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  #1  
Old 04-23-2018, 03:51 PM
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Default Worried About a Baby

I have a four month old that Iíve kept since he was six weeks old and Iím getting more and more worried about him. He only weighs 10 pounds. Heís breastfed and I feed him 4 ounces every two hours. I never let him sleep through a feeding and the two hours are from the start of the feeding. Heís the skinniest baby Iíve ever seen, I mean thereís no fat on him anywhere. He still wears newborn size onesies. The mom doesnít seem concerned at all so Iím just wanting to ask you all who are more experienced if you think Iím feeding him enough? Do you think thereís an issue with the breastmilk? His mom says he sleeps all night so would you suggest she wake him to feed him?
There are other areas of concern also. He doesnít reach for toys or really play in any way. He doesnít cry to be held and even though I do hold him a lot (it takes 45 minutes just to feed him) I notice that he just lays flat and doesnít do anything when I put him on the playmat for up to 30 minutes. He canít really hold his head up well and I canít sit him in a bouncer seat because he slumps to the side or forward. He does smile at me when I talk to him but he doesnít coo. Heís also sick all the time with a runny nose and cough.
Let me know what you would do or if Iím just being a worry wart.
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Old 04-23-2018, 04:00 PM
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How much did he weigh at birth? By 4 months old he would have already had 3 doctors appts and if the doctor is ok with his weight increase then I wouldnít be worried about it. 10 lbs doesnít seem extremely small but it is in the smaller side. Most breastfed babies are smaller anyways. 4oz every 2 hours is plenty, even for a breastfed baby.

I wouldnít see the other stuff as worrisome just yet. He could just blossom overnight and just be a pretty content baby. My 2nd child was content watching from afar rather than getting in on all the action. I was very concerned but around 18 months it was like a switch was flipped and he was a rambunctious, into everything little boy.
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Old 04-23-2018, 04:05 PM
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He weighed 6 pounds. Thanks for your reply. I guess I just feel like I should be able to get more interaction from him. Iíll try not to worry.
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Old 04-23-2018, 04:11 PM
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The milestones bother me more than his weight.

He sounds like a little one I have. Sheís 2 1/2 and 15 lbs...and about dev. 4 or 5 months. She has microcephalie. Looking at her, you wouldnít know it. She just looks like a 6 month old until you realize, sheís not crawling, sitting supported, pushing up on her arms etc.
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Old 04-23-2018, 04:11 PM
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I do want to mention that sleeping through the night at 4 months old, especially a breastfed baby, is unusual. I think most tend to start sleeping through the night around 8-9 months but can even go past a year. Maybe the next time he has a doctors appt which should be his 6 month check up, just ask how everything went etc. and see if she divulges in any info.
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Old 04-23-2018, 04:13 PM
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I think the general guideline is that a breastfed infant should double his/her birthweight by about five months old, so he could be on track as far as that goes. That does sound really small to me, but probably because my son was over ten lbs at birth! The developmental stuff would concern me a bit, too. It seems like he should be more active. Hopefully his pediatrician is keeping an eye on him. I think youíre smart to question these things.
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Old 04-23-2018, 06:08 PM
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My kids were both sleeping all night at 8 weeks old believe it or not. They were not breastfed however. At first I thought holy cow that seems small, but my kids were also 8.3 and 9.5 at birth so lol. I have a 14 month old dcg that is 17 pounds,(she is just so dang tiny and cute) so maybe that's just fine, he's just little. If he is held a lot at home, he may not know what to do when he's on the floor you know? I would ask mom if he's allowed to lay on the floor with toys over him to entice him or if she holds him. I don't think I put the babies in the exersaucer until about 6 months old. I would just keep an eye on him. He still is pretty young for alot of things.

