S.S. asks from Keller, TX on May 02, 2010
12 Month Old Measuring Small
I recently took my 12 month old to her well check up and she has lost weight! She's only 18.5 lbs. - down from 18.12 at 10 months. The Dr. is concerned, even though she looks plump, not sickly and is eating pretty good. She has never really taken to baby food jars, so we've been feeding her table food from all 4 food groups till she is full. - what else can you do. She poops well, is happy, and sleeps wonderfully. The Dr. told me to beef up her calorie intake for 2 weeks by giving her a pediasure once a day, 16 oz of whole milk mixed with instant powdered breakfast per day, etc.. The problem is she doesn't like the milk too much or the pediasure. I'm still nursing her to give her more calories, but I am stressed because we have a 2 week weigh in, and she isn't eating what the Dr. ordered. Anyone out there who has a little baby in the 20th percentile for weight? Any advice would be greatly appreciated!
So What Happened?™
Wow, thank you so much for your sweet support and encouragement. Everyone told me not to worry, so I haven't' been. By the way, I confused everyone by saying she weighed 18.5 lbs. I meant 18 lbs, 5 oz. Sorry! Also, for those who asked, my husband is 5'11 weighing 190lbs and I am 5'4, 110 lbs. Elena is eating better when I hide things in her food. She's pretty picky! Still won't touch fthe instant breakfast drinks or pediasure, but I think I will try goats milk or almond milk. She loves organic baby yogurt, so that's good! XOXO
A.M. answers from Wichita Falls on May 03, 2010
you can also add the instant breakfast to pudding, oatmeal, etc. Add butter (not margarine) to her veggies. Give her whole wheat bread too. What was her birth weight? I would say that as long as she has tripled her birth weight she is probably ok. Did they weigh her in a dry diaper or dressed? If she was dressed 0.7 lbs could be the difference between heavy tennis shoes and sandals.
A.O. answers from Sherman on May 02, 2010
My child is not on the chart and will be 2 in 2 weeks....was 16.8 lbs at 1 and FINALLY reached 20 lbs now that she's nearly 2! As long as she's hitting milestones and is eating, sleeping and pooping normally then I would let her eat when hungry and finish when full. There is no need to stress out and over feed her for the sake of a few oz's. Just my 2 cents
A.C. answers from Houston on May 02, 2010
Where did she measure at birth? How does her RATE of growth actually look on the growth chart? Is she growing at a steady rate...or has she recently dropped? Since growth charts are statistics from children of all sizes...some kids have to be larger and some have to be smaller in order to get to "average". Traditional charts are not necessarily a good measure for a breastfed baby.
My daughter NEVER ate prepared baby foods. She ate what I ate...pureed when necessary, didn't have juice before a year old, and certainly no sweets. I nursed exclusively for more than 6 months and she was closer to 10 months before she showed any solid interest in other foods. She was consistently below the 40% percentile until she was two years old. Our pediatrician was never concerned as she was hitting all her milestones and terrifically healthy.
I think there are more natural ways to introduce additional calories and fat into her diet. Avocados, salmon, full-fat plain yogurt, etc. It isn't healthy to forcefeed and otherwise healthy child calories for the sake of calories.
Consider getting a second opinion. I know when we are comfortable with a doctor, we just want to do the easy thing and take their advice. But I can hear your Mommy radar pinging and I think it is time to listen.
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K.Z. answers from Cleveland on May 02, 2010
I too am confused with the numbers--do you mean she went from 18 pounds 12 ounces at 10 months down to 18 and a half pounds? or from 18 lbs. 12 ounces to 18 lbs 5 ounces?
in any of those cases it isn't very much weight--enough to be accounted for in the difference of what she was wearing when she was weighed, whether she had a wet or dry or full diaper on (or no diaper) when she was weighed the one time vs. the other, whether the scale was the same one used both times, whether it was calibrated correctly both times etc etc. (Katherine Dettweiler did a whole study of stuff that can affect a supposed weight gain or loss in a baby).
You say she is in the 20th percentile for weight--where was she before? If she was only in (for instance ) the 25th before, I wouldn't worry too much. If she was in (say) the 80th or 90th, then I'd be wondering. Someone has to be down there! and with childhood obesity....I say better there than 99th!
