Here is some information that I have in my archives about the growth charts for breastfed babies. Information on obtaining the charts themselves is in the second paragraph. It appears that they are available from the WHO in Switzerland. Might be interesting to find out if the American Academy of Pediatrics has bothered to obtain a copy for their own medical library and whether they are distributing it to pediatricians on request. Apologies to whoever first posted this info on Lactnet (Dr. Akre?): I accidently deleted the attribution. Rachael Hamlet ------------------------------------------------------------------------------------------------- The article I was referring to is by Kathryn G. Dewey et al (including the WHO Working Group on Infant Growth): "Growth of breast-fed infants deviates from current reference data: a pooled analysis of US, Canadian and European datasets" Pediatrics 1995; 96:495-503. The article states that "the results of this analysis clearly indicate that if growth charts are to reflect patterns consistent with WHO feeding recommendations, new reference data based on breast-fed infants are necessary." An effort is currently under way [in WHO's Nutrition unit] to create such reference data, with representation of a wider range of ethnic backgrounds and parental stature than was available for these analyses. In the meantime, the pooled data presented herein are available in growth chart format by request [An Evaluation of Infant Growth. WHO Working Group on Infant Growth. 1994, 83 pages (English only); WHO/NUT/94.8 (modest price). Order no. 1930067, WHO, Distribution and Sales, 1211 Geneva 27, Switzerland, FAX (41-22) 791-4857]. The implications of adopting an international growth chart using reference data based on breast-fed infants are discussed elsewhere [WHO Working Group on Infant Growth, Nutrition unit. An evaluation of infant growth: the use and interpretation of anthropometry in infants. Bulletin of the World Health Organization 1995, 73(2):165-174].