Our Ped said she isn't gaining enough weight. - Mothering Forums

Forum Jump: 
 
Thread Tools
Old 03-03-2005, 11:51 AM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
We had our 15 mo well baby checkup yesterday, and I was told that she isn't gaining enough weight. At 12 mos, she was 28 1/4", and 19lbs 2oz. Yesterday, she was 29 3/4", and 19lbs, 6oz. She had also been sick the week before and not eating anything, just nursing so I"m sure she lost weight.

Now, I"m very small. So small that as a kid, the drs. wanted my mom to consent to growth hormones. I"m now 4'11", and didn't crack 115 until I was pg. I know weigh 110.

DH is 5'6", and was a very small toddler as well.

I think that she has hit her genetic norm. She looks great to us. Not quite as pudgy as she was 2 months ago, but she's definately taller.

The lists of foods given to increase calories was stupid, especially since she is allergic or intolerant to almost all of it, and the amount of sugar in many of the foods was frightening.

I want my child healthy. Who doesnt? But those stupid charts that peds live by suck. Head and height have consistanly been in the 25%. Her weight was also, but that dropped to the 5th, which I think was due to being sick. He ped wants bi weekkly weight checks.

I want to educate her about the norm that is the breastfed toddler. She was upset that Dev nurses 5-8x a day.

All the breastfed baby growth charts stop and 12 mos. I"m finding excellent reports, but I need some quick, hard hitting evidence for this twit.

I"m so frustrated.
RubyV is offline  
Sponsored Links
Advertisement
 
Old 03-03-2005, 11:58 AM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I was also told that she should be walking, scribbling with crayons, and drinking from a lidless cup. Huh?
RubyV is offline  
Old 03-03-2005, 01:12 PM
 
Mama2ABCD's Avatar
 
Join Date: Jun 2003
Location: following cubs up a mountain
Posts: 1,885
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
this link explains why the current charts are overestimated. check it out.http://news.bbc.co.uk/2/hi/health/4236229.stm

i think you know more than your ped!

Mama2ABCD is offline  
Old 03-03-2005, 01:19 PM
 
BklynJen's Avatar
 
Join Date: Mar 2004
Location: NYC
Posts: 166
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Hi Ruby,

Maybe it's time to switch Peds?

I don't even know where to begin. I'm pretty sure that the "normal" range for beginning to walk is between 9mo-18mo. Weight gain tends to slow after a year. Why a lidless cup? I can't say that I know one adult or even older child who requires a lid on a cup because their parents didn't push a lidless one on them as toddlers. The crayon thing just sounds ridiculous. Honestly, the whole thing sounds nuts!

I say switch to a new Ped!
BklynJen is offline  
Old 03-03-2005, 01:23 PM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
We have to see the peds at the campus heath center. I"ve blown thorugh most of them already. There is only one that I haven't tried yet. Blech.

The last one wantedto give her 8 oz of cow's milk to see how sick she would get. She couldn't understand why I said no.
RubyV is offline  
Old 03-03-2005, 01:29 PM
 
captain optimism's Avatar
 
Join Date: Jan 2003
Location: Good Ship Lollipop
Posts: 6,855
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 21 Post(s)
We confronted weight issues and probably will again. Our pediatrician only cares about my son's weight in relation to himself--that is, whether he gains from one visit to the next. He realized that my dh is on the small side so that ds might be too. He also didn't hassle us about our diet, only advised us to increase the amount of fat in each meal and to nurse after meals. In fact when I asked if I should give him more junky stuff, he said no--he likes it that my son is into normal food like vegetables and would rather that we not put weight on him by feeding him junk.

My son didn't walk until 18 months and we were freaked, but he was on the way at 15 months, and I think your dd is too. I don't know what that business about the lidless cup and the crayons is all about. My son could drink from a lidless cup at that age, but would not do so unless he was in the bathtub. (and could drink the yummy bathwater. ) I suppose he might have been able to scribble with crayons, but I totally don't remember if we gave him some by then or not. If you want to find out if your dd will, come over to my house and she can play with ds's crayons, we have some washable ones from the drugstore.

