Rose,
How does the baby look and feel?  What is he doing?  How does he 
behave?  Is he meeting developmental milestones?

He had quite a slowdown between 4 and 8 months in weight gain (was 
tracking along 50th %ile then down to 15th), but not in length 
(staying along 50th %ile).  He could simply be an active baby who is 
busy moving around, and is slimming down a bit from some fairly rapid 
weight gain in the early months.  He may just be settling into a size 
and shape that are right for him.

It is possible that, being the fourth baby, he is not getting as much 
of his mother's energy and attention as he would like, and the 
breastfeeding is suffering.  Or there may be issues around 
introduction of solid foods that have affected his growth.  These 
would warrant breastfeeding assistance.  But I would take a good look 
at the baby before doing anything else.  I think this pattern of 
growth could easily be perfectly healthy and normal for this 
particular baby.

Margaret
Longmont, CO

>A question was posed to me today from another HCP about the following infant.
>Male
>Born weighing 7lb 7 oz  20 in
>2 mos  11 lb  13 oz   22.5 in
>4 mos   15 lb 8 oz   25 in
>8 mos    16 lb 2 oz   27.5 in
>
>Fourth child for this mother - she had exclusively breastfed other 3 
>till 1 year.
>The weight gain drops on even the breastfed charts. 
>
>The question is - should assistance in breastfeeding be offered or should we
>leave this mother and baby alone.
>
>Thank you
>Rose Straeter, IBCLC
>Breastfeeding Peer Counselor

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