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I have a gorgeous 8 month oold who is just perfect, however he only weighs 7 kgs

Hi Leanne i have a gorgeous 8 month of who is just perfect however he only weighs 7 kgs he eats 3 solid meals a day aswell as 4 breastfeeds a day, i`ve been giving him a milk feed first and around 1 hour later he gets solids. My doctor has recently told me to reverse that, also i`m back at work at can only expess 120 mls at most and sometimes he doesn`t finish these bottles. He`s had tonsilits for the past 2 wks and is now on the second course of antibotics so he`s not eating a great deal portion wise.. normally though he does have a good appetite. But i am worried about his weight he was born small ish 2.6kgs and parents are small 2. Do u have any tips on how i cud implement a better rountine. Thank you

Leann...
Answer: Hi There, It can all get a bit confusing can`t it. Firstly, its important to keep in mind that it is the consistency of baby`s growth, so if he has always been on the same percentile and has parents who are on the slight side, then likely genetics will play a strong part in this. If however, baby`s percentiles continue to shift downwards, then yes it is good to check things out and make adjustments where you can. Often in such cases, high calorie fluids are recommended by paediatricians. On the issue of going off feeding routines, it is common that after illness little ones can go off their food for up to 2 weeks, sometimes up to 6 weeks in severe gastric upsets. As you are breastfeeding baby will be getting probiotics to replace the lost ones from the antibiotics, and this will help with his local intestinal immunity. You may like to ensure baby is getting a little extra from a good natural yoghurt, or ask at a good health food shop about a baby probiotic. If you are making the switch to food first, look carefully at what food groups are included at each meal. Try to ensure baby is having protein and healthy fats, so things like:
  • Meat
  • Lentils
  • Beans
  • Fish
  • Dairy
  • Avocado
  • Nut pastes
  • Etc
This will add calories and also fill baby up. It gets easier as you go along to add healthy calories to his diet because of course they have trialed most foods by about 9-10 months, and are eating fairly adult-style meals. Breastmilk is 54% fat so you can see the challenge you need to take up in order to ensure his food matches this sort of calorie intake. It is a bit of challenge to be honest because babies have such limited capacity for food (about 30g per kg of body weight). Naturally, the smaller the bub the less space and need for calories. I hope this is making sense. I personally would recommend an additional breastfeed, you can see why given the calories in a breastfeed. On routines I found Karitane was really helpful, they recommend the following for bubs 9-12 months (I have given 9 months+ as you have been recommended to start food before solids):
  • Up time 3 ½ to 4 hours. Milk Feed. Breakfast. Play. Sleep (1 to 2 hrs).
  • Up time 3 ½ to 4 hours. Lunch. B`feed. Play. Sleep (approx. 1 hr). Afternoon tea. Play.
  • Up time 3 ½ to 4 hours. Solids. Bath. Milk feed. Quiet time. Bed time.
If you find things don`t improve and you want more support, ask your GP for a referral to a paediatrician or alternatively pop into see a paediatric nutritionist or dietitian. All the best with it, Leanne
Answered: 15 Jun 2009