There is a Premie weight chart, however it was made up( I'm sure) with only
formula fed babies :-( Baby should not be on a regular baby weight chart.
Many premies are pushed to gain weight and end up overweight by a year
because everyone is pushing baby to eat!
I goggled premature baby, weight gain. Checked out an article from NIH
(didn't bother to read the one from Similac :-) NIH article said 1/4 oz for
each lb of baby weight. So for 4 lb 9 oz that makes 1 1/2 oz per day. But
if baby is exclusively breastfed maybe she needs a little help with
expressed milk by supplementer, cup or syringe, something that wouldn't tire
her. Hopefully Dr Wight will see your email and give us her NICU opinion
:-)
Logically I would think multi vit with iron is appropriate, because baby
missed out on storing up nutrients in last month or so. A baby born at 2#9
oz at 35 weeks was certainly small for gestational age. SGA. Pat in SNJ
> Question for you wise ones:
>
> I am writing because this has come up several times now recently.
> Is the sought-after weight gain arc different for babies who were born
> prematurely?
> I've seen several babies recently, born between 35-37 weeks gestation.
> Babies well medically, now home. Local MDs and NP telling moms baby must
> gain
> MORE than an ounce a day or weight gain is not satisfactory. One baby
> was
> 35 weeks and only weighed 2lb, 9 oz. Now at 5 weeks is 4lb 6 and gained
> about 9 oz/8 days at most recent weigh-ins. MD said not good enough. (
> Perhaps
> because one weight gain was 6 in 4 days and the other was 3 in 4 days?) I
> do think we can sometimes measure too much, too closely and put too much
> emphasis on #s when we don't know if they are "real", or artifacts of
> timing....
>
> Is it healthy to pack weight on, or can a baby just grow nicely in its
> own
> time? Also do these babies need a multi-vitamin at home, especially once
> they are past due date? ( I don't mean D3, I mean multi)
>
> Please enlighten me. Thanks!
>
> Peace,
> Judy
>
> Judy LeVan Fram, PT, IBCLC, LLLL
> Brooklyn, NY, USA
> [log in to unmask]
>
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