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 Fully BF but low birth weight, can formula milk help?

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PrincipaliteY
post Dec 31 2014, 11:04 AM

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Can't say enough that the best reference is still your doctor.
I mean who else is more qualified here other than a doctor?
Your doctor said to SUPPLEMENT your baby with formula milk but he doesn't mean you should skip breastfeeding your baby.
I can only guess it is because formula comes with more sugar which may be beneficial to increase your baby weight faster in this situation.
Ask your doctor to suggest a supplement schedule.
Most important of all, keep the pumping going. It is important that you establish your milk supply now for future.
vandoren
post Dec 31 2014, 12:17 PM

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you may get advice from another doctor.

how a breast feeding mummy check if baby drink enough milk?
we can do it by checking the number of wet diapers, normally it should have at least 3-4 stools or wet diapers per day, do make sure their urine looks clear colour.

it's hard to say formula feed will let baby gain weight.
my friend's kids, one is 2 year old, another is 9 month old, their weight difference is only 1 KG, both formula fed the same brand.


SUSsupersound
post Jan 2 2015, 12:06 AM

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QUOTE(thammelissa @ Dec 31 2014, 10:49 AM)
What makes you or the doctor think by feeding formula milk then the baby may put on more weight? Unless the doctor that you are seeing is not really well educated in breastfeeding.

For a 1 month old baby to put on 200gram from his birth weight of only 2.7kg. I think is okay. Most important he must look healthy and active.
On first month, I don't really count how much of milk I produce. I'll feed on demand. My baby asked for milk almost every hourly.

Don't worry mummy.... I'm sure if you continue your breastfeeding journey..your baby will put on weight rapidly and also a healthy baby! :-)
*
Actually is very wrong letting baby to cry only feed. If he/she cries every hour, that's means your milk are not that enough.
As general guide by experience confinement ladies, the milk fed to them are following their weight, like 2.8kg, it should be about 2-2.5oz.
Try pump your milk to a container and see how much it is.

QUOTE(PrincipaliteY @ Dec 31 2014, 11:04 AM)
Can't say enough that the best reference is still your doctor.
I mean who else is more qualified here other than a doctor?
Your doctor said to SUPPLEMENT your baby with formula milk but he doesn't mean you should skip breastfeeding your baby.
I can only guess it is because formula comes with more sugar which may be beneficial to increase your baby weight faster in this situation.
Ask your doctor to suggest a supplement schedule.
Most important of all, keep the pumping going. It is important that you establish your milk supply now for future.
*
Considering most doctors(especially from private), their mind only thinking of pushing formula milk. As my wife don't produce any breast milk, now I'm buying Snow(freaking expensive) which low in DHA and posting less problem.
Best is still measure milk produced then supplement with formula milk.
Formula milk are made from chemical, it can give health issues, cold and cough are normal due to sugar content and babies can't drink too much water(drink more water can really prevent getting cold and cough)

QUOTE(vandoren @ Dec 31 2014, 12:17 PM)
you may get advice from another doctor.

how a breast feeding mummy check if baby drink enough milk?
we can do it by checking the number of wet diapers, normally it should have at least 3-4 stools or wet diapers per day, do make sure their urine looks clear colour.

it's hard to say formula feed will let baby gain weight.
my friend's kids, one is 2 year old, another is 9 month old, their weight difference is only 1 KG, both formula fed the same brand.
*
Drinking more formula milk do make baby gain weight fast, my son's weight from birth are only 2.8kg, after 12 days only weight 2.65kg(because of stupid mother in law only feed him once every 3 hours, 1 oz only).
After I send my wife and baby to confinement center, they took initial weight and started feeding my son with 3oz of formula milk. And they feed once every 3 hours. Now my son's wight already 3.6kg, that's after 2 weeks.
Amanda85
post Jan 5 2015, 05:28 PM

