Help - DD's weight in 2 %tile

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Registered: 03-28-2003
Help - DD's weight in 2 %tile
9
Fri, 06-25-2010 - 5:44pm

Hello. I just got back from DD's "6mo" appt (she'll be 8 months Mon.) She is 26 1/2 inches (I think that was about 25%) and 14 lbs, 3.5 oz (under 3%)... They did re-measure her and she was 26 3/4 inches, but I don't know how that changed her percentile. I think her weight was in the 25% last time we went and height was around 60%. Anyway... Ped said to cut back nursing (which I ignored, just like I did when she said to start cereal at 4mo, veggies at 5 and fruits at 6) and up her meals, and start including meat. (Her iron also tested low - I don't know the number - I can find out tho, if needed.) So, she wants me to start iron drops and concentrate on high iron foods and fortified cereal. But back to the fat - what foods are high in fat other than avocado? It's been a long time - when can I start her on yogurt? I was also thinking about Omega 3 and/or flax seed oil...

TIA!

P.S. DD #1 is in the 10th percentile, but DD #2 is normal...



 
Véronique (38)
iVillage Member
Registered: 09-10-2009
Fri, 06-25-2010 - 5:46pm

How many times a day are you currently nursing?


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iVillage Member
Registered: 03-28-2003
Fri, 06-25-2010 - 5:51pm

Between 6 - 8, she's nursing right now, and it's her 4th time since she woke up at 6 am... usually about 7... she usually STTN, but may wake up to nurse occasionally... during the day it's for about 15 - 20 mins (till she starts playing and not nursing)... if she nurses at night and comes to bed, it's much longer b/c then she'll co sleep and I fall asleep too...

 

 
Véronique (38)

DD#1 03/32/02

DD#2 10/07/03

DD#3 10/28/09




Edited 6/25/2010 6:00 pm ET by vsmt
 
Véronique (38)
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Registered: 10-27-2006
Fri, 06-25-2010 - 9:17pm

Are you and/or other family members small, or were you small as babies?

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Registered: 03-28-2003
Fri, 06-25-2010 - 11:20pm

DD at 8 yrs in the the 10% for weight - highest ever was around 25%. My other DD is around 75% for weight... I was pretty thin as a child, (but I don't think I was at 2% ever.)

I think she's fine... diapers seem OK (I need to start counting wet ones tho - she has plenty of poopy diapers.) She sits up, handles things, rolls around...I'm sure the big % drop is worrisome to my PED (who is, BTW, my next door neighbor and is also a friend, albeit not a super close one.) I knew there would be a drop in percentages when she started solids... and she's not even crawling yet which worries me... (I'm afraid she'll lose more weight when she's more active.)

She'll be 8 mo Monday... so, I now have an avocado that needs to ripen, and some ICar iron drops... need to do more research on high fat foods... (and nurse MORE!!!)



 
Véronique (38)
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Registered: 04-21-2004
Sat, 06-26-2010 - 1:07am

I had the same issue with my son at 6 months. He only gained 3oz from 4 to 6 months (from 14lbs 4oz to 14lbs 7oz). My ped told me to go crazy with the solids, but I ignored him. I dropped down to 1 solids meal/day (2oz) and nursed as much as possible. As of 8mos (he's 8.5mos now) he was 16lbs 11oz, which is a 2.25lbs gain! For reference, BF babies "should" be gaining 2-4oz/wk after 6mos, so he gained a little more than that.

High calorie baby foods are avocado, sweet potatoes, bananas, and mangoes. No one ever told me about the mangoes--I figured that one out myself. A 4oz jar has 100 calories! I also feed my baby meats now, which are good for calories AND iron. During the time he was only getting 2oz meals, I didn't even bother focusing on the high calorie foods. I only started him on solids at 6mos so I continued with new foods every 4 days until we tried them all, and now he gets a variety.

