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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Weight Of 3kgs At 16 Weeks Be A Matter Of Concern?

My 5 weeks premature baby was 2.2kg at birth. Now at 16 weeks she is just 3.8kg. She is fully breastfed and has lot of wet diapers. But poops only every 5-10 days now. She doesn t cry after a feed and is very active otherwise. She coos and responds well. Also trying to roll over. We had all her new born screening tests done and urine checked, everything was normal.Is her weight gain a cause of concern ? Thanks in advance.
Fri, 17 Oct 2014
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Pediatrician,  's  Response
Dear user,

Indeed, her weight increase has been suboptimal. You should probably try giving her calorie-rich items in her milk such as MCT-oil, rice based cereals (to thicken her milk) and take it from there. Get her weight checked every week, and if the rise is not optimal, please take her to her preterm baby follow-up clinic for the pediatrician to evaluate her.

- Dr. Taher

P. S. MCT means "medium-chain-triglycerides". Commercial MCT oil is available which can be added in a small dose of 1-3 drops with each milk feed. You would need to remove your breast milk and add the oil to the milk before feeding it with a spoon and a cup.

The Rice-based cereal has been documented to help non-weight gaining preemies in many studies from all over the world. An example would be the preparation from Nestle.
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Could The Weight Of 3kgs At 16 Weeks Be A Matter Of Concern?

Dear user, Indeed, her weight increase has been suboptimal. You should probably try giving her calorie-rich items in her milk such as MCT-oil, rice based cereals (to thicken her milk) and take it from there. Get her weight checked every week, and if the rise is not optimal, please take her to her preterm baby follow-up clinic for the pediatrician to evaluate her. - Dr. Taher P. S. MCT means medium-chain-triglycerides . Commercial MCT oil is available which can be added in a small dose of 1-3 drops with each milk feed. You would need to remove your breast milk and add the oil to the milk before feeding it with a spoon and a cup. The Rice-based cereal has been documented to help non-weight gaining preemies in many studies from all over the world. An example would be the preparation from Nestle.