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QUOTE(supersound @ Jan 2 2015, 12:06 AM)
Actually is very wrong letting baby to cry only feed. If he/she cries every hour, that's means your milk are not that enough.
As general guide by experience confinement ladies, the milk fed to them are following their weight, like 2.8kg, it should be about 2-2.5oz.
Try pump your milk to a container and see how much it is.
Considering most doctors(especially from private), their mind only thinking of pushing formula milk. As my wife don't produce any breast milk, now I'm buying Snow(freaking expensive) which low in DHA and posting less problem.
Best is still measure milk produced then supplement with formula milk.
Formula milk are made from chemical, it can give health issues, cold and cough are normal due to sugar content and babies can't drink too much water(drink more water can really prevent getting cold and cough)
Drinking more formula milk do make baby gain weight fast, my son's weight from birth are only 2.8kg, after 12 days only weight 2.65kg(because of stupid mother in law only feed him once every 3 hours, 1 oz only).
After I send my wife and baby to confinement center, they took initial weight and started feeding my son with 3oz of formula milk. And they feed once every 3 hours. Now my son's wight already 3.6kg, that's after 2 weeks.
*
my mum was totally opposite of your mother-in-law. she keep worrying her grandchild starve. i expressed milk for my mum to feed while i was away. she feed up to 4oz every 3 hours when my baby is only 1 month.

birth weight - 3kg. 2 months later - 5.5kg. *sweat*

btw... why do u prefer low DHA milk? my hubby keep worrying that my breastmilk got not enough DHA, due to my reluctance to eat fish. so he keep trying to persuade me to give the baby some formula with rich DHA.
SUSsupersound
post Jan 5 2015, 06:03 PM

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QUOTE(Amanda85 @ Jan 5 2015, 05:28 PM)
my mum was totally opposite of your mother-in-law. she keep worrying her grandchild starve. i expressed milk for my mum to feed while i was away. she feed up to 4oz every 3 hours when my baby is only 1 month.

birth weight - 3kg. 2 months later - 5.5kg. *sweat*

btw... why do u prefer low DHA milk? my hubby keep worrying that my breastmilk got not enough DHA, due to my reluctance to eat fish. so he keep trying to persuade me to give the baby some formula with rich DHA.
*
DHA won't come with milk no matter what happens. Mostly are injected in by chemical process.
Tell your hubby that there's no problem on feeding baby with high DHA chemical milk, the most is their IQ will remain at 3 years old when entering primary school. No big deal anyway.
You like it or not, please start to eat fish. Teach you some tips on preparing high DHA fish(salmon).
Buy a microwave oven, use auto menu and grill the salmon(best is cut with the thickness of 1 finger or 1cm). Grill it about 5 minutes(depending on power), make sure the meat's color just change. Over cook will result to bad smell and hard.

1 month gain 1kg I think should be ok, but I think it is too fast.
periwater
post Jan 6 2015, 02:50 AM

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QUOTE(shin_daria @ Dec 24 2014, 04:32 PM)
Our baby is 1 month old. we weighed him today and he only gained 200g  blink.gif
he was fully breastfed, almost every hr, and every session takes up to 30 mins.
I thought he was well-fed, he has no problem with latching and breastfeed schedules.

The doc warned us if the baby still has low weight gain he's gonna refer us to the hosp.
I was thinking to supplement his feeds with formula milk. What would be the good ones for newborn?

this is my first time as a parent, be nice. tq!  icon_rolleyes.gif
*
QUOTE(thammelissa @ Dec 31 2014, 10:49 AM)
What makes you or the doctor think by feeding formula milk then the baby may put on more weight? Unless the doctor that you are seeing is not really well educated in breastfeeding.

For a 1 month old baby to put on 200gram from his birth weight of only 2.7kg. I think is okay. Most important he must look healthy and active.
On first month, I don't really count how much of milk I produce. I'll feed on demand. My baby asked for milk almost every hourly.

Don't worry mummy.... I'm sure if you continue your breastfeeding journey..your baby will put on weight rapidly and also a healthy baby! :-)
*
TS is the one suggesting formula milk, not the Dr.

TS, I think your baby is doing fine. Most newborn will lose some weight in 5-10 days of life. Subsequently they will gain back their birth weight by 2-3 weeks.

