Baby suddenly dropping percentiles

eoim

New member
I just really need to vent.

My daughter was doing amazing for the first two weeks. Great sleep. Great demeanor. Short feeds (like only ever one boob at a time, and chugging so would stop around 4-5min before going to sleep) but gaining perfectly.

I was worried about the short feeds, so kept seeing lactation in case she was dropping weight. She wasn’t, despite only being on the boob about 2hrs a day at most. She just needed to be burped A LOT. No tongue tie. Great looking stool. So we figured things were ok and maybe the issue was just overproduction. I was told to block feed and lean back with a cross cradle hold to help control let down.

She’s 6 weeks now and has only gained 18 oz in 26 days. She went from 35th to 15th percentile. I started panicking, pediatrician wasn’t super concerned yet but she’s been even fussier at the breast despite all the advice from lactation. Some days I can only get her on the boob for an hour at most. She just screams at it most of the time. It’s becoming really freaking hard.

I cut out dairy, soy, egg and nuts. Dairy & soy due to poor weight gain (recommended by lactation despite the fact that her stool looks pretty good most days). We had one green mucus diaper w/ blood and food journaling made it seem like egg was the issue. Oats and nuts were from linked vomiting episodes. Both resolved with cutting the foods.

I’m still not sure about the food allergies. My son did have several and his stool was very clearly affected unlike hers. Lots of bloody, mucousy green diapers. He never had issues with gaining and was the exact opposite at the breast. He never wanted to be away from it or stop nursing due to the protein allergies. He was nursing for 8-9 hours total on the bad days of reactivity, 4-5 on the good days where he was recovered.

I’m going to work with a feeding specialist next week, an allergist the following and have an apt with G.I. but it’s not till January. I’m going back to lactation next week, too. But wow. I’m super freaking overwhelmed right now. I don’t want my daughter to fall into the failure to thrive and I don’t want to give up breastfeeding. Especially if she does have protein allergies, because formula is still experiencing shortages and it’s expensive AF. I’m a SAHM. I should be able to do this. My son nursed till 22months! I feel like I’m failing.

My supply is great. I’m now trying to offer both breasts but most of the time she just isn’t interested. We’re doing a little better with feeding for longer sometimes, but I’m still worried. I don’t want to keep trying if it’s going to hurt her to not switch to formula.. but I don’t understand what’s going on? Why isn’t this working when I have a good supply and I’m cutting out foods? There’s no tie? I’m just confused and upset. This is so much harder than it was with my son!
 
@eoim Plz go to a pediatric dentist specializing in ties for an evaluation. And do a two week cut out for dairy, gluten, soy, beans. And try cup or syringe feeding. Do you have a fast letdown?
 
@eoim Can you try pumping and then bottle feeding her your breastmilk? I would also get a second opinion from a different lactation consultant nor a pediatric dentist on whether they have a tongue tie. It sounds like something is happening at the breast but just know it’s not your fault!
 
@fupa1963 Every time I try she gets even angrier! My husband has given her one bottle successfully, but it was when I was in the ER for hemmoraging. Otherwise she refuses to take them and only screams. I’ve never tried to offer instead of a feed, just if a feed seems really short and she’s still angry after.
 
@eoim Were you hemorrhaging from retained placenta? Did they do an ultrasound to have a look at contents of your uterus? Retained pieces of placenta can affect milk production. But you were doing well for the first two weeks so that might not make sense but I thought worth mentioning.
 
@thing2 I had a golf ball sized mass, they didn’t confirm whether it was or wasn’t but my supply has been great! I pumped a total of 16oz (two different sessions, both sides) while in the ER as I was bleeding and waiting for results from ultrasound. Still pumping at least 4oz each side with my manual within 10 minutes when I do pump at home.
 
@eoim I had a similar experience and have been working with a lactation consultant. My baby boy is also 6 weeks old (born July 9th).

They switched me over to Dr. Brown’s 4 ounce bottles (narrow) and the Dr. Brown’s T nipple. We’ve been successful using that.

The lactation consultant may also help you try an SNS - Supplemental Nutrition System.

Here’s a link to IBCLC’s that have high levels of training to help you out:

https://www.ibclcmasterclass.com/northamerica

That was recommended to me by Maven Clinic
 
@eoim Percent are just comparisons to other babies. She could gain or drop prevents. Don’t worry about that. Is she following her curve? Meeting milestones?
 
Also UOU ARE NOT FAILING ❤️❤️❤️❤️❤️ you’re working the problems and looking for answers! They will come, I promise!
 
Also if the person who did the oral exam doesn’t understand what they’re looking for they could have missed a tie completely.
 
@dpasek We do have a feeding/speech evaluation, maybe I can have them re-evaluate? Lactation at first thought she might, pediatrician said no way. Wouldn’t hurt to check again. I feel like she doesn’t because she had a great latch and feeding at first, it more so seems like something new is going on since the weight suddenly shifted to dropping after two weeks.

ETA (in response to other comment) Otherwise she is meeting milestones! Smiling, doing well with tummy time and tracking. I just weighed her again at home though and she’s only gained an oz and a half in 5 days. After all the vomiting episodes our ped also ordered an ultrasound to check for pyloric stenosis. Wasn’t that, came back normal - but this is freaky for me.
 
@dpasek They’re great! Very yellow, sometimes have some mucus but then the next diaper will be perfect again and mucus free. I even sent a few into free to feed (we used them before with my son) and they even confirmed that most of her diapers look perfect. We’ve only had one green diaper with blood, and that was after I had eaten a lot of egg. The next diaper was good though.. so now I’m questioning everything again.

With my son, his protein allergies caused mucousy stool for weeks and weeks even after cutting out so many foods. His fussiness went away and comfort feeding went down, but poops took so long to correct. It doesn’t seem right that only some of her diapers would be bad and most great?
 
@dpasek I remember watching a video with my son but that’s about it? We mostly used consults to evaluate diet and reactivity. This was two years ago though so things may have changed.

She was the one who had cleared the diapers though when I sent stool pics in!
 
@dpasek This. A tie is supposed to be based on several things, one being a difficulty breastfeeding that can look a lot like OP is describing. To her very long list, OP might add a second opinion on the possibility of a tongue tie.
 
@dpasek Mine began dropping % when my supply stabilized around 7 weeks and then my supply began to tank. We had a tie that we were aware of but let it go because she was gaining. Then she didn’t gain for several weeks between 6-8weeks. We revised the tie at 9 weeks which didn’t help at all, and now I pump 90% of the time and she gets 30oz a day and still dropped more %, although height has stayed stable at 95%. I think she just has a long and lean body type. I chose to revise a tie based on her dropping %, but at the end of the day I don’t think it made a difference at all. Perhaps the tie revision could have other positive long term effects, but that is not super clear in terms of research evidence, but sometimes babies just start following their own body type I think. She doesn’t look thin and definitely knows when she’s full or doesn’t want a bottle and is a happy girl.
 
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