3 oz
Thurs July 24: 11 lb 2.4 oz (down 0.9 oz)
Fri July 25: 11 lb 4.4 oz (up 2 oz)
Tuesday July 29: 11 lb 10.5 oz (up 6.1 oz)
Thursday July 31: 11 lb 7 oz (down 3.5 oz)
Tuesday August 5: 11 lb 12.3 oz (up 5.3 oz)
The advice I was given last time I saw a public health nurse at the breastfeeding clinic was to continue supplementing Gwen and to weigh her twice a week. For the past two weeks, the Thursday weigh-in has indicated a loss from the Tuesday weigh-in. Now, I understand that "some babies just gain weight slowly" but nothing I've ever heard or read has indicated that an actual loss was anything but abnormal. And for this to happen twice in a row is really weird.
Now, you might be wondering, so let me assure you:
- same scale used every time
- same person weighing her every time (me)
- same circumstances (naked, no diaper) every time
The only thing I've not paid attention to is whether I'm weighing her before or after a feed, or before or after a poop, etcetera.
After this happened for the second Thursday in a row, I made another appointment at the breastfeeding clinic. Seriously, what else can I do? I'm already supplementing, or as I call it, "stuffing as much food down her throat as I can". What more is there?
The nurse I saw was incredibly positive and helpful, and we talked about a lot of things. We talked about reflux. We did a pre- and post-feed weigh-in (she got less than an ounce during the feeding, which is appalling. Fortunately, I am not taking that as 100% accurate or typical). We talked about what a great job I'm doing breastfeeding (yes, she told me I am doing a great job, and told me to keep up the good work. Did I need to hear that? Oh hell yes).
The main message I got was that the breastfeeding clinic could not really do too much more for me, as my breastfeeding was fine. What I need to do, she told me, is take Gwen to a doctor to eliminate any medical cause for her weird weight patterns. So that's what we're doing today.
The nurse also gave me a growth chart and showed me how to plot Gwen's weight from birth. I did so, and learned that while she started out on the 90th percentile, she is now on the 25th. This is not at ALL normal, and while I am not terrified of something being seriously wrong, I do feel it would be foolish to blithely ignore these symptoms. Reflux and milk allergy are our main suspects at this point, as Gwen does spit up a LOT (often it seems she spits up everything we just fed her, which would explain the inability to gain weight steadily!).
I'm nervous about this appointment, mainly because I fear not being taken seriously by the doctor. Doctors, unlike midwives, are not going to take a full hour to examine the tiny patient, take a full history from her parents who are ultimately just making wild-ass guesses about what is going on, and come up with a treatment plan. I fear that the doctor will just brush us off as nervous parents, or declare instantly that "she has colic" (which is a meaningless term if I've ever heard one). The nurse I saw last week assured me that if I didn't like what the doctor had to say, though, I could ask for a referral to a pediatrician for a second opinion.