Divorced mom of one awesome boy born 2-3-2003.
captain optimism is offline  
Old 03-03-2005, 01:40 PM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
MIght take you up on that. I just think crayons at this age are useless.

No wonder so many people skip the visits.

And the research continues on...
RubyV is offline  
Old 03-03-2005, 02:03 PM
 
Felicitymom's Avatar
 
Join Date: Jul 2004
Location: Arizona
Posts: 456
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
What a twit... of a ped! It sounds like you are completely in touch with your baby and know what is best. I am happy that you are not questioning yourself as soooooooo many people do when a doctor gives advice. And to me... the weight gain seems fine with all that you said.

Since switchnig peds is not an option... I would 'let it go'. that is to say don't take on the task of educating the doctor. Too much energy... too much frustration. Just keep yourself grounded and educate your self on how best to get what you want from hiim/her in the future should you find yourself back in their office for a visit.

Nancy
Felicitymom is offline  
Old 03-03-2005, 02:16 PM
 
carrietorgc's Avatar
 
Join Date: Sep 2003
Location: Fairfax, VA
Posts: 2,413
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
just a comment on the lidless cups - my mom is the office admin for a group of peds (bfing friendly ones too!) and they suggest that since in some kids with short eustacian tubes, the prevalence of valve sippy cups can lead to more ear infections.
carrietorgc is offline  
Old 03-03-2005, 03:40 PM
 
Peony's Avatar
 
Join Date: Nov 2003
Posts: 15,918
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 7 Post(s)
We've gone through this with dd as well, I just stopped going to a pedi. We have a great ND that we see every now and then, but that's it. DD is small, 2 and 21 lbs, but I am small as well, along with dh, so it's not like she is going to be in the 95% . As long as dd is growing I don't worry, she grows, but just not according to those charts they have.

There is no way to happiness, happiness is the way.
Peony is offline  
Old 03-03-2005, 07:19 PM
 
Shenjall's Avatar
 
Join Date: Sep 2002
Location: Canada!
Posts: 3,764
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
ugh. stupid ped. btdt.

didnt I read somewhere not too long ago that kids above the 85% for weight are at a higher risk for childhood obesity? I'm positive I read that somewhere. Now I must go search so we can use it to throw in some ped faces!

btw my dd is 2 and about 26 -28 lbs. (I think). shes been in the low-mid 20's range since 1 yr. but she keeps growing out of her clothes, so something must be right!
Shenjall is offline  
Old 03-04-2005, 03:44 AM
 
LorrieJ's Avatar
 
Join Date: Jul 2004
Posts: 120
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I have been getting the same comments. My dd is 22 months and 20 lbs. however, she was 8lb 13oz at birth! She is just starting to thin out now and she eats a large quantity of very healthy food. I keep wondering if these charts are based on the children that are taken to McDonald's for their meals! Good point about the bf'ing after meals. My dd always asks for milk after she eats and we were told by a ped (who wants me to wean her cold turkey) to definately discontinue the after eating nursing. I wasn't going to follow that advice anyway but now you helped me feel better about continuing it. My dd can't tolerate milk and they also told me to give her dairy because she needs the fat. So I should make her butt and stomache hurt so she can gain wait?! Huh?

going to read kirstie's link right now.
LorrieJ is offline  
Old 03-04-2005, 02:56 PM
 
TiredX2's Avatar
 
Join Date: Jan 2002
Location: it appears to be a handbasket
Posts: 20,029
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
First, most babies level off with their weight as they start moving more. DD *lost* once ounce between 10-15 months. She just grew taller and her head grew. Accd to our ped, the *last* concern is weight gain---- develpmental milestones, head growth & height are all bigger concerns/warning signs. Since DD had no issues there, it was not a concern.

