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That first pediatrician appointment—usually around three days postpartum—is a big milestone. You’ve just brought your baby home, and you’re adjusting to life as a new parent. Then comes the weight check, and suddenly, all the emotions (and maybe a little anxiety) kick in. Is my baby gaining enough? Are they eating enough? What if they’re not? These are normal concerns, but how they’re addressed at your pediatrician’s office can have a huge impact on your breastfeeding journey.
Here’s what you need to know to navigate that first weight check with confidence, advocate for yourself and your baby, and leave feeling supported—not second-guessed.
Understand the Pediatrician’s Role
Pediatricians are experts in infant health, but they are not typically trained in lactation. This is an important distinction. While they can assess your baby’s overall health, growth, and development, their knowledge about breastfeeding mechanics, milk supply, and nursing challenges is often limited.
Unfortunately, some pediatricians are quick to suggest formula supplementation if a baby’s weight doesn’t meet certain benchmarks. While supplementation is sometimes necessary, it shouldn’t be a knee-jerk reaction. If your pediatrician brings up formula without discussing breastfeeding support or referring you to a lactation consultant, it’s a sign they may be stepping outside their scope of practice.
What to Watch Out For
Here are some red flags to be aware of during your baby’s weight check:
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Immediate Recommendations for Formula: If your baby has lost a little weight (which is normal in the first week), your pediatrician should assess overall health and feeding patterns before suggesting supplementation.
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No Mention of Lactation Support: A supportive pediatrician will refer you to a lactation consultant or breastfeeding counselor to address feeding concerns.
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Pressure to Supplement Without Evidence: If there’s no clear medical reason for supplementation—like dehydration or jaundice—ask questions before agreeing to formula.
- Formula Company Marketing: Be cautious if your pediatrician’s office has formula samples prominently displayed. Some offices have relationships with formula companies, which may unintentionally influence their advice.
How to Advocate for Yourself and Your Baby
Advocating for your feeding goals doesn’t have to feel confrontational. Here are some scripts you can use to navigate the conversation:
If Formula is Suggested Without Lactation Support:
“Thank you for your suggestion. I’d like to explore breastfeeding support first. Can you refer me to a lactation consultant?”
If You Feel Pressured to Supplement:
“Can we take a closer look at my baby’s feeding patterns before deciding? I’d like to make sure we’re addressing any breastfeeding concerns first.”
If You’re Feeling Unsure:
“I’d like to take some time to discuss this with a lactation consultant before making a decision. Could we revisit this plan at our next appointment?”
What to Expect at the Weight Check
To put your mind at ease, here’s what typically happens at a 3-day weight check:
- Your baby will be weighed to assess how much weight they’ve lost since birth. (Some weight loss is normal.)
- The pediatrician will check for signs of dehydration or jaundice.
- You’ll discuss feeding patterns—how often your baby is nursing, how long they feed, and whether they seem satisfied after eating.
Come prepared with notes about your baby’s feedings (time, duration, and any challenges you’ve noticed). This information can help your pediatrician assess the situation more holistically.
Build Your Support Team
While pediatricians play a vital role in your baby’s health, they are just one part of your care team. A lactation consultant is your go-to expert for all things breastfeeding. If you haven’t connected with one yet, now is the perfect time.
Ask your pediatrician for a referral, or reach out to a lactation professional directly. Many lactation consultants offer virtual or in-home visits, making it easier than ever to get the help you need. You can also find lactation support on BeHerVillage.
Trust Yourself
As a new parent, it’s easy to second-guess yourself, especially when you’re getting conflicting advice. But remember, you know your baby best. Trust your instincts, ask questions, and don’t be afraid to advocate for what feels right for your family. With the right support and information, you’ll navigate that first weight check—and every one after—with confidence.
Want to learn more about choosing a pediatrician? Listen to our podcast episode with an IBCLC who gives us her tips for finding a breastfeeding supportive pediatrician.
BeHerVillage is helping parents like you get the funds they need for the support they deserve! Are you having a baby and are looking for support? Create a registry for support today and get gifted funds directly into your bank account to pay for your support team. You deserve this.
Are you a birthworker who supports new moms? Use BeHerVillage to help your clients pay for your support. Create your free profile here and you can be the best baby shower gift a mom will ever get!
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