If she's becoming more mobile, that probably has a lot to do with her slow weight gain (if diapers seem fine and she's meeting milestones, etc.). My son had just started STTN, becoming mobile, and entered that distracted phase right before his 6m appt. I am pretty sure he just needed a couple of weeks to catch up, and I hope that's the case with your baby as well!

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iVillage Member
Registered: 01-12-2006
Sat, 06-26-2010 - 1:21am

I would have asked all the same questions as pp. My own children have both fallen off the charts sometime after 6 mos. My youngest just had her check up at 3 and is just now at 1 percent ... she's been several standard deviations below any established curve on the chart for a little more than 2 years. At pediatrician's request we agreed to see a nutritionist who took one look at our kid who doc has said was FTT and said she was small but obviously healthy.

Despite being at "1 percent" I do think she is normal sized. In fact, I think she would look quite chubby if she was heavier. Her frame is small and she looks well proportioned for her body.

If all else is well, I wouldn't worry too much about the charts. Certainly keep an eye on things. Nurse as often as possible. Feed good high quality foods (we've used flax seed oil in foods). Some moms intro yogurt at 9 mos but given a family history of food allergies we gave no dairy, corn, wheat or eggs until after 12 mos. Bananas are another calorie dense food. Meats are also very good choices, particularly given the desire to increase the iron.

HTH

iVillage Member
Registered: 10-27-2006
Sat, 06-26-2010 - 8:59am
Oh, someone else mentioned charts -- try plotting her growth on the World Health Organization charts.
iVillage Member
Registered: 03-28-2003
Sat, 06-26-2010 - 10:49am
Thanks for the chart. If I did it right, she's under the 3% on this chart too. She's 14 lbs 3 oz, (227oz) which is 6.4 kilos. She'll be 8 mo Monday. I'm thinking about getting ground flax seed to add to her food as well... I know I can't increase the fat in my breastmilk, just increase the feedings, but it's frustrating if my milk isn't working for her. This is DD #3 so you think it wouldn't bother me! (BTW, DD #1 was around 7% at 9 months...)


 
Véronique (38)
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Registered: 01-12-2006
Sat, 06-26-2010 - 1:00pm

I don't think it's fair to say that your milk isn't working for her. It's highly unlikely (as in almost impossible) that there is anything wrong with your milk. She might not be nursing enough (how many solid meals is she getting / day? At 8 mos, I'd expect baby to still be nursing 5-6X / day at least and just starting a 2nd meal of solids / day). If she is eating a lot of solids, she's very likely taking in less of the more calorie dense breastmilk, which would negatively impact weight gain. If a breastfed baby is having problems gaining and is eating solid foods, the first line of defense is actually to cut back on solids and increase nursing.

You seem very concerned about 2 percent just because of the number itself. There is nothing wrong with being 2 percent if she is healthy and this is her healthy norm. Someone has to be at 2 percent. Someone has to be at 99 percent. Not everyone can be at 50 percent or should be at 50 percent. It's not really a test. It is nothing more than a distribution curve.

Here's some good tips on increasing weight gain:
http://www.kellymom.com/babyconcerns/growth/weight-gain_increase.html#how

Adding ground flax seed to baby's food is a good source of calories and healthy fats. The iron drops may not be necessary. If the hemoglobin level was marginal and not truly low then concentrating on high iron foods would achieve the same goal and would not have the negative side effects of iron drops. If baby becomes constipated from the iron drops - the most common side effect - it can negatively impact baby's appetite, further frustrating the weight gain problem.

Also make sure your pediatrician knows what is normal growth for a breastfed baby (very different than formula fed baby) in the second 6 mos. HEre's more:
http://www.kellymom.com/babyconcerns/growth/weight-gain.html

And more info on calories / fat of various milks and foods:
http://www.kellymom.com/nutrition/milk/milkcalories.html
http://www.kellymom.com/nutrition/vitamins/babyfoodcalories.html