Originally Posted by lkmiscnet
I'm confused. I just charted his wt, ht and head circumference percentiles on the WHO charts and he is not off the charts and has no declines. Just a slow trend up.
I know that his ped used to mention corrected age and actual age and I think they were tracking both. I don't know what they are tracking now. I forgot to ask.
My general understanding is that you use corrected age for milestones, etc up until age 2.
I did use corrected age in my charting, so I subtracted a month from his actual age so it's comparing apples to full term babies, so to speak.
Length shows him in the 50th.
Wt is in the 3rd.
Head is in the 15th.
So, I'm now confused as to why his ped thinks he is on the verge of FTT. He is still on the charts, at least per my charting.
I guess it can't hurt to add more fat to his diet (I know it's recommended for the first 2 yrs), though I don't want to throw anything off kilter by doing so. Moderation is the key I suppose.
But, I just contacted the feeding clinic that the ped had written an Rx for 3 months ago (I wanted to take a wait and see approach knowing how poorly he did with PT) and now I'm wondering if I should even pursue that. I know my son will probably not eat on command in front of others. Then again, I just don't know. We just had the horrible PT experience, so I don't know what his temperment will be. He's a very sensitive boy.
Here is a good link to an article talking about the CDC moving to the WHO charts, and the differences between them. Many fewer children will be diagnosed as FTT when using the charts of normal growth... ie, growth of breastfed babies in good environments, as opposed to charts based on formula fed infants.http://www.cdc.gov/mmwr/preview/mmwr...cid=rr5909a1_w
But it takes a while for medical practice to catch up to the research and new policies. I would bring this information and the WHO charts with you to your ped's office. My ds2 never ate a single bite of solid food until he was 15 months old. And, yes, he had stopped gaining weight, for about a year. His case was a little different in that he was a large baby... so he slipped from 99th percentile to 50th percentile on the "old" (still currently used) CDC charts. Luckily, I knew enough not to worry too much or try to force solids on him. We did a blood test to check iron/lead, and allergy issues, but other than that, just watched him. He has oral motor issues and was late to speak and had articulation issues. He also later developed several food sensitivities, and I think all those issues were at play as to why he did not like solid foods. But once he was ready, it was like a light switch went off, and he just started eating anything and everything.
I truly believe that if your child is "picky" there is usually a good reason. And if there is a genuine case of FTT, I don't understand why docs don't look at underlying health causes instead of going right to the nutrition/feeding issue in breastfed babies... well, I do know... it's because they get ZERO EDUCATION on normal growth and behavior for breastfed babies and toddlers, so it is easy to blame the breastmilk/nutrition. I have a friend whose baby was constantly borderline FTT and they kept trying to tell her nursing was a culprit. She persisted nursing anyways. Finally, about a year later, her son was diagnosed with a kidney issue. After getting the appropriate medical help, he is now thriving and has completely caught up developmentally and is happily enjoying preschool.
I'm so sorry you've been led to believe that something is wrong with YOUR milk and that by bf your baby you somehow malnourished him because you weren't eating perfectly. Women in impoverished third world countries still usually produce adequate milk for their babies... they just may starve themselves in the process.