That is a lot of extra liquid (recommended by the doc) for a little person to have to consume......
As another mom said, if she is starting to walk and move around more now, she may well be losing weight from that.
I would just nurse her a lot (that is the best thing for babies as opposed to cow milk or formula).
Maybe put her in heavier clothes for the next dr. visit?
But if she is hitting her milestones, and acting as you described (happy, good sleeper, not sickly) it sounds like you are doing all the right things.
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K.H. answers from Washington DC on May 02, 2010
Hi , she really has not lost that much weight , plus she is on the move more now than she was a few months ago right? I think the doctor is over reacting here and putting unnecessary stress on you , trying to feed your daughter more than she is capable of taking (in effect trying to make her over eat) , you said yourself she eats until full , sleeps well and is happy , you are her mom you know best , in this case I would decline the doctors suggestions and keep doing as you are , which to me sounds great! , what build are you & her dad? How about other immediate family members? You need to take all of that into consideration , she could be small built. My middle daughter was 18 months before she reached 20lbs.
Hope this helps
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B.W. answers from Minneapolis on May 02, 2010
I wouldn't worry. you are nursing her so she is getting EVERYTHING she needs from breastmilk. feed her the healthy foods she likes and offer her foods and let her eat until she is full.
My neighbors twins are almost 3 and weigh 25lbs each..... your daughter is 'average' sized for a 1yr old.
Just remember she needs to remain rear facing n her car seat until she's 20lbs, but its best to remain rear facing as long as possible. AAP recommends rear facing to 2yrs and 30lbs. Google EXTENDED REAR FACING for more info, but at under 20lbs she doesn't meet hte bare minimums of 1yr and 20lbs yet.
honestly though she sounds very healthy, just petite, I wouldn't stress, and I probably wouldn't even go to a weigh in... she's eating, pooping/wetting, and active, she's fine.
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J.W. answers from Dallas on May 03, 2010
All though her weight is something to watch because it can signal other problems don't worry so much about it. The 20th percentile is great! I have 2 that we could never get out of 10 and 5th percentiles. My 3 year old is still in the 5th percentile and I doubt we ever get out of it! On the other hand my nephew has now fallen off the charts and it turned out he was not producing ANY growth hormone. It wasn't going to matter what they fed the kid he wasn't going to grow. When we have tried to gain weight we were told calories are calories. 'Now you and I both know that they are not but for right now anything that works is great. Whole fat anything, real butter, ice cream. Have you tasted the pediasure? I don't know that you could get me to drink it. Try adding chocolate syrup to the milk. Really anything to just get it down her. You said it your self she is healthy and doing everything else so try not to stress it.
B.M. answers from Dallas on May 02, 2010
Hi S., My daughter was always in the bottom percentile, we are talking 10% for height and weight, for the first 2 years. At her recent 3 year appointment she was now in the 25% range. I would just continue to encourage the baby foods and not rely on the nursing. I know we also tried mashed potatoes and breads among the baby foods. Also, I would keep trying the pediasure. They have several different flavors so keep trying until you find one she likes! I know our daughter LOVED the chocolate pediasure. Hang in there and don't get too frustrated or your daughter will pick up on your tension during meal times ;-) Some kids are just made to be smaller and I am sure at your next weigh in she will have gained a little weight if you just continue to keep trying with the table foods!
A.D. answers from Dallas on May 03, 2010
First of all, Dont Worry! Those charts measure averages, for every off the charts huge kid there is a really small one. My daughter was perfectly healthy but she fell off the weight chart completely!! I wasn't worried because I had done the same thing. As long as she continues to be healthy, I see no reason for concern. You might check out the World Health Organization growth charts, they are a worldwide average and tend to run smaller, ask your pedi about it.
T.W. answers from Dallas on May 03, 2010
Isn't your baby much more active now? I would expect that may effect it! However my daughter was always on the skinny side. She ate and she was happy and was beautifully blessed with a slender body into adulthood! I have friends with naturally thin children, if they are healthy otherwise, I wouldn't worry! I might suggest a second opinion from another pediatrician!