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Mommy & Baby: Weight Gain & Failure To Thrive
A guide to appropriate weight-gain and what to look for if you suspect failure-to-thrive:
Weight Gain:
Birth 2 weeks of age
Regain birth weight plus some
2 weeks 3 months of age
Two pounds per month or one ounce per day
4 6 months of age
One pound per month or one-half ounce per day (should double birth weight by 6 months)
One year of age
2.5 to 3 times her birth weight
Failure to Thrive:
There is a difference between slow weight gain and failure to thrive. With slow weight gain, the gain is consistent. With failure to thrive, you will see a baby who continues to lose weight after 10 days of life, does not regain her birth weight by three weeks of age, or gains at an unusually slow rate beyond the first month of life. Things to watch for from the mothers and babys side include:
Mothers side
Improper nursing technique (poor latch-on, etc.)
Nature or lifestyle (not enough sleep, liquids, nutritional foods, etc.)
Poor release of milk (related to let-down)
Feeding too frequently (this can give the baby an abundance of foremilk and a lack of hindmilk; the latter of which is nutritionally and calorie rich)
Feeding too infrequently (being a slave to the clock)
Not monitoring growth signs
Physical nurturing, holding, and cuddling
Infants side
Weak sucking
Improper sucking
o Tongue-thrusting, pushing the nipple out of her mouth
o Protruding tongue, her tongue will form a hump in her mouth, interfering with latching on
o Tongue-sucking, she sucks her own tongue and not on the nipple
An underlying medical problem (if you suspect something, talk to your pediatrician immediately)
Getting the help you need
Lactation consultants can be very helpful in resolving issues related to latching on or inverted nipples, both of which can cause a problem with nursing. Allow the consultant to observe your baby nursing and note if there are problems in position, latching, or something else. Do not permit the consultant to dissuade you from your flexible routine if thats what youve decided to do for your family. Remember: if flexible routines were unhealthy, NICUs wouldnt use them for the most vulnerable of babiespreemies.
If you determine that your nursing difficulties cannot be solved or are more stressful on you as mommy than what you need, do not feel guilty about switching to a bottle. It is more important that your baby receive nutrition to grow and thrive than to fit someone elses ideal of motherhood.
BONUS : Mommy Must-haves For The Second Child
Since she's been there, done that, what do you get a veteran mom with a new baby?
According to Kids II, one of the fastest-growing infant toy companies in America, selecting baby gifts for second-time-around parents can be as simple as A-B-C.
* A is for age gap. Consider whether the latest bundle of joy is far or close in age to siblings. Moms with two children under 2 might appreciate a second helping of necessities such as monitors, car seats or diaper disposals.
Second babies are a welcome opportunity for duplicates of essentials like bouncers, play gyms or swings. Moms will appreciate not having to move gear from room to room or floor to floor as they move their babies to where their toddler siblings may be playing.
If the age gap is bigger, think about items parents might need for an older child, such as booster chairs, rails or bedding for big boy/girl beds, or perhaps a new convertible car seat.
* B is for better features. To keep up with an evolving market, toy designers and manufacturers often incorporate new features and technologies into their products, providing new twists to classic favorites.
For example, the Bright Starts "Around We Go!" activity station takes play to a new level by incorporating a seat that safely moves around the outside of the table. Named one of Dr. Toy's Top Ten Toys of 2005 and a recipient of the National Parenting Seal of Approval, this innovative toy features an electric piano, drawing station and removable dishwasher-safe snack tray. Parents love the open design, which provides room for siblings to share in activities.
* C is for clean slate. Hand-me-downs are great for clothes, but not for personal items such as pacifiers, teethers and stroller/car seat toys, which tend to spend more time on the floor than in little hands and mouths.
When buying teethers, make sure they are soft, durable, easy for a baby to hold and easy to clean. Mom will appreciate replacement of much-loved items such as rattles, play keys and toy phones, while baby will enjoy having something fun and new to sink his teeth into.
Also, consider other items that get used over and over, like sleepers, undershirts, hooded towels, burp cloths and washcloths.