am I doing this wrong? update post 5

[JamieB]

I have an appt. for DS tomorrow with our family doctor because at his last appt. he was dropping percentiles on his growth chart at his last appt. with the nurse practitioner. I asked the nurse practitioner about growth charts for breast fed babies and she said they were all the same

Anyway, I finally printed off some growth charts today, figuring I would just bring them in and tell them to leave me alone already. When I plotted DS's weight on them though he had still dropped to the 3rd percentile. Am I doing this wrong? Should I be worried?

Here are the charts I used:
http://www.who.int/childgrowth/stand...boys_p_0_2.pdf
http://www.kellymom.com/babyconcerns/growth/chart2.html

And his weights are:
birth 7lbs 12oz
5.5 months 14lbs 12oz
10 months 16lbs 11oz

[jenfl]

Looks like he is dropping. Whether or not to be worried depends on the build of you and your husband, how your LO is doing developmentally, etc.

For instance, my DD dropped percentiles starting around then, but DH and I are both small and her size was appropriate considering that. Our docs weren't worried. They used some calculation to figure out, given her age/size, how tall/heavy she might be when she grows up, and it was right around our size.

[Dov'sMom]

Are those the only weights you have? Birth shouldn't matter, because it often has little to do wtih the baby's build or structure. The other two do show a decline, but not that much -- from closer to 15 than 3 to maybe midway between them on the WHO chart. If you the first weight was taken right after a large feed and right before a large voiding and the second was taken right after a large voiding and right before a feed, that could be a big part of your discrepancy.

In other words, you need more data points.

[PatioGardener]

all taken on same scale?

you may want to assess milk transfer and increase breastmilk intake. are you able to see a good lc? what is your health unit? if money is tight, there is usually an ibclc rn at the health unit who can help. if the fall off the who curve is true, i would look into breastfeeding issues.

nak

[JamieB]

Ok so we went back to the doctor today. They would not even look at my growth charts from the WHO becuase their practice doesn't use them and he has to stay on their growth charts. They use the old CDC ones and he is below the 3rd percentile. They say those are the ones recommended by the Canadian Pediatric Society and they see lots and lots of other breastfed babies that don't fall off the curve. I don't believe them by the way. Today he weighed 17lbs 3oz and they referred me to a pediatrician.

Originally Posted by jenfl

Looks like he is dropping. Whether or not to be worried depends on the build of you and your husband, how your LO is doing developmentally, etc.

For instance, my DD dropped percentiles starting around then, but DH and I are both small and her size was appropriate considering that. Our docs weren't worried. They used some calculation to figure out, given her age/size, how tall/heavy she might be when she grows up, and it was right around our size.

I wasn't too worried about it until I plotted him on the WHO charts. Really though he is pooing and peeing enough, eating a lot, and often, super happy, meeting all his milestones on time and some ahead of time and frequently sleep 12 hours at night. Also, my older son is tiny too. They wanted him to see the doctor at the same age but I just skipped the appointment.

Originally Posted by Dov'sMom

Are those the only weights you have? Birth shouldn't matter, because it often has little to do wtih the baby's build or structure. The other two do show a decline, but not that much -- from closer to 15 than 3 to maybe midway between them on the WHO chart. If you the first weight was taken right after a large feed and right before a large voiding and the second was taken right after a large voiding and right before a feed, that could be a big part of your discrepancy.

In other words, you need more data points.

I have a bunch of weight between birth and 6 weeks and then those two, plus today's weight of 17bs 3oz. That's it though.

Originally Posted by PatioGardener

all taken on same scale?

you may want to assess milk transfer and increase breastmilk intake. are you able to see a good lc? what is your health unit? if money is tight, there is usually an ibclc rn at the health unit who can help. if the fall off the who curve is true, i would look into breastfeeding issues.

nak

This isn't really what I was asking. I was asking if I plotted it properly and if I should worry based on what was plotted. Did you see his growth curve? Is that what you're basing this advice on? I'm sorry, I really am not meaning to be snarky but had a hard time wording this.

[Dov'sMom]

How old is he today? Because maybe I'm plotting it wrong, but I didn't see him at the 3% line on the WHO chart.

[AislinCarys]

I think you should try charting him again, and don't use newborn weight, it is irrelevant, use any weight from 2 to 6 weeks.

I charted him from 5 1/2 months.

So on WHO's chart your son is:

at 5,5 months: 14 lb 12 oz=6,6 kg - Almost exactly in-between 3rd and 15th
at 10 months: 16 lb 11 oz=7,6 kg - Almost exactly in-between 3rd and 15th

So, no drop whatsoever!