Mini Mouse

Aug. 24th, 2010 09:26 pm
norsegirl: (Default)
[personal profile] norsegirl
Had our 1 year appointment yesterday and the little mouse still isn't really growing. We're up to a mere 27 1/2 inches and 16 lbs 2 oz. This puts her under the 3rd percentile in both areas. The doctor says she is concerned because her face doesn't look like it has a lot of baby fat left. She wants me to introduce cow's milk and asked me to add fats to the food we serve her. Where it makes sense, I have been doing the fat addition (butter on bread mostly) to no effect since the last appointment where she gave the same advice. I'm not sure about the cow's milk. I don't really get how that could be better than the breast milk she's already getting. This is one of the (many) doctors that wanted me to supplement with formula back in the first few months when she was growing well, so I'm hesitant to blindly follow her advice. One of my friends has recommended changing physicians, but I'm not sure that will solve things either. I got this woman on my side when I had Georgia growing well at the beginning on breast milk alone, but it's easy to be supportive when everything is going well. I'm not sure my friend's pediatrician, who is completely supportive of her, with her monstrously large child, would be as supportive of me and the mouse.

Georgia eats plenty to my mind, but I'm aware that I'm not an expert. I offer her 3 meals a day plus a snack or two and she eats until she's had enough and starts feeding dogs. Most meals are 1 or 2 pieces of fruit. Sometimes she eats a bit of meat or an egg. There's lots of cheese going. Usually there's some grains too (bread, rice or cereal, sometimes pasta). It doesn't look to me like she's wasting away. She plays fairly energetically, she isn't tired, she's happy most of the time, but even I will admit that it doesn't look like she's getting any bigger.

The doctor wants me to come back in a month for a weigh-in but I don't get exactly what this will get us. I'm pretty sure the result in a mere month will just be more of the same. No matter what the result I'm not going to go along with any supplement that doesn't feel "right" to me (none of the liquid diets are acceptable to my mind)

And there's the very real fact that I am only 25th percentile for height and Jason is under 5%, so it's not like we're expecting to get a giant here. How much of her growth is diet and how much is simply a matter of genes? Should I be worried? Will cow's milk really solve all my problems?

Date: 2010-08-25 02:40 am (UTC)
From: [identity profile]
She does have small in her genes, but still being only in the 3rd percentile is pretty tiny even considering that. I think your mother-instincts are correct that if she's happy, active and eats until she's full, she's probably OK, but trying cow's probably won't hurt her any. I'm with you - I'd avoid the formula-type suppliments unless there is a clear NEED.

One thing my doctor pointed out to me is that due to their mothers' careful pre-natal eating habits, modern babies tend to go a on growth spurt in the first 6-8 weeks, riding out a wave, as it were, of stored benefits. I thought that was interesting.

I'd just make sure I was offering her a wide variety of food, including a little of everything you're eating (she's old enough now) and make sure she gets some grain carbohydrates and some protein every day along with all the fruit.

Date: 2010-08-25 04:39 pm (UTC)
From: [identity profile]
due to their mothers' careful pre-natal eating habits, modern babies tend to go a on growth spurt in the first 6-8 weeks

I'm guessing that's not the case here. I'm not the healthiest eater and I hate to say it, but I was my usual self throughout my pregnancy (with the exception of avoiding alcohol and sushi).

She has been getting everything I've been eating (with exceptions, like we discovered corn was bad, and raw veggies just don't work) for months now.

Date: 2010-08-25 03:23 am (UTC)
From: [identity profile]
Whole cow's milk might have more fat in it than your breast milk. Sometimes breast milk just changes its composition. You might be producing milk that's very watery, hence less weight gain.

Date: 2010-08-25 05:57 am (UTC)
From: [personal profile] rectangularcat
I agree. I would not stop breastfeeding though, just substitute some of the feedings. If when you weigh her in a month, it makes no difference, then you can ramp the boobies back up.

At least she's had cheese, so the milk should not cause any issues with her. I am looking at introducing cheese soon - with the issues we had with the milk based formulas, I am a bit trepidatious. But she digested those cheesy goldfish crackers ok... Will go with things I digest ok though, not whole milk just yet.

Date: 2010-08-25 05:09 am (UTC)
hel_ana: (Default)
From: [personal profile] hel_ana
Some babies are small. Some aren't. (Some are total freaks of nature like my niece who was never on the height chart - was always too tall - and was something like 10th percentile on the weight chart.. her doctor was fun, even though you only needed to look at her 6'1", 130lb mother to realize why she was growing that way. ::sighs::)

Certainly G has the genes to be small, and every time I see a picture of her she *looks* healthy and happy. In contrast, my former step-son had a dull but translucent quality to his skin at the point when he would eat only chicken mcnuggets and fries and PB on white sandwiches... He *looked* poorly nourished. Georgia certainly doesn't.

I'd tend to agree with ethnowoman that there's a possibility that cows milk *might* have a higher fat content (a cursory web search reveals a wide variety of ranges for the fat content of breastmilk, from wikipedia's claim that cow's milk is fattier than human breastmilk to a claim that 55% of human breastmilk is fat, so it's hard to say). Certainly it is true that composition varies. OTOH, milk is fraught with its own issues - I'm sure you've by now seen the rBGH > IGF-1 > elevated breast cancer risk article that was going around FB today. Even aside from that, having lived in the hot south, I had to switch to organic because the regular milk tasted "off" by the time I got it home from the store.. the organic milk kept longer and tasted better, IMO.

Does she eat avocado or olives (both high fat vegetables)? Would she be ready to try something like this (if so, let me know how it goes over and how difficult it is to make.. I'm hoping to spring it on Mer at some point). I'd consider switching out the Parmesan for maybe swiss or cheddar; Parmesan's a fairly low fat cheese according to this chart.

In summary, I don't think (based on pictures and your descriptions) that you should be worried, I'd be suspicious that cow's milk will solve all your problems but I'd be willing, were it me, to incorporate some into her diet but it would probably be organic, while still trying to incorporate other higher fat foods into her diet. And I'd keep in mind that human variation is pretty astounding.

Date: 2010-08-25 04:22 pm (UTC)
From: [identity profile]
Man that recipe looks good! Thanks [ profile] hel_ana!

Date: 2010-08-25 05:19 pm (UTC)
From: [identity profile]
I actually dislike most organic milk products. My husband keeps bringing home organic yogurt by mistake and I find it gross. That said I did go the organic route for G. And no, I don't find my milk goes bad by the time I get it home. But the store is less than 2 min up the road so that might be the reason.

She used to eat avocado, but lately that has fallen into the "do not like" list. Most veggies have gone that way. Today I managed to get a few carrots into her, but that was the first time in a few weeks.

As for the recipe, I'd leave out the corn. We tried that once, it was ugly. Also, I'm lazier than that. We just do egg scrambles with stuff thrown in. She has taken to telling me that egg alone is not acceptable and it had better have cheese in it.


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