Quote:
I was also told that she should be walking, scribbling with crayons, and drinking from a lidless cup. Huh?

According to the AAP guidelines, not walking becomes an issue at 18 months.
Have you offered her crayons?
I don't think the lidless cup is for *general* use, but from what I have been told there is a different swallowing action w/a "normal" cup than a sippy cup (having to do with water flow) and it is generally easier for kids to perfect it if they are introduced to a cup earlier than later.

 

 

TiredX2 is offline  
Old 03-04-2005, 03:55 PM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I"ve never given her a crayon
RubyV is offline  
Old 03-04-2005, 04:19 PM
 
artgoddess's Avatar
 
Join Date: Jun 2004
Location: Suburban hell
Posts: 12,661
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I agree that you can just take what your ped says with a grain of salt. Let her know that you are th parent and while you are happy to listen to her suggestions, you have the responsability as a parent to makes choices based on what you feel is right for your child, not a chart. I hate that she said things to you like she should be sqribbling, or should be drinking from a lidless cup.

Our son "shrank" 1/2 in length from the 6 month to the 9 month appointment, the nurses didn't think it was funny, but boy did DH, myself and the Ped get a good laugh out of it. Becuase it's all just estimates with babies, you can't say wt or ht for sure with them wiggling around. One time I go, the nurse weighs him with his wet cloth diaper on the next time he's naked and had a really big BM in the morning, there are so many variables, and we are just talking ounces here. I gain 3 whole pounds in one day from 8 am before breakfast to 10 pm after dinner.

At our 13 month appointment with the new Ped, he asked all those questions like does he sqribble, I just srugged, and said "I don't know, I'm not giving him anything to write with, he'd just put it in his mouth anyawy" He smiled and said "That's fine". So maybe you can just smile at your Ped and nod and say "That's fine." when she asks if your DD is doing any of those milestone things.
artgoddess is offline  
Old 03-04-2005, 05:04 PM
 
Marsupialmom's Avatar
 
Join Date: Sep 2003
Location: St. Louis MO
Posts: 9,039
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I agree with TiredX about the lidless cups. There is difference in swallowing and other motor skills. There is many motor skills involved in drinking that most do not think about. I have been around “Normal” kids that have not been allowed to use regular cups that have been hindered development (these were extreme cases). Kids that don’t know about sitting cups flat so they don’t spill. I have seen 4 year olds sputter and choke off of normal cups.

Carrietorgc-- My ENT and regular doctor would agree with your mom. Our dentist complain about them also.

Not walking yet I would not worry as long as they are mobile some other way, rolling, crawling, et.

My youngest didn’t weigh more than 24lbs at 2. The doctor didn’t worry much because neither did my older daughter. The first time he saw my middle child he looked at her weight, looked at my son and said “Genetics” moved on.

Crayons are not necessarily useless at that age. It helps with motor skills later. It also can keep them occupied for a while. Giving scissors to a 2 year old seems useless also but once you look at the big pictures you see how it helps them in the long run.
Marsupialmom is offline  
Old 03-04-2005, 05:20 PM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Marsupialmom
I agree with TiredX about the lidless cups. There is difference in swallowing and other motor skills. There is many motor skills involved in drinking that most do not think about. I have been around “Normal” kids that have not been allowed to use regular cups that have been hindered development (these were extreme cases). Kids that don’t know about sitting cups flat so they don’t spill. I have seen 4 year olds sputter and choke off of normal cups.
I actually understand that. She does drink from a cup, just not all the time. I don't feel like mopping a dozen times a day.

Well baby checkup, imo, are starting to become like BabySATs.

