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Failure to Thrive - Newborn
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small bean




 
 
    
 

Post Tue, Jun 06 2023, 3:16 pm
amother Mustard wrote:
I'm in Israel, so we borrowed a digital baby scale from Yad Sarah. (You pay a deposit and get it back when you return the item.)


What scale is it? I ordered a scale but I'm not sure if it will be that precise.
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amother
Brass


 

Post Tue, Jun 06 2023, 3:20 pm
Maybe you can call the question’s desk at dr shaniks office and tell them straight out that you are not a patient but you wanted dr shaniks opinion. I know that he doesn’t mind random people stopping him in shul to ask him a medical question so he might not mind answering even if you aren’t a patient.
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amother
Brass


 

Post Tue, Jun 06 2023, 3:43 pm
small bean wrote:
What scale is it? I ordered a scale but I'm not sure if it will be that precise.


Call bikur cholim. You might be able to cancel your order and borrow from them.
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amother
Jade


 

Post Tue, Jun 06 2023, 3:44 pm
amother Hyssop wrote:
Quote:

small bean wrote:
What is NAET?


This is not regular medical protocol.
Don’t do anything without the approval of your doctor.


NAET is an allergy elimination program. Allergies are not defined as you and I are used to for NAET. It can be anything a body is not processing correctly. The treatment is harmless. No supplements, etc.

I did it out of desperation for 2 of my kids. One is anaphylactic to a bunch of common foods and couldn't touch the foods he was allergic to. His school was not being responsible and I was scared. I heard about NAET and decided it couldn't hurt. We had to stop for outside reasons after a few months, but it definitely helped. As we didn't finish, he still has food allergies, but now can eat some of the foods he was allergic to (actually a non-anaphylactic food, but still allergic to) in the past. My other child has asthma and was in the ER every few months. After NAET treatments, he hasn't been on any steroids or had any trips to the ER for asthma in over 10 years.


You should try theallergykit.com it’s supposedly an at home NAET program.
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amother
Mustard


 

Post Tue, Jun 06 2023, 3:57 pm
small bean wrote:
His head circumference is fine. It's on the curve.

First to drop is weight, then height. Only after that head circumference. The goal is to catch it early so that it doesn't touch the head.
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amother
Mustard


 

Post Tue, Jun 06 2023, 4:06 pm
small bean wrote:
What scale is it? I ordered a scale but I'm not sure if it will be that precise.

You only need it to be precise to two decimal places. The third is nice but not necessary. The one we have is probably not THE best but most important is consistency, to weigh the baby in the same situation on the same scale. For weighted feeds, also in the same diaper and the same clothing. Nothing should change except what baby takes in.

The scale we have is accurate enough for our purposes, but we know that for instance if you place just 30g on it, those 30 may not always register on the screen (though if you tare they will almost always register in the tare). But, for measuring whether baby got 10ml, 20ml, 30ml, 60ml, 90 or 100ml - it does the job. Sometimes the scale can't make up its mind between .08 and .09, for instance, so we figure it must be .085 and go with that.

OH, I forgot to mention. A few months ago we discovered that our Avent bottles actually aren't marked precisely. The 20ml mark is actually just 10ml. So 125ml = 115ml. Which means that if we gave 5 bottles and thought baby got 600 (more than enough at the time), baby only got 550 (just barely enough at the time). And if we thought baby got barely enough (550) then really what baby was getting was way less than enough (just 500). Essentially those days that we were giving bottles to measure more accurately and to ensure baby got enough - the more bottles we gave, the less accurate our calculations were and the greater the discrepancy was, and the less baby actually got. Sad Nursing was more accurate, by far.

The moment we figured this out and adjusted for the imprecise measurements in our calculations, baby's weight gain started to improve.

We still use Avent bottles, we just take the discrepancy into account.
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small bean




 
 
    
 

Post Tue, Jun 06 2023, 5:52 pm
amother Mustard wrote:
You only need it to be precise to two decimal places. The third is nice but not necessary. The one we have is probably not THE best but most important is consistency, to weigh the baby in the same situation on the same scale. For weighted feeds, also in the same diaper and the same clothing. Nothing should change except what baby takes in.

The scale we have is accurate enough for our purposes, but we know that for instance if you place just 30g on it, those 30 may not always register on the screen (though if you tare they will almost always register in the tare). But, for measuring whether baby got 10ml, 20ml, 30ml, 60ml, 90 or 100ml - it does the job. Sometimes the scale can't make up its mind between .08 and .09, for instance, so we figure it must be .085 and go with that.

OH, I forgot to mention. A few months ago we discovered that our Avent bottles actually aren't marked precisely. The 20ml mark is actually just 10ml. So 125ml = 115ml. Which means that if we gave 5 bottles and thought baby got 600 (more than enough at the time), baby only got 550 (just barely enough at the time). And if we thought baby got barely enough (550) then really what baby was getting was way less than enough (just 500). Essentially those days that we were giving bottles to measure more accurately and to ensure baby got enough - the more bottles we gave, the less accurate our calculations were and the greater the discrepancy was, and the less baby actually got. Sad Nursing was more accurate, by far.

The moment we figured this out and adjusted for the imprecise measurements in our calculations, baby's weight gain started to improve.

