As a dietitian the first thing I look at when an underweight child comes to me is his parents. Are they thin? Are there any family members that are thin? Some people just don't gain weight no matter how much they eat. So, if this kid is healthy, has good appetite and plenty of energy to play, then there is no reason to do anything, especially stopping breastfeeding. I used to be one of those very skinny kids until I hit 30. Some people are just biologically thin.
Larisa Walk, RD, IBCLC
California
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Melanie Thurber
Sent: Tuesday, February 22, 2011 9:17 AM
To: [log in to unmask]
Subject: Breastfeeding 1 year old- Not gaining
I am hoping the wisest women I know will have some insight. Permission to post.
I have been working with this mother for over a year. Her baby is 14 months old and still breastfeeding well. There has never been a problem breastfeeding. However, this baby has struggled gaining weight. Mom has been given varying opinions from physicians, most related to stopping breastfeeding. For the first 10 months she stayed at the 4%. Then, she dropped to the 2%. This was enough for the ped to refer to a gastro-specialist. Her appointment was yesterday. She is now 17 lb. 4 oz.
She first met with a dietitian who gave her the usual information on increasing calorie-dense foods, which she had been doing. Then, she told mom to limit breastfeeding to after snacks and meals, while eliminating a nursing session every five days until weaned.
The doctor then ordered only Pediasure, breastmilk, and water to be given, eliminating milk and juices as they are less calorie-dense.
This mother has no intention of refusing breastfeeding. She is proud of what she has accomplished.
My concern is with this very low weight gain and drop in percentage, is any Pediasure warranted? I am not a dietitian, and cannot give feeding instructions, but this goes against everything I know to be normal. Have any of you wise women worked with a baby like this? How can we get her to gain without introducing formula and removing breastmilk?
Thank you,
Melanie Thurber
WIC BF Peer Counselor, CLC, IBCLC hopeful
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