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My 32 week preemie, now 2 years old, weighs 21 lbs, all drs freaking out, how big are your... - Page 2

post #21 of 28

I've got tiny kids, my youngest's stats should be taken with a grain of salt cause he has a genetic growth disorder discovered through micro array dna testing, but even knowing what he has and testing specifically for that, all 3 other kids are perfectly normal, 2 of them are small and 1 is just really tall and really skinny.

 

Anyway:

 

Janelle-born at 34 weeks, 5lbs 9ounces, 4lbs 8ounces 12 hours later after diuretics, this is what the doctors considered her true birth weight,, at 1 she was 17lbs, at 2 she was 17lbs (at 18 months she was 15lbs, so she did gain in there, she just lost some first), at 3 she was 21lbs...not 100% sure on weights after that, but now, at 9, she is 42lbs and 51".

 

Kincaid-39 weeks...he was 7lbs 7ounces at birth and 19lbs at 1, and I don't remember anything else, he's always been, since around 1, between the 20th% and 30th% for weight and the 80th and 100th% for height.  He is 7, will be 8 in march, and weighs 55lbs and is about 53", he's been bigger than his big sister since he was 4 months old and she was 22 months old.

 

Travis-38 weeks-6lbs 14oz at birth.  14lbs at 1, 16lbs 14oz at 18 months (I only remember this cause it meant at 18 months he had gained exactly 10lbs since birth...), 19lbs at 2, 25lbs at 3, 32lbs at 4, 33lbs now at 4 1/2.  He's also really really really short, like 39".

 

River-36weeks, 5lbs 10oz at birth-12lbs at 1, 15lbs at 2, at 2 1/2 he is 16lbs 12oz, he's also only 29". 

 

For us, except for River, we understood they were going to be small.  My mom is 5'1 and my husband's dad is also 5'1" (and FIL's sisters are all under 5' and FIL's mom was 4'6") so it's just natural for us.  My dad's family are all REALLY tall, even my dad's mom was over 6', so that also explains our one really tall kid as well.  Strangely enough, our only kid who has ever had any feeding/eating issues is Kincaid, the one who grows fine with no issues.  His eating issues were very severe though, he was hospitalized for IV rehydration more than once when he refused to eat, nurse or drink anything for days at a time.  He'd go weeks where we got nothing but liquid into him, and he was 2.  He got feeding therapy for 3 years and is much much better now.  His issues were sensory issues (didn't feel hunger, didn't taste food, didn't like the feel of food in his mouth) and epilepsy (the medication he was on, topamax, though a miracle drug for him, is a known appetite suppressant) combined.  What we learned in feeding therapy was totally the opposite of you, food was never supposed to be used as a reward or a punishment, leaving a kid in a high chair for hours is definitely a punishment.  We had to make it so eating was no big deal.  We made a meal, we put his plate at the table with ours, if he ate good, if he didn't we offered something else later, we never cooked specifically his favorites just for him, but we never forced him to eat either.  Now this was done along with a LOT of therapy, especially oral sensitivity therapy by an occupational therapist, so it's not like just one thing worked, it was a huge combo of things, but letting him sit in a high chair screaming for hours was NEVER part of it.

 

If you are actually worried, genetics could actually be a good idea.  For us it was worth all the testing cause the disorder River has has a shortened life expectancy without growth hormone therapy but no issues at all like that if you do growth hormone therapy, that's a pretty major thing to know.  But there was more going on than just small (and, your 2 year old is bigger than he will be at 3, by far) like he ended up hospitalized for colds and such cause they'd attack his muscles and he wouldn't even be able to hold his own head up.  So it was a lot more than just a kid who didn't grow as quickly as the doctors wanted him to. 


Edited by Cinder - 1/28/12 at 3:26pm
post #22 of 28
Quote:
Originally Posted by New_Momma View Post

 

Some days he eats like crazy, some days he doesn't eat, when I say that I mean he may have a cheese stick and a cracker all day. He has grown out of intolerances thankfully. His iron is good. He does drink cows milk, usually chocolate, pediasure which is a life saver for us and lots and lots of juice.

 

 

 Every 2 year old I know sometimes eats a lot and sometimes doesn't eat enough to keep a bird alive. When tracking a child's eating, you really need to keep track over the course of a week, rather than a single day.

 

The only thing that you wrote that would concern me would be the "lots and lots of juice". Juice is high in sugar and low in nutrients, when compared to other foods. It also tends to fill kids up without providing them the nutrients they need. For a 2 year old, I'd be concerned that it's not providing nutrients and the dense calories he may need. I've known at least 2 toddlers who have had eating issues (in particular being underweight) and one of the first things the doctors recommended is to cut way back on juice. Way back being no more than 4-8 oz a day. If he drinks more than that, I'd work on scaling back the amount of juice, perhaps by watering down the juice and then replacing it with water. Water doesn't fill a child up the way juice does.
 

