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Prem babies - Does the worry about weight gain ever leave?

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#1 Riotproof

Posted 22 March 2016 - 09:37 AM

Dd is 14 months old, 12 corrected. She was born at almost 30 weeks weighing 1.29 kilos.
She's developing quite normally, her paed never has any concerns about that but he is concerned her weight gain is leveling out too much.
I use a pharmacy scale to weigh her around once a month.
In mid February she weighed 7.2 kilo clothed and I've just weighed her again and it's 7.49 kilos.
Is 250 g over 6 weeks enough?

She's still breastfeeding, but she eats breakfast, lunch and dinner plus snacks.  I try to make them calorific. She doesn't like cows milk, but will eat full fat yoghurt. I make her hummous, pesto pasta, use butter or avocado  on her toast when I can. She likes nut spreads and cheese. I use coconut cream in curries. I'm not sure what else I can do. She enjoys meats and eggs, so I offer those too.

Edited by Riotproof, 22 March 2016 - 11:52 AM.

#2 Mpjp is feral

Posted 22 March 2016 - 10:26 AM

No it never does!!!

What does the paed say about her weight? Looking at the weight for age charts it would seem that her trajectory is great, and that she is gaining weight very well, especially given where she started. Also helps that it sounds like her appetite is great.

My 7 year old was born similar gestational age, but was 1.8kg, so bigger. He is now 7 and has JUST hit the charts! I was very excited. This was after a period of 4 months supplemental feeding. He doesn't have any appetite to speak of, and never has - even has a baby.

As the paed explained to me - someone has to be at the top of the chart, and someone has to be on the bottom, otherwise it wouldn't BE a chart!

Our DS is very tall, and so his BMI is very, very low. What this did mean was that it affected his energy and when he got sick recovery was harder as he'd have no stored fat at all.

Next paed visit why don't you bring it up and they'll be able to help reassure you?

#3 Riotproof

Posted 22 March 2016 - 12:03 PM

Mpjp, yes, that's exactly what I think about the charts being everyone. DS was always 50th, even now he's still 50th.
Left to my own devices, I wouldn't worry about her weight at all, you know? She's a spritely, nimble little thing who is always on the go, so she's using a lot of energy that way too.

Her paed is a bit concerned. Last visit, he said he is happy if she seems to be going up, even slowly, but it has started looked like like her curve is flattening out.

#4 theworldsgonemad

Posted 22 March 2016 - 12:42 PM

I think its always in the back of your mind, our DD was 2.5kg so not really small but she was prem (just) & had ongoing issues.  Her siblings where all over 3.5kg at a similar gestation.

She was barely 5kg at 12mths so really tiny for her age.

She's almost 7 and the smallest in her class etc, but I try not to stress too much about it, she's going along ok for her condition & circumstances.

Its def worth keeping an eye on it, our DD's lack of weight/growth was one of the many indicators something wasn't right.

#5 Mcc1985

Posted 22 March 2016 - 08:07 PM

Weight is one of the biggest issues we face with our DD born at 27 weeks she weighed 659g which is small for her gestation to begin with, and she has been playing catch up her whole life (2 years).

In relation to weight we have a fantastic paediatrician who has always taken everything on board, yes she is tiny for her age but from where she came from she is doing exceptionally well, she is very tiny but she is so healthy, yes she catches colds and small bugs but her body fights them well, developmentally she is tracking on par with her actual age so overall her weights isnt an issue.

Our maternal health nurse has given us numbers for dietitians which are bulk billed that you could try if you are worried, we have never gone ahead so cant give you any tips from that.

Good luck and I hope you find the answers that help your dear little prem :)

#6 .Jerry.

Posted 22 March 2016 - 08:45 PM

Worried about growth for years.  DD was 27 weeker 810grams.  Was just on the charts for years.

Now at age 10 she is on the 35%ile for weight and 40%ile for height.  Had her growth spurt.  
Average in her class.  

She stopped looking like a prem by the time she was about 6 or so and now completely average.