QUOTE(supersound @ Jan 2 2015, 12:06 AM)
Actually is very wrong letting baby to cry only feed. If he/she cries every hour, that's means your milk are not that enough.
As general guide by experience confinement ladies, the milk fed to them are following their weight, like 2.8kg, it should be about 2-2.5oz.
Try pump your milk to a container and see how much it is.
Considering most doctors(especially from private), their mind only thinking of pushing formula milk. As my wife don't produce any breast milk, now I'm buying Snow(freaking expensive) which low in DHA and posting less problem.
Best is still measure milk produced then supplement with formula milk.
Formula milk are made from chemical, it can give health issues, cold and cough are normal due to sugar content and babies can't drink too much water(drink more water can really prevent getting cold and cough)
Drinking more formula milk do make baby gain weight fast, my son's weight from birth are only 2.8kg, after 12 days only weight 2.65kg(because of stupid mother in law only feed him once every 3 hours, 1 oz only).
After I send my wife and baby to confinement center, they took initial weight and started feeding my son with 3oz of formula milk. And they feed once every 3 hours. Now my son's wight already 3.6kg, that's after 2 weeks.
*
What makes you say that? Most paediatricians support breast milk. They don't sell formula milk, what's the advantages of pushing formula milk?
SUSsupersound
post Jan 6 2015, 07:25 AM

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QUOTE(periwater @ Jan 6 2015, 02:50 AM)
TS is the one suggesting formula milk, not the Dr.

TS, I think your baby is doing fine. Most newborn will lose some weight in 5-10 days of life. Subsequently they will gain back their birth weight by 2-3 weeks.
What makes you say that? Most paediatricians support breast milk. They don't sell formula milk, what's the advantages of pushing formula milk?
*
Come to Seremban's Columbia, KPJ first. Then meet with those doctors. All are giving free sample and saying they can sell cheaper than outside sweat.gif
hairybelly
post Jan 6 2015, 08:44 AM

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QUOTE(Amanda85 @ Jan 5 2015, 05:28 PM)
btw... why do u prefer low DHA milk? my hubby keep worrying that my breastmilk got not enough DHA, due to my reluctance to eat fish. so he keep trying to persuade me to give the baby some formula with rich DHA.
*
QUOTE(supersound @ Jan 5 2015, 06:03 PM)
DHA won't come with milk no matter what happens. Mostly are injected in by chemical process.
Tell your hubby that there's no problem on feeding baby with high DHA chemical milk, the most is their IQ will remain at 3 years old when entering primary school. No big deal anyway.
You like it or not, please start to eat fish. Teach you some tips on preparing high DHA fish(salmon).
Buy a microwave oven, use auto menu and grill the salmon(best is cut with the thickness of 1 finger or 1cm). Grill it about 5 minutes(depending on power), make sure the meat's color just change. Over cook will result to bad smell and hard.
*
Something to ponder about DHA/ARA in infant formulas:
Some scientists have studies showing that the 'man-made' DHA and ARA in infant formulas not only DO NOT improve IQ or eye functions, they also induce gas and indigestion in SOME infants. Read the report below about the 'supposedly' scandal involving the FDA in the US and Martek, the company holding the patent for chemically-manufactured DHA/ARA for use in infant formulas:

CODE
http://cornucopia.org/DHA/DHA-Update-2010.pdf


Most formulas nowadays have DHA/ARA, some less, some more... unless you choose those organic ones. For me, I am still using formulas with DHA/ARA for my babies as they seem ok with them; with only occasional wind and spitting, which is common even with some babies on breast milk.
As parents, we make decisions based on all the information that we can get. Sometimes we can never tell whether the information fed to us is absolutely true or not.

This post has been edited by hairybelly: Jan 6 2015, 09:15 AM
powdersnow
post Jan 6 2015, 09:43 AM

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I think we r missing the fact that formula milk can never replace breastmilk. 2 major ingredients that cannot be replicated: Antibodies and hormones present in breastmilk. The hormones in breastmilk produced at night are important to regulate baby's circadian rhythm. When baby is infected with something, he transfer the infection to mother thru breastfeeding, and by the next feed the mother produces and transfer the antibodies back to the baby.

Go to a lactation consultant if u r very determined to continue breastfeeding. Let the consultant check ur latching. Sometimes baby does not latch right and does not get enough calories from feeds, hence low weight gain. But this comes with other signs such as very frequent feeds, explosive green poo, gassiness etc.