 

post #23 of 28

my 3 year old is about 21lbs and still being monitored but we've had blood tests etc done and all were normal. i was adamant not to let the pressure interfere with how i fed her, so if she didn't eat for a few days i knew that her siblings had also not eaten for 3 days sometimes (i don't mean literally, but grazing without 'purpose' lol) and then eventually she would down more food than her siblings for a while. i wanted to preserve 'normal' as far as we could and i think we achieved that (it helped that she has 5 other siblings so i felt confident generally)

 

it was suggested for ages that i was starving her and i remember crying at the dr that maybe he wanted to rehome her and see how well she did somewhere else eyesroll.gif oops. but i think he got the picture and i definitely felt better for saying it out loud lol.gif

 

now she has the diagnosis that she is genetically small - we'll see. her uncle was titchy and is now a skinny 6' something. i'd love to send the dr a picture when she is 20 and still a stick insect but towering over both her parents orngbiggrin.gif

 

you could get some inspiration from baby led weaning website/ book to maybe help you relax......

post #24 of 28

Just chiming in to this old thread because I'm facing the same issue. My little guy was born at 34 weeks, 4 lb 7 oz, right on the 50th percentile for his gestational age.

 

Since then he has been about the 1st percentile on the WHO charts and off-the-charts small on the old CDC charts, which he's now supposed to be on at 25 months. He's 21.5 pounds and gaining slowly, very active and otherwise healthy and up to speed developmentally, if not more. My husband and I are not tiny -- I'm average (5'5") and my husband is a little on the short side, but heavy for his size (not fat, just dense). I also was very small as a kid, always the smallest in my class until high school, and didn't reach my full adult height until I was at least 20.

 

Anyway, the doctor is only mildly worried, but my parents are freaking out and want me to demand all sorts of tests for him. Ugh. I am a little worried, but right now I'm comfortable with the wait-and-see approach.

post #25 of 28

I don't remember his weight at 2 yrs old, but he turned 3 in july, and is now roughly 27 lbs iirc. he is still super skinny, and when we still had a dr (before we got fired for soemthgin else) he was prescribed pediasure as well. he was 4 lb on the dot when he was born, and is not developmentally ont rack currently, he gets speech, ot, and pt to help him catch up.  he has not had much testing other than regular iron check etc (he gets wic).

post #26 of 28
My 27 weeker is now 2 years 11 months and weighs 24 pounds. If she is happy and content, I usually don't worry about her intake. She eats when she is hungry. If she is cranky and moody, I will start to watch her intake and make sure I am offering up higher fat and protein options and that usually levels her out.

We were on the weight watch circus from about 18 months to 24 months and I finally just put my foot down and said no more. She has always been at or below the 3rd percentile (even when corrected)

Keep in mind, when they become mobile, they really burn a lot of calories. Small stomachs and high activity slows growth. Also, listen to your instincts. You are the one that is with him day in and day out. You know him better than anyone. What does your gut say?
post #27 of 28

My 32 week preemie is 3 now, but at 2, she weight 24.5 lbs.  I'd be way more interested in how the baby falls on the height for weight chart then on the weight by itself - some people are small, and unless he's underweight for his height, I'd be inclined to disregard this as a concern.

 

It may be that it would be good to get your DS to eat more, but leaving him in high chair for hours just sounds bizarre - painful and pointless, a great way to turn every meal into a power struggle.  In my experience, toddlers eat when they want to.  It might take some experimentation to find what foods work best for him - are there certain textures he likes or avoids, etc. - but I'd focus on figuring out what's appealing, and providing it, with extra fat if possible.  When DD was two, we added heavy cream to her milk (the rest of the family drinks skim), and buttered nearly everything for her. 

 

I also found that my toddlers ate more when eating was a part of a cheerful routine.  If they were generally active and playing, they'd eat.  If they were sulking, they'd come to the table and sulk.  If I wanted to get weight on a toddler, I'd maximize outdoor playing time, keep snacks in my bag, and build a routine with a hearty lunch in it.

post #28 of 28
Quote:
Originally Posted by MeepyCat View Post

 

It may be that it would be good to get your DS to eat more, but leaving him in high chair for hours just sounds bizarre - painful and pointless, a great way to turn every meal into a power struggle.  In my experience, toddlers eat when they want to.  It might take some experimentation to find what foods work best for him - are there certain textures he likes or avoids, etc. - but I'd focus on figuring out what's appealing, and providing it, with extra fat if possible. 

couldn't agree more. the advice you were given to leave him in the chair was really kooky

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