The Triplets had their four-month appointment today. Can you believe it? Four months have passed since they were born and I still haven't gotten my shit together to write about the day of their arrival into the world. I suck. Needless to say, it's not that I don't care, it's just that I've been wrapped up in their lives and in caring for them. Yeah, that's it. Uh huh. Anyway, they will be 18 weeks old tomorrow. It's amazing how quickly time flies when you're having this much fun. And seriously, how come no one told me it was going to get to be this much fun? All of a sudden they've started noticing people and they're all smiley and interactive and loveable! I adored them before, but now, ohmygosh, it's a whole new level of love that I didn't even know existed! Seriously, I knew before how much I wanted to be a mommy, but if I'd known it would only get BETTER after they were born, well, gosh I'm not sure I would have been able to wait five years for these little monsters to arrive!
Anywhozit, they went in for their four month check up this morning and Sam and Abby are definitely growing, but Ellie... oh poor, sweet Ellie. She isn't! I don't know what to do with my poor Ellie-Bellie! Here are their current stats:
Sam: (my little piggie!) 10 lb, 6 oz 21.5 inches long
Abby: (my smiliest) 9 lb, 7 oz 21.5 inches long
Ellie: (my teeney beanie) 7lb, 8oz 21 inches long
Ellie last got weighed on January 4th and she was 7lb, 7oz. Seriously! I actually made the nurse re-weigh her today to make sure we'd read the scale correctly, because I just couldn't believe she'd only gained an ounce. My poor, tiny baby. So we don't know why she's not gaining weight. We know that she doesn't like to eat as often as the other two, that's for sure. But we also know that when she does eat, she's eating a sufficient amount (she gets about 3-4 ounces when she breast feeds...we've weighed her before and after feeding and she consistently gets that amount). In the past her weight gain has been borderline worrisome, but never really, really awful. Now, obviously, she's definitely giving us something to worry about. In a way, it's almost better because now at least we KNOW that it's time to be more aggressive and we know that we're not poking and prodding her for no good reason this time.
So here's the plan: We drew blood from her today to run a CBC and a full metabolic panel on her (she'd previously had a thyroid panel drawn which came back normal). We'll also have her stool checked for blood. We'll add 22 calorie fortifier to her EBM feedings to try and get some extra calories into her. We will bring her back next week to be re-weighed and bring a copy of her feeding log so that we can calculate how many calories per day she's eating. We will aggressively wake her to eat every three hours (we've tried this before with little success, but we'll do our best).
I love our pediatrician and I'm very glad that he's very level headed, but being very aggressive about working with us to find answers on this. We are relieved that her head circumference growth is exactly perfect on the growth charts, that her neurological development seems spot on, and that her muscle tone and motor development does not seem impaired. These are all good signs, so perhaps the weight gain (or lack thereof) needn't be so alarming, but we still definitely need to explore it.
After the appointment, I went off to my first day of work. It was a very, very short day since I just really needed to fill out some paperwork and do a little reading, but that was okay with me. I think I'm going to enjoy this job. I hope so, anyway. I came home to smiling babies and promptly pumped 15 ounces, a new record for me.
Finally, I leave you with some pictures of my gorgeous trio...
Abby, Cute as a Button: