[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
[phpBB Debug] PHP Warning: in file [ROOT]/includes/bbcode.php on line 483: preg_replace(): The /e modifier is no longer supported, use preg_replace_callback instead
My Ngala • View topic - 6 mth old not feeding well with weight gain issues

6 mth old not feeding well with weight gain issues

Moderator: NgalaOnline

Forum rules
These forums are being moderated by Ngala Online. Questions posted will be answered by a Ngala parenting professional. They are open for use to all residents of Australia.

6 mth old not feeding well with weight gain issues

Postby kitty2012 » Wed 15 May, 2013 1:45 pm

My baby girl was born with emg c- section. She weighed 3160 gm at birth but ever since she has been sitting on the 3rd percentile with her weight. She was breastfed for 2 mths and then on mixed feeding till 5 mths and now on complete bottle feed. We introduced her on solids at 5 mths. She was quite good with her feeding in first two weeks eating one veggie, fruit and cereal serving per day. Then she started having constipation and her feeding has been a constant issue since last 3-4 weeks. I visited a Pediatrician two weeks ago who suggested adding some fats to her diet to increase her weight but leave alone the fats she has even dropped her regular meals. The doctors have ruled out any medical condition and encouraging me to feed her but she is refusing most veggies. Sometimes eats her cerelac but then gets constipated again. I have been offering her different foods which I has already introduced in first two weeks but she is refusing them as well. Her current weight at 6 mths is 5.6 kg. Every time I feed her she tightly closes her lips. I have tried few things after reading your other forum topics but nothing seems to be working. She is having her milk (100 ml every two hrs) but some days this also drops. I can see her teeth descending down in her gums but am unsure what to do if that is the reason for her poor feeding. I am really worried please help as its becoming very difficult for me to deal with this stress emotionally.
kitty2012
 
Posts: 2
Joined: Wed 15 May, 2013 12:53 pm

Re: 6 mth old not feeding well with weight gain issues

Postby NgalaOnline » Wed 15 May, 2013 10:18 pm

Hi Kitty2012

Thank you for your post. It does sound like you have had a challenging time. It is common for mums to feel very concerned if their baby is a slow weight-gainer or not very interested in feeding.

It does sound like you have been working on this issue for a long time period and that you have done the appropriate thing in having her evaluated by an appropriate medical professional (the paediatrician). The fact that the paediatrician feels she is healthy and that her slow gains are not due to any medical condition is very reassuring. Whilst many parents feel very concerned if their child is low on the percentile charts, there are certainly many healthy babies who are just naturally small in stature and are meant to be on the lower side of the charts. This is often the case if the parents are small in stature or were small as infants. If your baby has continued steadily along the third centile for many months then this shows she is continuing to grow steadily and gain adequate weight on her own growth curve. When a baby is rapidly dropping percentiles (which for your baby would mean falling off the chart) this can be a cause for concern and further investigation, but when a child is a slow gainer but continues to steadily plot along a continual percentile (even if it is a low percentile) then this is usually a good sign that the baby is getting what she needs but is just a smaller baby.

The recommendation from the paediatrician to increase fats in her diet is very reasonable at any time that your baby does show interest in solid foods. Full fat cheese and yoghurt, avocado, olive oil and cream are some good sources of calories if she shows any interests in these foods. As the situation has changed since you last saw the paediatrician (at which point she was eating, and now she is not doing so) it would be reasonable to ring up and ask for another appointment to discuss her management if she is not eating. Sometimes, if a doctor feels that a baby requires extra calories a prescription can be given for a fortifier that adds extra calories to the milk. If you did not feel satisfied with the evaluation from the paediatrician it would also be reasonable to return to your GP and ask for a referral for a second opinion to another paediatrician. Some things that can sometimes contribute to poor weight gain in infants include urinary tract infections and dietary intolerances including gluten intolerance and cow's milk protein intolerance. In the case of cow's milk protein intolerance (which is different from lactose intolerance) babies need to be prescribed a specific formula (that can only be obtained with a medical prescription) as standard formulas are based on cow's milk and babies with cow's milk protein intolerance are often also intolerant to soy. Usually dietary intolerances and allergies also come with other signs such as a very unsettled baby, frequent skin or nappy rashes, frequent abdominal pain, and offensive smelling / mucuosy or very loose stools which can occasionally contain signs of blood.

Constipation does frequently cause babies to loose their appetite and reject food. Cereals, particularly those fortified with iron, frequently cause constipation in babies. Bananas are another source of constipation for some babies. A baby usually will not eat at all well whilst she is actively constipated. It is best to avoid these foods for a number of weeks or months if you find these do constipate your baby, and then trial a small amount again. Pears (especially blended with the skin on) can be very helpful for constipation. Kiwi fruit (again, blended with the skin on) or a small amount of well diluted prune juice is also helpful but it is often best to wait until your baby is a little older (such as between 8 - 12 months) before introducing these foods as they can be a little harsh on a baby's digestive system. Sips of water can be helpful for relieving and preventing constipation. Teething can also cause food refusal and may be the source of your baby's lack of interest in eating.

With regards to encouraging her to eat more - at this age her main source of nutrition remains her formula. Food at this age is more for getting her used to the tastes and textures of food, and teaching her to enjoy eating. The foods babies consume at this age, and the small quantities they usually consume them in, mean that first foods usually do not contribute very much to increased weight gain for babies. Formula has a lot more fat, calories and protein than a baby will receive from several spoons of pureed fruits or vegetables. It is common for parents to feel extremely emotional and upset if their baby refuses to eat - particularly if there are concerns regarding weight, if the baby had previously enjoyed these foods and is now rejecting them, or if a lot of time and love has been put into preparing the foods. Babies are very sensitive and good at picking up on their parent's feelings of stress or anxiety. As food at this age is mainly for the purpose of teaching a child to explore the food and to enjoy it, it is important that exposures to food remain calm, relaxed and not stressful for either the parent or the baby. It is important to never try to coerce or force a baby to eat as this will often cause the baby to feel stressed about mealtimes and reject food even more. Research shows that calmly and repetitively re-exposing babies and toddlers to the same foods but without a lot of fuss or attention given to whether the baby eats it or not is the most successful way of getting a baby or toddler to try new foods. Offer your baby some foods, and if she will not eat them within a reasonable time frame then calmly take it away with no comment or reaction, and try the same type of food again at another opportunity. This approach involves consciously trying to lower your own feelings of anxiety any time that your baby rejects food so that your baby does not pick up on these.

Many babies will initially accept spoon feeding, and then reject it when the novelty wears off. This is particularly common around 7 months of age. Often these babies will be happy to try finger foods or may eat from a spoon if they are given a spoon to hold and play with at the same time. Finger feeding is very good for babies as it helps them to become familiar with the tastes and textures of various foods. Even just touching, smelling or playing with the food is a positive interaction between the baby and the food. Mess is a normal part of this process. The baby needs to be sitting upright and supervised at all times, but can usually do well with soft foods such as cooked fruits and vegetables, bread, mince meat, pasta, grated cheese, and pieces of avocado. Role modelling eating by having her sitting at the table in her chair when you are eating your meals can also be helpful.

It is difficult to offer appropriate information regarding your baby without knowing her and being able to assess her. For this reason it sounds as though it would be a good idea to seek further support and reassurance from your child health nurse, GP or paediatrician. You may also find that ringing the Ngala helpline is a good source of information and support. I hope this information is helpful, and I wish you the best with getting your baby to eat.
This information is general in nature and should not be used as a substitute for the personalized assistance that can be received from the Ngala Helpline by telephone.

For families residing in Western Australia you can also contact the
Ngala Helpline
Telephone 9368 9368 or 1800 111 546 for country access
Available 7 days a week, 8am to 8pm
or request a callback online

For helplines in other Australian states please follow this link
User avatar
NgalaOnline
 
Posts: 530
Joined: Tue 07 Dec, 2010 8:42 am


Return to Feeding & Nutrition

Who is online

Users browsing this forum: No registered users and 1 guest

cron