So yes, the worry does go away...eventually. :)

#7 Riotproof

Posted 22 March 2016 - 09:36 PM

Thank you ladies, I'm glad to hear it does end.

She doesn't really have that head shape that is often present in premmies. She just looks proportionately small, so people are often surprised at how well she crawls, pulls up, shows her personality because they're expecting her to be more like 7–8 months old. We've finally put away the 000 zippy suits and bought 0. I've noticed she has really stretched out a bit recently, so maybe she's got a spurt to come?
She also doesn't really get colds, but I suppose this year with her brother at school will be a test.

It sounds like I should just keep doing what I'm doing, doesn't it?

#8 FretfulMum

Posted 01 April 2016 - 11:21 AM

Ah I'm so glad I stumbled on this forum! I'm having the same concerns. My son was born at 30wks & 1100g. He is now 1yr old.  I constantly struggle with my anxiety over his weight gain. He now weighs 7.9kg but is only on the 3rd centile for his corrected age (& pretty much always has been). Our Paed wasn't too concerned as long as he just continues tracking on the same trajectory with his weight. Riotproof it sounds like you are doing the right sorts of things with meals & feeding. We are doing exactly the same sort of things. We recently saw a dietician (mainly for reassurance!) & she said what we are doing with food & b/feeding is fine. Despite plenty of reassurance from health professionals I still worry constantly. I bought a set of scales & find myself weighing my son every second day. I freak out at the smallest drop in weight. Even though I know things all even out over the long run I can't shake this anxiety over his low weight.

#9 .Jerry.

Posted 01 April 2016 - 01:16 PM

I saw a Paed and a dietician when DD was young.  We were instructed to add cream to her mashed vegetables.  We also added a fortifier to her food where possible.  Not sure if it made much difference.
She didn't eat much anyway.  Had swallowing issues - both motor issues in the mouth, sensory issues and large tonsils.

As I said earlier.  She had her growth spurt now and is average height and weight for her age. :)

#10 Riotproof

Posted 03 April 2016 - 10:30 PM

Fretfulmum, it is a really hard thing. Especially when I look at "normal" babies and think they are enormous. With DS I never worried at all. I doubt I weighed him past 5 months on a regular basis.

I am reassured that for other people, it has eventually evened out. Thank you, Jerry for sharing that. I'm grateful that she does have an appetite.

Unfortunately, her paed has cancelled appointments due to personal reasons. Hopefully, he'll be available soon or I will look at seeing someone else. My GP does have paediatric experience, so if there are concerns we can see her.

#11 Aqua21

Posted 13 April 2016 - 12:24 PM

Sounds like your doing a great job Riotproof!

My twin DS were 33wks born and never worried about them after 1yr as they did so well with developmental milestones and weights and now at 12yrs not a concern never even know they were early!

My DD also a 33wkr was smaller than either of the twins and at almost 19months she's little on the graphs. She's now cracked 10.1kg and was 9.9kg at her 12 month check and needles. Paed has discharged her from care as she eats well and said once they start moving they don't gain as much weight. I do still worry as she is smaller than most kids her age but have met a few that are similar size.

Maybe girls are just a bit finer than boys so we worry a bit more about them? I don't know but she's pretty happy so that's the main thing I guess! Her personality for sure makes up for anything she is lacking in size!

Take care

#12 HRH Countrymel

Posted 13 April 2016 - 12:36 PM

I stumbled in here from the side bar - but I just wanted to share an anecdote from a few weeks ago.

One of my cousins had a very, very early tiny prem.
There were many months of anxious worry, followed by several years of surreptitious comparisons with his younger born at full term brother.. "Was he growing fast enough?  Was he still slight?"

We were at a big family wedding... there was a giant 6'+ young man wandering around the venue, towering above his short slight family leaving a tide of blushing tittering ladies in his wake.

His Grandad turned to me as I was watching this spectacle and wryly commented "Imagine if he'd 'grown to full height' eh?"

So be confident ladies - eventually they DO catch up!  And how!

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