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Date: | Tue, 22 Feb 2011 15:22:42 -0500 |
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Melanie, I guess I don't see what the big deal is here with this baby? Going from the 4th to the 2nd percentile is not a big deal. Are they using a WHO growth chart or a Ross growth chart? Is the baby thriving, meeting developmental milestones? Does the baby have a few words, good color, does he or she smile and laugh and make good eye contact? If the toddler is thriving, I would encourage mom to offer lots of healthy, nutrient dense foods--peanut butter, whole grains, yogurts, and continue to breastfeed as desired. Pediasure is unnecessary if you ask me. Babies typically will get what they need if offered three meals with a few healthy snacks. My triplet daughter was little and I was always given a hard time about fattening her up. Developmentally, she was fine, and at age 12, she is a lovely petite girl. If there's no problem with development, I'd say making a big deal about consuming calories will only make this little one want to eat less. If the baby is truly failure to thrive--meaning poor growth, developmental delay, poor inter relational skills, then that's another story.
Anne Nans
CPNP, IBCLC
Sackets Harbor, NY
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