Peter's weight check

iVillage Member
Registered: 12-09-2008
Peter's weight check
18
Thu, 10-28-2010 - 11:03am

I went into my 10-1/2-month-old's appointment armed with CDC documents about the WHO charts that are now recommended for use with breastfed babies.

I had the following conversation once he was seen by the doctor (not exact wording, but trying to be consistent):

The doctor said that he had gained a pound but was still on the low side (1% for weight, 66% for height).

I said, "But that's with the old charts, right?" She looked confused.

Photobucket

http://reconciledtogod.blogspot.com/

Pages

iVillage Member
Registered: 11-06-2006
Thu, 10-28-2010 - 2:05pm

Jessi,

While there are a number of issues with the doctor's approach to this matter, I have a few questions before I offer any comments.


Have you plotted your baby's growth on the WHO charts?

baby

iVillage Member
Registered: 12-09-2008
Thu, 10-28-2010 - 2:57pm
I really don't understand how to use the growth charts, and I'm frustrated to be in this position because it shouldn't be my job to educate a doctor who sees children on how they are supposed to grow. He is up over a pound from a month ago--in the first percentile now.

I don't have a typical interaction with her; the doctor my children usually see was out on maternity leave. I think I saw her once before.
Photobucket

http://reconciledtogod.blogspot.com/
iVillage Member
Registered: 11-06-2006
Fri, 10-29-2010 - 8:32am
If you can supply all the weights you have, I would be happy to plot him out on the growth curve for you. I think it would really help us give you better information. I apologize if you've done that before, but I don't remember who has and who hasn't. You could also just refer me to a previous message if it's already here.

Erica
baby

iVillage Member
Registered: 10-27-2006
Fri, 10-29-2010 - 8:23pm

Just my NSHO, I think you're doing really well.

iVillage Member
Registered: 08-01-2007
Fri, 10-29-2010 - 9:02pm

Has his height always been in the 66th percentile? I would have a hard time believing there's a problem if his height has maintained consistent growth over the months. Movement and activity will slow weight gain, but it shouldn't slow height gain. If he keeps growing in height along his curve than I would think his nutritional needs are being met.

iVillage Member
Registered: 11-06-2006
Fri, 10-29-2010 - 9:39pm

I think the one really important thing about growth charts that is being forgotten in this discussion is that one point in time means absolutely nothing.

baby

iVillage Member
Registered: 01-12-2006
Fri, 10-29-2010 - 11:29pm

Well I actually disagree that a baby has to follow a percentile curve or that it's a concern if baby drop across two standard deviations.

iVillage Member
Registered: 11-06-2006
Sat, 10-30-2010 - 9:18am
What you are talking about is a baby that superceded it's growth curve and then corrected in the second half of the first year. That is entirely different from a baby that started out at 75th percentile and stayed there for 4 or 6 months, then started dropping percentiles down to 25th. That drop of 2 standard deviations IS a plateau in growth. That's really the only way you can drop 2 standard deviations is to either basically plateau or actually lose weight.

I consider myself not just well educated in this matter, but extremely breastfeeding friendly. When I was in training, I was actually taught to expect that a lot of babies would have a decrease in weight gain between six and nine months because of activity and finding their "true" curve, but even with that in mind, a 2 sd drop would give me pause. I'm not saying I'd jump straight to crazy supplementation or anything, but I'd definitely be doing an exhaustive history to look for issues that could be corrected and maybe even consider some testing.

Erica
baby

iVillage Member
Registered: 01-12-2006
Sat, 10-30-2010 - 1:57pm

I'm only sharing with you what two of three pediatricians have explained to us.

iVillage Member
Registered: 11-06-2006
Sat, 10-30-2010 - 4:22pm
And from what you're describing, I would have been fine with the growth of your children as well. I just don't want to be overly reassuring to someone who came here looking for information, but can't give us all the information really needed to make an assessment. One of the biggest concerns I have about advice given in this format is that it is, somewhat by necessity, clouded by personal experience, and dependent upon what information is given and not given. I just don't think we have enough info to rule out a problem based on what the OP has provided.
baby

Pages