My baby is 7 weeks old and feeds 10-15mins per breast hourly. At night he wakes to feed every 2 o 3 hrs. Early on he was 20-30mins per breast.
powdersnow
post Jan 6 2015, 10:45 AM

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On the contrary, breastfeeding babies consume n need much less milk to be satisfied (19-30oz up to 6mths). It is also impossible to pump out milk to see how much bb consumes as bb is much more efficient than breast pump. As you do not know the exact amount a bb needs, and by the fact that bottle fed babies always overfeed, you would never know how much to supplement ur bb. Hence when bb is fed formula, he will be full and skip his next supposed breastfeed. Automatically, when he does not empty the breast, the breast signals the body to produce less milk (so ur breast will not burst) and so ur supply will drop.

Similar to bad latch o breastmilk oversupply (when u overpump) overfeeding on formula (as babies harder to be satisfied on bottle compared to less milk from breast and so will consume more than he needs) will produce lactose overload (milk spitting, gassiness, explosive poop). U will need to control the amt he feeds.

Formula feeds affect breastfeeding. Eg. When u breastfeed 25oz today n he wants 26oz n cries but u pop him a bottle of 2oz so he consumes 27oz n is full hence skips the next feed. Automatically full breast signals body to produce 24oz. The day after, bb cries bcos he only gets 24oz and u giv 3oz instead, hence drop in supply.

The right way to deal when bb wants increase in supply is to encourage him to empty the breast more. When bb wants 26oz, let him nurse more often, letting him empty the breast after 25oz signals to the body to produce more. So let him suckle and nurse more when he cries. By the next day o the day after the body would hav increased supply and he will return to normal nursing frequency.
powdersnow
post Jan 6 2015, 10:53 AM

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Also note that WHO produces 2 types of charts: For breastfed and the other for formula fed babies. Make sure ur Dr knows which chart he is using. If he doesn't know this, u need to change ur doctor.
SUSsupersound
post Jan 6 2015, 01:08 PM

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QUOTE(hairybelly @ Jan 6 2015, 08:44 AM)
Something to ponder about DHA/ARA in infant formulas:
Some scientists have studies showing that the 'man-made' DHA and ARA in infant formulas not only DO NOT improve IQ or eye functions, they also induce gas and indigestion in SOME infants. Read the report below about the 'supposedly' scandal involving the FDA in the US and Martek, the company holding the patent for chemically-manufactured DHA/ARA for use in infant formulas:

CODE
http://cornucopia.org/DHA/DHA-Update-2010.pdf


Most formulas nowadays have DHA/ARA, some less, some more... unless you choose those organic ones. For me, I am still using formulas with DHA/ARA for my babies as they seem ok with them; with only occasional wind and spitting, which is common even with some babies on breast milk.
As parents, we make decisions based on all the information that we can get. Sometimes we can never tell whether the information fed to us is absolutely true or not.
*
That's why we change to Morinaga, it does not has DHA(or never report).
hanishoney
post Jan 6 2015, 03:20 PM

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QUOTE(supersound @ Jan 2 2015, 12:06 AM)
Actually is very wrong letting baby to cry only feed. If he/she cries every hour, that's means your milk are not that enough.
As general guide by experience confinement ladies, the milk fed to them are following their weight, like 2.8kg, it should be about 2-2.5oz.
Try pump your milk to a container and see how much it is.
*
This is definitely not up-to-date advice at all.

1. Milk come out by pump is NOT equal to milk come out by baby's mouth. They work differently. It's like the difference between picking up rice with chopsticks and with fingers. They might be similar, but they ARE NOT the same and UNRELIABLE as a measuring method.

2. Breast milk content changes with your baby's age automatically, while formula never changes unless you change brand/type/age-level. So if feeding breastmilk to baby in a bottle, just feed using paced feeding method

Let your baby decide when to stop. From age 2mo to 6mo, the AMOUNT each time is not likely to change, though during growth spurt, how OFTEN can increase. My son drank 3oz every bottle feeding session from 2mo to 6mo.

