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  • #1

    Check-Up

    I have a tendency to perseverate on a potential worry, so I do things like avoid watching the evening news, and reading books about babies.
    Anyway, DS had his well-child visit today and it was the first time I heard the percentiles for height and weight since he was 2 months old. He's 91st for height, and 54th for weight, which wouldn't bother me, except the pediatrician commented on how "normally, she'd be concerned, but he appears to have fat in the right places." Honestly, I'm not sure if he's gained any weight at all in the past 2 months (I "weighed" him at a friend's house in November).
    Does anyone else have really tall/thin kids? When do the pediatricians start to worry?
    Wife to Family Medicine attending, Mom to DS1 and DS2
    Professional Relocation Specialist &
    "The Official IMSN Enabler"
    Tags: None
  • #2
    Caleb (age 9) hung out in the 90ish percentile for height and 50 something for weight until recently. He was a long skinny thing from the moment he was born. Based on the pics you have posted of Bean, he looks perfectly healthy.
    Kris

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    • #3
      That sounds like our 15 month nephew and he's perfectly healthy!
      Married to a Urology Attending! (that is an understated exclamation point)
      Mama to C (Jan 2012), D (Nov 2013), and R (April 2016). Consulting and homeschooling are my day jobs.

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      • #4
        Our ped reminded us that percentile charts can indicate an issue, but are not diagnostic alone.
        Wife to PGY4 & Mother of 3.

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        • #5
          Wait...BEAN is in the 50th percentile for weight? No way. Please don't take this as me saying your child is fat because he is most definitely not, but I saw him last week and there is no freaking way he is underperforming!!! He is perfect!
          Married to a newly minted Pediatric Rad, momma to a sweet girl and a bunch of (mostly) cute boy monsters.



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          • #6
            Last check my guy was 85th percentile height and 20th percentile weight. He's always been a long and lean moving machine and my ped wasn't concerned. I wish he were chubbier but as long as he stays on his growth curve I'm trying not to worry.

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            • #7
              Breast fed babies often gain a lot of weight in their first 6 months, and not a lot in their second 6 months, hence they "fall off their growth curve". That is how it was explained to me. Plus they get active and burn more calories! DS was in the 90th for weight at 6 months and more like 75th at a year. I don't remember what DD was at 6 months but at 12 months she is only 10th for weight and 50th for height.

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              • #8
                Yes! That was almost exactly the growth curve Cora held for the first two years and nobody said boo about it.
                Married to a hematopathologist seven years out of training.
                Raising three girls, 11, 9, and 2.

                “That was the thing about the world: it wasn't that things were harder than you thought they were going to be, it was that they were hard in ways that you didn't expect.”
                ― Lev Grossman, The Magician King

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                • #9
                  My oldest and youngest boys (both breastfed exclusively) had similar stats during their first year.
                  Wife of an OB/Gyn, mom to three boys, middle school choir teacher.

                  "I don't know when Dad will be home."

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                  • #10
                    That sounds perfectly fine to me!


                    Laurie
                    Laurie
                    My team: DH (anesthesiologist), DS (9), DD (8)

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                    • #11
                      I was going to ask if your ped uses a chart for bf babies.
                      -Deb
                      Wife to EP, just trying to keep up with my FOUR busy kids!

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                      • #12
                        Why did she say she'd normally be worried? My DD has been off the weight chart for awhile and is 25th percentile for height. The pediatricians we've seen so far (2 different practices in different regions) said she's following the growth chart but at her own pace. Of course, I've been anxious about her eating habits but she does eat; she's just a picky eater like I was at her age and she definitely takes after me vs. DH in height, so that tempers my anxiety. Also, I thought this article was great in the NYT:
                        http://www.nytimes.com/2011/12/13/he...0eating&st=cse

                        Particularly this part for me:

                        Dr. Paul suggests that pediatricians also should explain those growth charts more carefully. It’s true that the charts now on my screen look so familiar and basic to me that I may not always take the trouble to discuss the nuances. Several studies show that parents from a variety of backgrounds and social classes all prefer to see their children growing at the high percentiles.

                        Dr. Paul recalled two educated parents whose child he had cared for. “They’re both small people, but when their daughter weighed between the 5th and the 10th percentile, they felt they were doing something wrong,” he said. “Percentiles on a growth chart are very different from percentiles in academic achievement, but almost all parents want their children to be above the 50th percentile on the growth chart.”

                        But of course, except in Lake Wobegon, it doesn’t work that way.

                        “Half the population should be below the 50th percentile, 10 percent of the population should be below the 10th percentile,” Dr. Paul said. “In most cases that’s healthy growth, and I think we do a disservice to the family by not explaining this clearly.”

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                        • #13
                          He's perfect.

                          Sent from my Kindle Fire using Tapatalk
                          Veronica
                          Mother of two ballerinas and one wild boy

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                          • #14
                            Huh? Those percentiles represent normal growth!!!

                            He is also half Asian, and I'm sure his weight is completely normal for an Asian baby, too.

                            Even when dd was in the 7th percentile, her pediatrician said that as long as she tracks along her own curve she'll be fine. She's finally tripled her birthweight. . I have a 24-pound 2.5 year old!
                            married to an anesthesia attending

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                            • #15
                              Our middle kiddo dropped off the growth chart around 9 months old, but she still followed her own curve. Our familu doc had us put her on a high calorie diet and NOTHING changed. She's just super tiny, but very healthy. She'll be 12 y/o in a couple weeks and is barely 70 lbs and is distinctly smaller than her 10 y/o younger brother.

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