Baby Feeding and Weight Gain
Yesterday my baby went to the doctor for her 4 month checkup. Everything was looking good at her 2 month, but at the 4 month the doctor said she isn’t gaining weight like she should be. She was 7lbs at birth and is 12lbs now at 4 months. She is quite tall. She is combo fed (about 95, 5 split I would say and only gets one formula bottle every day or two)
When she is breastfed she only eats on one side (she has only ever done this) and eats for an average of 15 minutes (sometimes more, sometimes less). She eats 6 times a day, about every 3 hours during the time she is awake. She sleeps overnight and only wakes to feed around 5am. When she takes a formula bottle, we typically give her around 4oz.
She seems content and happy and alert when she is awake, doesn’t continue to show hunger cues after she is done eating, and produces enough wet and dirty diapers in a day so I didn’t think her weight would be a problem.
The doctor suggested topping up with formula after every breastfeed to put on some weight. She said we could just feed her with the formula until she wouldn’t eat anymore. My last breastfeed she ate for 17 minutes, drained the breast (which was quite full) and then ate 4 ounces of formula as well. I didn’t give her more, but maybe I could have? She wasn’t fussy after the feed and seemed content, but she always does even after just the breastfeed.
I guess my question is, has anyone experienced this? What is a normal amount of volume for a baby of this age with a combo of breastmilk and formula? Is she getting so little from me that she could still eat more than 4oz of formula after breastfeeding? Any experience with this or advice would be greatly appreciated! I am so confused and want to make sure baby is getting enough and I feel bad for not realizing sooner that maybe she should have been getting more.