My dcb that is 8 months old is actually heavier than the 14 month old dcg that I wrote about above lol
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Old 04-23-2018, 06:49 PM
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He probably is held a lot at home so that might be a big part of it. I should have clarified when I said bouncer seat... itís the reclined seat that vibrates, you can bounce it and it has toys dangling above it. I havenít even thought about putting him in the exersaucer yet.
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Old 04-23-2018, 08:29 PM
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Quote:
Originally Posted by Rockgirl View Post
I think the general guideline is that a breastfed infant should double his/her birthweight by about five months old, so he could be on track as far as that goes. That does sound really small to me, but probably because my son was over ten lbs at birth! The developmental stuff would concern me a bit, too. It seems like he should be more active. Hopefully his pediatrician is keeping an eye on him. I think youíre smart to question these things.
My ds was 9.1 at birth and didn't double his weight until after a year old. At 2.5 years old, he weighs 24lbs. He eats like a hardball m garbage disposal though 😂
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Old 04-24-2018, 04:28 AM
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Quote:
Originally Posted by Kajbk View Post
He probably is held a lot at home so that might be a big part of it. I should have clarified when I said bouncer seat... itís the reclined seat that vibrates, you can bounce it and it has toys dangling above it. I havenít even thought about putting him in the exersaucer yet.
If he's held alot at home, mom and dad need to put him down so he can learn things appropriate for his age. That's probably most of his issues. He won't know how to interact with toys if he's held for sure.
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Old 04-24-2018, 05:01 AM
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Is mom or dad small? My children have all been small to the point of Dr asking for extra weight checks but it is just genetics. They have all been around 18-21 lbs at 2 years old. I still struggle with my own weight as I lose very easily & have been labeled borderline malnourished at times in my adult life. I have to be very intentional with my eating to maintain my weight. Other than that, I am healthy as are my children. I'm thinking mine were around 11 lbs at 4 mo, but they were not behind on milestones at all. As long as he's seeing the Dr regularly I wouldn't worry just yet.
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Old 04-24-2018, 05:36 AM
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Quote:
Originally Posted by Kajbk View Post
I have a four month old that Iíve kept since he was six weeks old and Iím getting more and more worried about him. He only weighs 10 pounds. Heís breastfed and I feed him 4 ounces every two hours. I never let him sleep through a feeding and the two hours are from the start of the feeding. Heís the skinniest baby Iíve ever seen, I mean thereís no fat on him anywhere. He still wears newborn size onesies. The mom doesnít seem concerned at all so Iím just wanting to ask you all who are more experienced if you think Iím feeding him enough? Do you think thereís an issue with the breastmilk? His mom says he sleeps all night so would you suggest she wake him to feed him?
There are other areas of concern also. He doesnít reach for toys or really play in any way. He doesnít cry to be held and even though I do hold him a lot (it takes 45 minutes just to feed him) I notice that he just lays flat and doesnít do anything when I put him on the playmat for up to 30 minutes. He canít really hold his head up well and I canít sit him in a bouncer seat because he slumps to the side or forward. He does smile at me when I talk to him but he doesnít coo. Heís also sick all the time with a runny nose and cough.
Let me know what you would do or if Iím just being a worry wart.
I would be concerned with his development. He definitely needs tummy time. Nannyde has some great videos on tips for tummy time. The weight and lack of muscle tone are definitely worth keeping an eye on and hopefully his doc is keeping up with it too.
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Old 04-28-2018, 12:08 AM
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Breastfed babies don't increase their milk intake. The milk itself changes in composition. That being said, I'm not certain how many ounces is typical. I exclusively breastfeed my 5 month old.

The developmental stuff is concerning to me. I would ask Mom how his last checkup went as far as milestones. Not every parent is aware of what is typical for their babies age so they may not realize things are off. You could always look up developmental milestones for the baby's age just to be sure before saying anything. Any chance the baby was premature? That would throw milestones off.
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Old 04-28-2018, 06:25 AM
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Your gut is telling you something is off so I know something is off. I would think something is off too. 10 pounds plus the developmental things is huge red flag.

Bring it up to mom and ask about DR visits. I bet he has never been to a DR. My friend was getting a hard time from her DR because her baby was 13 pounds at 4 months and she was a tad chubby and smart as a whip. Something is off trust your gut.
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Old 04-30-2018, 11:30 AM
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do you require a full physical and immunization record for each child in care? if not, time to start.

Pediatricians here list concerns, plus parent concerns. Eye opener for sure.

He's half the size of the 8mo in care. I can't even imagine.
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Old 04-30-2018, 11:44 AM
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My own son was 10lbs at that age, but could sit for a good amount of time unassisted.

I'd definitely worry about the lack of milestones, but I tend to not worry about size as much since my kids are tiny.
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Old 04-30-2018, 01:46 PM
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Quote:
Originally Posted by Ariana View Post
Your gut is telling you something is off so I know something is off. I would think something is off too. 10 pounds plus the developmental things is huge red flag.

Bring it up to mom and ask about DR visits. I bet he has never been to a DR. My friend was getting a hard time from her DR because her baby was 13 pounds at 4 months and she was a tad chubby and smart as a whip. Something is off trust your gut.
The mom brought neosure today with orders from the Dr to ad it to each bottle of breastmilk. Iím so glad because Iíve been really worried.
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Old 04-30-2018, 02:21 PM
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Quote:
Originally Posted by knoxmomof2 View Post
Breastfed babies don't increase their milk intake. The milk itself changes in composition. That being said, I'm not certain how many ounces is typical. I exclusively breastfeed my 5 month old.

The developmental stuff is concerning to me. I would ask Mom how his last checkup went as far as milestones. Not every parent is aware of what is typical for their babies age so they may not realize things are off. You could always look up developmental milestones for the baby's age just to be sure before saying anything. Any chance the baby was premature? That would throw milestones off.
I've heard this quite a few times, and I'm just curious where I can find more info on this. Every single baby I've ever cared for, bottle or breast, has increased the amount of milk they've taken as they get older. For my breastfed babies, mom produces way more milk as the baby gets older. So I don't understand how this all works. Thank you for any links to info!
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Old 04-30-2018, 02:28 PM
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Quote:
Originally Posted by mommyneedsadayoff View Post
I've heard this quite a few times, and I'm just curious where I can find more info on this. Every single baby I've ever cared for, bottle or breast, has increased the amount of milk they've taken as they get older. For my breastfed babies, mom produces way more milk as the baby gets older. So I don't understand how this all works. Thank you for any links to info!
Current breastfeeding research does not indicate that breastmilk intake changes with babyís age or weight between one and six months. After six months, breastmilk intake will continue at this same level until ó sometime after six months, depending in babyís intake from other foods ó babyís milk intake begins to decrease gradually.

The research tells us that exclusively breastfed babies take in an average of 25 oz (750 mL) per day between the ages of 1 month and 6 months. Different babies take in different amounts of milk; a typical range of milk intakes is 19-30 oz per day (570-900 mL per day).


https://kellymom.com/bf/pumpingmoms/pumping/milkcalc/
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