Appropriate the baby’s weight gain is one of the issues that concern most parents, especially during the first months of the child’s life. When the baby is not fattening or it slows your weight gain is necessary to consult a pediatrician to assess it in full. Children breastfed shall be evaluated breastfeeding, it is essential to detect early faults in technique, which in most cases have remedy. If the situation stays will have to discard some diseases that may also manifest as a loss of weight of the baby.
What is the normal weight of a newborn baby?
The normal weight of a newborn baby to term varies between the 2500g and the 4000g. The newborns of low weight, or which exceed this figure (also known as fetal macrosomia) may have some problems, so it should be monitored in maternity more comprehensively.
Whatever weight that is born the baby, all the babies lose weight in the first days of life, in a physiological way. Babies are born with an “overweight” in the form of liquid, which lost in the first three or four days. Therefore, that in primers of health filled when the baby comes out of the maternity hospital, the high weight is always less than the weight at birth.
The rise of milk in the lactating mother does not occur until the segundo-tercer day of the baby’s life; so far it is the mother produces colostrum, a substance rich in trace elements and substances that the baby needs in its first hours of life. Needs more, since your stomach is only the size of a marble. The initial weight loss does not mean that the baby “are starving” or “the mother did not have enough milk”. Because of this many times tend to give supplements of artificial milk in the first days of the baby’s life, but this is a mistake that can hinder the start of successful breastfeeding. A newly born can lose up to 10% of their weight in the first 2-3 days of life, but unless the pediatrician advises otherwise, it’s not necessary to take any special action.
Although each child is a world and there are many individual variations, common minimum weight in a baby gain tends to be the following:
- During the first six weeks of life: 20 grams/day (140 g/week).
- Between six weeks and four months: 100 – 200 grams per week.
- Between four and six months: 80 – 150 grams per week.
- Between six and twelve months: 40 – 80 grams per week.
Faster weight gain is observed up to 4-6 months of life, and subsequently the curve flattens. As a rule, during the first half gain an average of 600 g/month, and 6 to 12 months, 500 g/month. They tend to turn the birth weight between 4 and 6 months, and triple it to the year of life.
In terms of growth, they earn about 25 cm the first year, and reach the meter (or what is the same, quadrupled the size at birth, which is typically 50 cm) to 4 years of age.
Actually, after the first two months it is not necessary to weigh it every week, but is enough with a monthly weight. It must always do so on the same scale, since there may be variations between different measurement methods can lead to confusion (scale electronics, Roman…), and should especially not be obsessed with weight. The general appearance of a child, and not only its weight, is often the best indicator of your health. If it is quiet, wet at least 6-8 diapers a day, and lays at least once every two days, chances are that everything goes well.
Usually the baby begins to gain weight from the third or fourth day of life, regaining the weight which had to birth a week or two weeks of life. If in control of health which is made after 15 days of life the newborn still has not recovered the birth weight, we will have to investigate possible causes with the aim of uncovering problems with breastfeeding can be affected by the weight of the baby. This will require the review of breastfeeding technique:
- Check if the suction is adequate: this baby should suckle with both lips everted (“like a fish”), not catching only the nipple but also part of the areola, and supporting the jaw in the chest. Breastfeeding workshops, which are usually organized by midwives, are an excellent support for these initial problems in infancy.
- Review the schedule of Nursing: need to banish this false myth of “20 minutes on each breast, every 3 hours”. Breastfeeding is always to demand, they are 12, 15 or 20 times a day. Trying to impose a schedule for nursing is synonymous with assured failure.
- Avoid teats, soothers, Sera dextrose, camomile, or anything else can be confused by its texture or flavor to the newborn. The pacifier is not recommended until breastfeeding is not fully established.
In addition to the purely “technical” problems there are some pathologies of the mother or baby, less frequent, that they can initially hinder breastfeeding:
- Mother: complicated disorders of the thyroid, ovaries poliquisticos, treatment with hormones, childbirth or caesarean section in which there has been a great loss of blood, previous breast reduction surgery…
- In baby: hypotonia, syndrome of Down, retrognathia (hypoplasia or absence of growth of the lower jaw), infections…
In any case, the main measure to stimulate the production of mother’s milk is the baby frequently to chest. It is the law of supply and demand: to more stimulus, more production. In addition, it is essential that mother and baby are separated less possible, even though the birth was caesarean, and encourage skin to skin contact and early breast feeding, in the delivery room and nothing more birth.
The weight and size of a baby as an isolated contributes us nothing, but must see the evolution over the weeks and months. This is why pediatricians to use tables of weight and height (the famous “percentiles”), reflecting statistical data made between thousands and thousands of infants healthy. Children with special problems, such as premature babies or those suffering from Down’s syndrome, have their own tables.
The weight and size are passed to that table, and in this way we will know the percentile which is our baby. For example, if we say that a child is in the 25 percentile, mean that compared with 100 babies of the same age and sex, 75 would weigh more than him and 25 less or, what is the same, there are still 25% of normal and healthy children who weigh less than him.
In successive visits of health these data are reflecting in the table to see if the child is evolving according to its percentile. When growth is slowing or stopped by any health problems, we will see that a child spends living, for example, a 25 percentile to a percentile 3. Any child pathology always affects first the weight, and if the situation stays or a chronic illness, also stops the size.
When a baby does not catch weight properly or experience any of the signs or symptoms given below, you should consult a pediatrician so that you assess the problem and indicate possible solutions to you:
- It continually rejects outlets persistently.
- Repeated vomiting with force (no spitting) after all the shots.
- You have fever, tendency to drowsiness and irritability.
- Not gain weight at a minimum of 140 – 150 g/week.
- Less than a deposition every 48 hours ago, and very dry.
- If wet under five diapers a day.
In these cases, breastfeeding technique, will be reviewed to see if it is done properly.
Some tricks that can be useful to get the baby to take more weight are:
- Change the position of nursing.
- Massage and compress the weight lengthwise during shooting.
- Remove milk after intakes, pumping, to stimulate production.
- Ultimately, if after reviewing all the problem is maintained and there is a maternal hipogalactia checked, the pediatrician could indicate supplements of milk, for a few days until the situation is regulated. As Carlos González breastfeeding expert pediatrician says, the objective is that baby quickly recover what is missing and is put soon strong to suckle better.
In addition, the pediatrician made a full clinical examination the baby, to detect possible diseases that can make that little is not picking up weight, such as otitis, urine infection, or other more serious and rare as cystic fibrosis pathologies.