Childhood Diseases

Posted by: Natz | 2010-06-23



Hi Doc
Thank u for everything you do for us moms, MUCH appreciated!!!!
Im worried about my baby girl''s drinking habits...she is on Novalac Formula. When i was pregnant with her my gynae always laughed as she was always weighing more than what she should at ecah scan. We all thought she would be a big baby but she arrived 3 weeks early weighing 3.065kg. Then she was drinking well. At 6 week check up Paed put her on reflux meds (zantac). She started to become a fussy eater, etc. She is now 12-13 weeks old and fusses terribly at the bottle. Have bought her the next size teat. Her reflux seems better but im concerned she is not taking in enough for her age/weight. She now only weighs about 4.8/9 kg. According to the calculation on how to work out how much she should drink per day/feed...she harldy touches that daily quota. She has 5 feeds a day...i make up 90ml bottles as thats the average she will finish. At a good feed she will drink 120 ml but thats maybe once or twice a day. She normally finishes the 90ml BUT some feeds she simply refuses, cries, grabs her bottle out of her mouth and moans and protests if i try to force it on her. Here is an example (yesterdays feeds)...I feed her every 4 hours. She always has a wet nappy. 5 am (120ml) 9am (150 ml) Rare! 1pm (20 ml) 3pm (60 ml) 7pm (90 ml). According to her weight she should be drinking about 120-150 ml at EVERY feed. Im worried her weight gain is too small...My friends 4 week baby boy drinks more than my little girl!! What should I do?? Should i be concerned?? Other that this she is a VERY happy, healthy and very alert baby..hardly sleeps during the day but will sleep 7-8 hour stretch at night. She seems very content... (except when im forcing the bottle in her mouth) . SO sorry about the long post, I just wanted to give u as much info as possible.
Thanks Doc!!!!!

Expert's Reply



You are very welcome.The average weight for a baby girl of 13 weeks is 5.5kg. Your baby's weight is below average and falls on the so-called 10th percentile line on the Infant Growth Chart. This means that her weight is in the lowest 10% for baby girls of her age.She should be taking about 720ml of formula per day which she is not doing. She may still be refluxing and may need more in the way of treatment, possibly using Losec and Domperidone. Speak to your paediatrician. Once her reflux is properly managed you can see if she feeds better. If not a change of formula to Lactogen 1 may be something to try.

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