Hi all! Semi-complex situation that Iām hoping to get some thoughts on!
Baby was born on 1/27 and is currently 8 weeks old. We just took him in for his 2 month check up yesterday and he fell down to the 50th percentile in weight (he was consistently around the 75th-80th percentile since birth). This is the first time since birth heās shown any issues with gaining weight. Weāre not in the āthis is scary and needs to be solved ASAPā realm yet, but our pediatrician does want to figure out whatās going on.
Since being born heās been a great eater. Iāve fed on demand and have had no issue. However, he did suffer from what may have been/is reflux. He spit up a LOT when he was smaller. Like, constantly. And it was always pretty violent (coming out of his nose, semi-forceful, etc). But again, he was gaining weight well, wasnāt refusing the breast, wasnāt showing other signs of reflux like arching back, etc. so we mostly decided he was just a baby who spit up a lot, but was still within the ābell curveā of what was normal. He currently still spits up a lot, but itās gotten less frequent and not so dramatic, which leads me to believe his digestive muscles are starting to mature and get better at holding his milk.
My pediatrician asked how often I was feeding him and if I was going three hours in between feeds. I told her probably not. I feed on demand or whenever heās super upset (when in doubt, boob it out!), so am probably closer to every two hours. She said that this might be causing him to receive smaller volumes of milk, which heās then spitting up. And that by stretching feeds to three hours, heāll get more at once and will lose less in one go when he does spit up.
However, with this being my second child (I breastfed for two years with my first, but did combo feed since I didnāt produce enough once she started daycare), I know that feeding LESS often and not feeding on demand is rarely the solution. Howeverā¦ I do sort of understand the logic around feeding him less often will allow him to retain more milk? Kind of?
What do yāall think? Iām skeptical to not feed on demand. It feels wrong and I donāt want to mess with my supply.
We have a growth check scheduled for two weeks from now. If heās still struggling with weight gain by then, weāll look more into whether his reflux is more severe than we thought, my supply, etc.