I said I'd update you after Karis's 9 month appointment with her
pediatrician. I've put this update off, because unlike usual, we didn't
have a happy visit. Usually I'm excited to report all her new stats to
you. This time, Doc had some concerns.
Here are
her current stats:
Head
Circumference: 16.5 inches/10th percentile
Length: 27
inches/25th percentile
Weight: 15 lb. 12 oz.
/5th percentile (I read one chart that said 10th)
Karis's head and
length continue to grow at a steady pace. Her weight, on the other
hand, is increasing very slowly. If Karis had always been in the 5th
percentile, the doctor would be fine with her staying that way, but
since her percentile continues to decline, that causes concern. Doc
said, "Let's wait until her one year appointment to make a
decision." I quickly responded, "I don't want to
wait. This has been a concern at her last several appointments.
If she is malnourished, I don't want to continue to starve her. I'm
worried that my milk supply is too low." He suggested weighing K
before and after feedings to see how much milk she is getting.
He also increased her solid meals from 2 to 3 per day.
A couple of days
after the appointment, Doc called Michael at 7:30 in the morning. I was
worried immediately, because usually the doctor's office calls me. Doc
informed Michael that Karis's blood count came back showing that Karis has elevated
liver enzymes. He will see her in a month to retest. I did some
research and came to two conclusions.
1.) The medication
that I take for IC, Elmiron can cause liver problems, so maybe it was affecting
her. Decision: as long as I am nursing or pregnant, I will never take
Elmiron.
2.) I read
some scary things on the Internet, but the one that sounds most probable:
low weight and malnourishment can cause an elevation of
liver enzymes. When weight and nourishment improves,
the liver heals quickly.
So,
I increased Karis's solid meals immediately. I also tried
supplementing with soy formula, but Karis threw it up the first time.
After doing a weight check, we learned that Karis was getting 5 ounces of milk
during her first feeding and 2 ounces during the others. Yikes! She
is supposed to get 6 - 8 ounces per feeding. I tried some regular
formula, and Karis did well with that, but we want to be careful with the milk,
since Michael has a milk allergy. This dilemma has left me stressed,
worried, and panicky. What kind of formula am I supposed to give
her? How much? When? How much is this going to cost? Is
breastfeeding really coming to an end?
After much prayer
and research, my worry has calmed, and we have a good plan for baby K.
Research shows that breastfed babies slow down on weight gain after about
3 months, and this tends to alarm doctors. Often, they recommend that
mothers supplement or stop breastfeeding all together. No way am I going
to stop breastfeeding. If I've still got some milk, why stop?
I am slowly introducing organic soy formula. Karis is doing well...
hopefully Doc will agree in a few weeks.
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