"OMG! Baby can't do (insert x skill here)? Well, if they don't do it NOW, they'll never get into a good preschool, which means they won't get into a good grade school, which means they will never get into a good prep school, and they'll wind up a college dropout, crawling forever, drinking from sippy cups not knowing how to color." :LOL

One one hand, it's great that drs. are so much more aware of developmental delays, and able to get children help early and often. On the other, I think they are a tad bit obssessed with charts, scales, etc. They have ceased to view the whole child, and view children as grids to be checked off.
RubyV is offline  
Old 03-04-2005, 08:28 PM
 
GhabrielsMommy's Avatar
 
Join Date: Feb 2005
Location: Southeastern Michigan
Posts: 10
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
My son is 16 months, he weighs 20.1lbs Yes, he is on the small side. His ped cares only that he gains weight from visit to visit. While she says that his size can be partially contributed to genetics, she also says other factors are involved; such as length of sleep. Children do most of their growing in their sleep, the less they sleep, the less they grow. My son, who is an avid Nap Protestor, is a perfect example of this. When he was 9 months, we weighed 12 lbs, between that appt and the 12 month one, he came down with a double ear infection due to teething. For about a week he nursed and slept almost around the clock, after the first few days, he showed improvement health-wise, but still slept constantly due to the medication he was on. At his twelve month appt he was 18lbs.

I would look for a new ped.
GhabrielsMommy is offline  
Old 03-04-2005, 09:23 PM
 
ajsgirl's Avatar
 
Join Date: Mar 2004
Location: Beautiful Marin County, CA
Posts: 1,104
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
My ds is going to be 2 in less than 2 weeks and has always been small. Both my dh and I are small people (me: 5'2", dh: 5'6"). I don't think he's gained more than a couple of pounds this whole past year, but he's gained several inches in height! And he's always been in the less than 5th %ile. I wouldn't worry, unless your dc isn't eating or something.
ajsgirl is offline  
Old 03-05-2005, 06:21 AM
 
Mommy To Baby Roni's Avatar
 
Join Date: Mar 2003
Location: Sin City
Posts: 1,202
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I'm sorry I didn't have time to read all the replies first, but it's really late for me.
Quote:
But those stupid charts that peds live by suck. Head and height have consistanly been in the 25%. Her weight was also, but that dropped to the 5th
This happened and my DD was not sick. She was only about 18lbs at 12 mos. old. She's always been a little bean pole, but healthier than any other child she's around. My ped, thankfully, never had an issue with weight at her 18-mo. appt, when she only weighed about 19lbs. She's 27 mos. and is only about 23lbs. She's healthy, she's growing, she's eating, she's happy. What more could I possibly ask for? I'd skip the visits altogether if your DD is healthy. You don't need the unnecessary pressure.

Have you looked at the growth charts on kellymom.com? They have growth charts for bf babies. While my DD fell off the conventional chart, she's at about the 5th percentile, as I recall, on the bf chart. DH's family is small. DD was only 6lb, 10oz at birth. Go take a hot bath and relax! You're doing a great job!
Mommy To Baby Roni is offline  
Old 03-05-2005, 08:06 PM
 
Ravin's Avatar
 
Join Date: Mar 2002
Location: Atenveldt
Posts: 5,848
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
My DD was 18 lbs. 5 oz. last week when I took her in sick. At her 12 mo. well baby check she was 17 lb. 13 oz. So half a pound in four and a half months. Four pounds in three months sounds reasonable, too, esp. w/ having been sick. My ped didn't even blink or comment on her weight.

She does scribble, but w/ pens or pencils, not crayons (she wants to use what I use and do what I do and frequently sees me writing). Also w/ sidewalk chalk, some, though bores of it rather quickly. And she walks, but not all babes do at this age. She has no words yet, but quite a lot of nonverbal communication and verbal non-word communication skills.

She still nurses quite frequently, almost as often as she did at 6 months, but eats quite a bit as well, of normal foods. I include things w/ natural fat content like avocado/guacamole and whole yoghurt to make sure she gets plenty of fats. They are critical for brain development (nursing lots also helps, as there are fats in BM in levels needed by growing toddler).

breastfeeding, babywearing, homeschooling Heathen parent to my little Wanderer, 7 1/2 , and baby Elf-stone, 3/11!

