Someone please helpšŸ˜”

My baby is almost 5 months old and only nurses for the first let down. I let her nurse from one breast, burp her, then offer the other breast. Sheā€™s always alert, active, barely ever cries, and seems satisfied with her feeds so I thought this was okay, however sheā€™s dropped pretty decently below her growth curve at her 4 month check up and has been kind of trending down consistently since a month old. Went from 21 percentile to currently 8 percentile. Doctor suggested offering her an extra ounce in a bottle of breast milk or formula after I let her nurse as she normally does, but a lot of times she doesnā€™t want it and I feel like Iā€™m force feeding her. She spits it out and pushes it away. Itā€™s so hit or miss (I donā€™t believe itā€™s an issue taking bottles because she drinks fine from them when she actually wants to.) Iā€™ve pumped to see what Iā€™m getting and itā€™s normally an ounce in each breast which doesnā€™t seem like enough for a 4 month old at all. Iā€™m just so confused and donā€™t know what else to do. Any and all advice or wisdom is welcome.
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Hi love. Iā€™m sorry youā€™re going through this. Hereā€™s what I know. As long as your nursing and staying hydrated, and reducing your stress (which is a big ask from any mom), you should be making enough milk for baby. The ā€œbreastfeedingā€ foods and teas have not been proven in studies. But the power on the mind and gut is powerful. So oats, BodyArmor drinks, peanut butter, brewers yeast, diy lactation treats whatever you need to feel like you are doing good. Look up power pumping and consider power pumping during nap time. You just might need to pump after each feed to increase the milk. Baby eats for how long each side? Have you talked to a lactation consultant yet?

@Megan sheā€™s nursing on average 5 minutes per breast. Sometimes more sometimes less. (Depends how fast I get a let down) As far as her behavior sheā€™s giving all the signs sheā€™s getting ā€œenoughā€ but her weight is trending down and the doctors are concerned. Additionally a lot of times she doesnā€™t want the extra milk in the bottle after nursing. She eats every hour and a half- every 2 hours also. I do think my supply is low (only getting an ounce each breast when pumping) but other than that I just donā€™t know whatā€™s going on or how to get her weight up.

Is she very active, like crawling everywhere? Crawling early or rolling all the time can make a baby more lean and not be worrisome (my pediatrician was not worried about babyā€™s drop from 80th to 50th percentile weight. Did she start at the 21st percentile at birth or did she start at 8th percentile? I think itā€™d be a bit more worrisome if birth percentile was 21st. And how is her height growth? Even though mine dropped weight percentiles; the height percentile remained mid 80s, so doctor was not worried. Having said that, I was making low supply of milk for a few weeks in the beginning, causing baby to drop 10% birth weight before I started supplementing. I slowly reduced supplementing after a month once baby was clearly growing fine

Have you considered trying to feed just on one side each feed? I.e back to same side after burping. Thinking about the foremilk / hind milk by switching, she may not be getting as much of the fattier milk perhaps?

I think every hour and a half to two hours is very frequent for a 5 month old to be feeding, especially if sheā€™s only then feeding for 5 minutes. Seems more like sheā€™s constantly snacking and not actually hungry. Iā€™d try and stretch out the length of time between feeds to see if that helps. Pumping isnā€™t an accurate way to measure the amount of breast milk youā€™re producing, baby is more efficient than a pump, so donā€™t be concerned ā˜ŗļø

@Dreia I used to do only do one boob but after the first let down she pops off the boob and I swear i practically have to fight her to continue to nurse on that side after she drinks the letdown. I assume itā€™s because she doesnā€™t want to work for the next let down. Itā€™s constant popping off and yelling so I end up caving and putting her on the other breast

Mine was eating for 5 minutes at that age. But for different reasons. I also agree with @Rebecca with stretching out the feeds. Donā€™t worry momma. You can do this.

Can you try offering her more feeds? So, let her come off, end the feed, then try again in half an hour or so?

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