>I haven't worked much with older infants (10 1/2 months)
>Grandmother called first.  I then talked to mother. Baby has not gained any
>weight over last month.  Weight 17-4.  Does not take bottle or cup.

Look at the baby.  Ask about activity and all-over health and disposition.
A healthy, happy baby who is developing appropriately doesn't need changes
in her diet.

My second child didn't gain any weight for 2 months, but when I told the
Ped that she had begun crawling and pulling up on everything, he said,
"Doesn't sound like she's malnourished, does it?"

She picked up her gaining after that, without changing any of her feeding
patterns.  Scales aren't everything.

I have seen many babies slow down in their weight gain while they "find"
their personal growth pattern.

It doesn't seem that it would be an issue here, but be sure that baby isn't
eating "diet" foods. He/she needs fats too. Sometimes when solids are
introduced they are low in fats and are replacing breastmilk which has
appropriate levels of fat.

Pat Gima, IBCLC
Milwaukee, Wisconsin

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