Ravin is offline  
Old 03-06-2005, 02:22 AM
 
caycat's Avatar
 
Join Date: Feb 2004
Posts: 65
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
DS#2 is considered small as well--18 months and barely 20lbs--he is in the 3rd %. The drs and nurse practitioners at our clinic are concerned about his weight and have referred us to a clinic for kids who don't gain weight at the children's hospital. After resisting for a while, I agreed at the last appointment to go (it didn't help that DS#2 had been sick for a week and not eating and therefore hadn't gained in a month). I hope that I won't have to be too much of a non-compliant patient with the clinic as I don't think my son has a problem.

If you met my son, you would be shocked that people are worried about him. He is super strong and co-ordinated and totally high energy--he just isn't interested in sitting down to eat all the time.

I totally agree that lots of the advice for putting weight on kids is stupid and focussed on sugar---have they suggested Pediasure--basically it justs lets kids develop a taste for MacDonald's milkshakes.

I took DS#2 to a naturapath who had some good suggestions--high quality cold pressed oils added to food, a high quality protein powder and some supplements. It seems to have helped (also he is getting older and developing greater skills at feeding himself which he likes).

A friend recommended books by Ellyn Satter--I have them on hold at the library right now. She wrote--How to get your child to eat but not too much. My understanding is that she believes it is our job to give them healthy food and their job to decide how much they will eat. I think she also believes in good food routines--ie 3 meals and 2 snacks--not trying to push food on them all day.

Finally, I think bi-weekly weighing is not really worth it. Your child isn't an infant any more--there will be lots of weeks when there is no weight gain. Even my clinic only wanted every month.

A-C
Mama to two marvellous boys DS#1 06/21/00 and DS#2 08/15/03
caycat is offline  
Old 03-09-2005, 12:17 PM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Her first weight check is next monday. If there isn't enough weight gain this month (of course, she wasn't specific what that was), ther are going to want to test for celiac and other conditions. Um, no thanks.
RubyV is offline  
Old 03-15-2005, 04:46 PM - Thread Starter
 
RubyV's Avatar
 
Join Date: Feb 2004
Location: Western NY (I miss NYC)
Posts: 1,092
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
we had a weight check yesterday. She now weights 20lbs. We saw the np who said to ignore the idiot doctor since my baby obviously looks like she's thriving (she's pudgy), just small like we are. her low weight was obviously due to being sick. The np is also a breastfeeding counselor, so it was all good.

No testing for odd illnesses here.

Dev has decided to start dancing, but still no walking yet.

Ahhhh.
RubyV is offline  
Old 03-15-2005, 09:41 PM
 
B52Bombshell's Avatar
 
Join Date: Jan 2004
Location: Brooklyn!
Posts: 365
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
My extremely active, extremely verbal, extremely healthy & smart son is 29 months & barely weighs 25lbs (if I'm lucky). He's in the range for height, but waaaaaaaaaaay down those blasted charts for weight. He's been tested for celiac's (negative unless he has a super-bizarro case of it), he's not allergic to anything that we can find; he's healthy. He's very sensitive, extremely picky, and has a small appetite combined with a high metabolism. You cannot force him to have "one more bite" of ***anything***. Not even his favorite foods. Heck, I can't even force nursing on him & he LOVES nursing more than anything!

I wish the peds. would stop living by those blasted charts. Yes, being low on the chart or "off the chart" *can* signal that there is something wrong with the child (as in celiac's or other diseases), but more often I think they cause too much stress. In my experience, the dr's. don't look at the child as a whole being, they concentrate on the one aspect that's "wrong" (i.e. not the "norm" of what they've been taught). Anyway, I'm looking for a new ped.
B52Bombshell is offline  
 
User Tag List

Thread Tools


Forum Jump: 

Posting Rules  
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off