3. To know in the first 2 months, if baby enough milk, check diaper. What goes in must come out! http://kellymom.com/bf/got-milk/supply-worries/enough-milk/ Scroll down and you'll also find a lot of articles on supplementing the breastfed baby. After baby is around 6-8 weeks, can follow this chart instead: http://kellymom.com/bf/got-milk/supply-wor...oughmilk-older/
Amanda85
post Jan 6 2015, 04:56 PM

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i mostly feed expressed milk. i can pump up to app 150ml per session. I prepare each bottle with different amount, some more some less, according to what i got during that session. if there is more, i only feed my baby until she decided she want to stop, the balance i will just throw away. if she finish off everything, then i will just wait for her next feeding cue. usually she will start making those 'cooing' sound like she is calling for someone. i no longer hear anymore 'cries for milk' since she hit 3 months old.

her feeding amount varies between 100 to 130ml, depending on her appetite. i found out that if she drink more, she can last longer between feeds (~4 hrs). if less, i just need to feed more frequent (~2hr). no harm done.
SUSsupersound
post Jan 6 2015, 07:27 PM

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QUOTE(hanishoney @ Jan 6 2015, 03:20 PM)
This is definitely not up-to-date advice at all.

1. Milk come out by pump is NOT equal to milk come out by baby's mouth. They work differently. It's like the difference between picking up rice with chopsticks and with fingers. They might be similar, but they ARE NOT the same and UNRELIABLE as a measuring method.

2. Breast milk content changes with your baby's age automatically, while formula never changes unless you change brand/type/age-level. So if feeding breastmilk to baby in a bottle, just feed using paced feeding method

Let your baby decide when to stop. From age 2mo to 6mo, the AMOUNT each time is not likely to change, though during growth spurt, how OFTEN can increase. My son drank 3oz every bottle feeding session from 2mo to 6mo.

3. To know in the first 2 months, if baby enough milk, check diaper. What goes in must come out! http://kellymom.com/bf/got-milk/supply-worries/enough-milk/ Scroll down and you'll also find a lot of articles on supplementing the breastfed baby. After baby is around 6-8 weeks, can follow this chart instead: http://kellymom.com/bf/got-milk/supply-wor...oughmilk-older/
*
For sure using pump won't be accurate. But that can serve as guide how much milk you can produce. That's why certain pump having variable speed. You can use minimum and see how much and maximum how much.
Babies can keep on sucking until they give up sucking, this is very bad. Have to know that, breast milk contains 88% of water.
periwater
post Jan 6 2015, 11:22 PM

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QUOTE(supersound @ Jan 6 2015, 07:25 AM)
Come to Seremban's Columbia, KPJ first. Then meet with those doctors. All are giving free sample and saying they can sell cheaper than outside sweat.gif
*
Is it your first hand experience? Or you heard it from somebody who knows somebody who delivered there?
SUSsupersound
post Jan 6 2015, 11:42 PM

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QUOTE(periwater @ Jan 6 2015, 11:22 PM)
Is it your first hand experience? Or you heard it from somebody who knows somebody who delivered there?
*
My wife just delivered.
periwater
post Jan 6 2015, 11:58 PM

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QUOTE(supersound @ Jan 6 2015, 11:42 PM)
My wife just delivered.
*

Your wife has just delivered in KPJ or Columbia? So it's your first hand experience?
SUSsupersound
post Jan 7 2015, 07:37 AM

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QUOTE(periwater @ Jan 6 2015, 11:58 PM)
Your wife has just delivered in KPJ or Columbia? So it's your first hand experience?
*
Nope, we boycott private as first miscarriage are checked by private. Already have problem but the doctor still die die say ok.
powdersnow
post Jan 7 2015, 11:02 AM

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QUOTE(supersound @ Jan 6 2015, 07:27 PM)
For sure using pump won't be accurate. But that can serve as guide how much milk you can produce. That's why certain pump having variable speed. You can use minimum and see how much and maximum how much.
Babies can keep on sucking until they give up sucking, this is very bad. Have to know that, breast milk contains 88% of water.
*
Formula milks similarly contain 80% water. But both milks have high caloric content even with high amounts of water. Need to stress here again breast is still best.

Babies that give up sucking is due to bad latch as you can never fully empty a breast. Firstly a breast can never be empty as when the breast is empty more milk will be produced immediately. Even with good latch by baby and breast compressions, the breast can at max empty 75-80%, and in this case the breast speeds up production to keep up with demand.

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