We still use Avent bottles, we just take the discrepancy into account.


How'd you know bottles were marked wrong?
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amother
Babypink


 

Post Tue, Jun 06 2023, 7:00 pm
See if you can get an immune work up. I had a nephew like that and the doctor insisted on switching to formula. As soon as he was in formula he started having serious infections nonstop until they realized he wasn’t making enough white blood cells. On breastmilk with the immune boost he wasn’t getting dangerously sick - but he wasn’t putting on weight either because he was chronically subclinically sick.
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amother
Mustard


 

Post Wed, Jun 07 2023, 7:14 am
small bean wrote:
How'd you know bottles were marked wrong?

Hashgacha pratis.

I was pumping for the sake of increasing supply and got a tiny amount, which I gave to my baby in addition to a bottle from the freezer (donor milk). The first day it happened I just counted it as nothing. The second day I was curious and DH was supposed to be home soon, so I left it on the counter and asked him when he got home. He, being scientific and nitpicky about accuracy, used a baby ibuprofen syringe and a second bottle to measure exactly how much water it took to get the second bottle (identical to the first) to have exactly the same amount in it as my bottle. Then he poured it all (the water, not the milk) into a measuring spoon to double-check the accuracy. He found out what I had, and then he started to suspect something was up, so he took the second bottle, emptied it, and checked how many 5ml syringes it took to reach the 20ml mark. Smile

The Avent Classic bottles' 20ml mark is really 9ml (so 11ml discrepancy), and the newer Avent bottles' 20ml mark is really 11ml (so 9ml discrepancy), but we just round them both to 10ml discrepancy and call it a day.

If I hadn't had that tiny amount that I wanted to measure, and hadn't bothered measuring it and just counted it as 0..... BH for the little miracles.

Also this is the place to note that when nursing doesn't go perfectly smoothly, if your husband isn't 1000% on board and as determined as you (or more) not to give formula, then you won't be able to avoid supplementing with formula. Mom does all the actual nursing and pumping but for baby to be EBF when the road isn't perfectly perfectly smooth, Dad needs to be very hands-on and involved and dedicated. (We always joke that this is why babies have two parents. But it's really not a joke...)
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small bean




 
 
    
 

Post Wed, Jun 07 2023, 7:30 am
Wow. Really crazy for a bottle not to be marked accurately.
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amother
Mustard


 

Post Wed, Jun 07 2023, 7:36 am
small bean wrote:
Wow. Really crazy for a bottle not to be marked accurately.

Since then I always wonder how this affects FF babies and if anyone will ever sue for it. I don't remember seeing a disclaimer that the markings might not be accurate...we always relied on them. (But we never gave so many bottles, it was mostly only when I was out studying/ working, and all other feeds were direct nursing, so I guess it didn't much matter +/- 10ml.)
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mandr




 
 
    
 

Post Wed, Jun 07 2023, 10:18 am
amother Mustard wrote:
Hashgacha pratis.

The Avent Classic bottles' 20ml mark is really 9ml (so 11ml discrepancy), and the newer Avent bottles' 20ml mark is really 11ml (so 9ml discrepancy), but we just round them both to 10ml discrepancy and call it a day.


The Medela PISA bottles are not marked accurately either. I noticed because when I poured from those into regular bottles, they were different. I also checked with measuring cups and a food scale. Yes I know I’m neurotic!
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small bean




 
 
    
 

Post Thu, Jun 08 2023, 4:33 am
Thats so interesting. I'm going to check all my bottles..
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small bean




 
 
    
 

Post Wed, Jun 14 2023, 7:01 pm
So I've been doing weighted feeds and he seems to be taking about 5oz at a feeding, that's over 100ml. I'm curious if you ever see some of those ounces staying between feedings. When I weigh him before the next feed, he's back to where he was.

I have cardiologist and endocrinologist appointments set up..
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amother
Amaryllis


 

Post Wed, Jun 14 2023, 7:45 pm
small bean wrote:
So I've been doing weighted feeds and he seems to be taking about 5oz at a feeding, that's over 100ml. I'm curious if you ever see some of those ounces staying between feedings. When I weigh him before the next feed, he's back to where he was.

I have cardiologist and endocrinologist appointments set up..


Good luck! I hope you get quick easy answers!
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amother
Brass


 

Post Wed, Jun 14 2023, 8:16 pm
How much does he weigh now?
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small bean




 
 
    
 

Post Wed, Jun 14 2023, 8:56 pm
amother Brass wrote:
How much does he weigh now?


He seems to be doing a bit more than an ounce a week
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Ema of 5




 
 
    
 

Post Wed, Jun 14 2023, 9:00 pm
small bean wrote:
He seems to be doing a bit more than an ounce a week

Have you spoken to any specialists yet? I really think you need to do that.
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small bean




 
 
    
 

Post Wed, Jun 14 2023, 9:08 pm
Ema of 5 wrote:
Have you spoken to any specialists yet? I really think you need to do that.


I have appointment tomorrow and monday
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Ema of 5




 
 
    
 

Post Wed, Jun 14 2023, 9:14 pm
small bean wrote:
I have appointment tomorrow and monday

Can I ask who you are seeing? Or what specialist?
You don’t have to share, obviously.
BH you were able to get quick appointments. I hope you get answers soon!!
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