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fire_engine View Drop Down
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    Posted: 29 October 2008 at 4:25pm
Does anyone know if there are online NZ growth charts? Was at the hospital today and according to their one, Daniel is 50%tile; according to Plunket he's 15%tile. I'm a little obsessive about charting so wondered if there was anything on the www. (Google didn't help me - just gave me lots of height charts for sale on TM )
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monster View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote monster Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 4:33pm
If you look on the WHO website there should be a growth chart for breastfed babies - that might have been the one at the hospital. Plunket's one is older - I think it's based on a mix of formula and bfed babies.

I think it's something like that anyway... don't quote me on it.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ElfsMum Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 4:34pm
I used to be obsessive over such things then just decided to chill if hes growing well and happy that's the important thing:) the one in the plunket book is the one my doc goes on(wellchild)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 4:50pm
Mmm, the problem is that this one hasn't been growing well and if I hadn't been obsessive then we would have had even bigger problems than we did.   

It's not the WHO ones (which are for BF babies) - I wonder if it's the CDC ones from the US which is BF and FF.
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Maya View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 8:24pm
I was hunting for one recently online that I could plot lil miss' growth on coz she has had big gains then plateaus then big gains then plateaus then gains etc. so I wanted to see the pattern and the one in the Well Child book is too small to really see the curve. I didn't have any luck tho so will be watching this thread to see if anyone else can come up with one.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 8:25pm
Oh and lil miss is a similar weight to Daniel and a little bit older and according to Plunket she's on the 25th percentile. Seems that it's different on every chart
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 8:28pm
Yep, a boy in my coffee group is the same height and weight and is the 50th on his plunket book. I feel very confusseled.

Edited by Flissty
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 29 October 2008 at 8:31pm
It is different for boys and girls too.

I know with my older girls (who were all diagnosed Fails to Thrive ) the big thing they looked at wasn't what centile they were on but rather the crossing of centiles (ie. Maya was born on the 97th and by 9 mths was on the 3rd, gremlins were born on the 97th for gestation and dropped to the 10th by 10 mths). Lil miss was born on the 50th and is now on the 25th but seems to be tracking it nicely without dropping off.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Zebra7 Quote  Post ReplyReply Direct Link To This Post Posted: 30 October 2008 at 4:56pm
None of this makes any sense to me. I mean surely your birth weight is not the only factor in how you will turn out. Amy was on the 97th at birth but is now down below the 50th. Both DH and I were small children so i'd be VERY surprised if she turned out to be a big child. I think she just grew bigger than she "should" have inside me
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiL Quote  Post ReplyReply Direct Link To This Post Posted: 30 October 2008 at 10:02pm
I have a PDF document of the WHO growth chart, if anyone wants it. Just PM me your email address.

But it is quite different to the Plunket one. I would be interested in getting one of those if anyone has one!!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mumtooboys Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2008 at 12:44pm
Originally posted by Zebra7 Zebra7 wrote:

None of this makes any sense to me. I mean surely your birth weight is not the only factor in how you will turn out. Amy was on the 97th at birth but is now down below the 50th. Both DH and I were small children so i'd be VERY surprised if she turned out to be a big child. I think she just grew bigger than she "should" have inside me


I couldn't agree more. Alex was born on the 75th (big shock to us as DS1 was only on the 25th)and is now off the bottom of the chart. Not a thing wrong with him, he's just not gaining heaps of weight all the time. DS1 was an implied Failure to thrive at 4 weeks because he supposedly wasn't putting on enough weight and formula "top ups" did nothing for yonks. Looking back now, I wish I had ignored the advice to top him up and just let him get on with it, but hindsight is 20/20. I think the fact that he had colic and reflux didn't help on the weight front and if left alone would probably have been fine, just not weighed alot. I was ff from birth and I was the smallest child going, can still eat whatever I want and not gain anything so figure that Alex is just following me on the weight gaining front.

As long as they are gaining something, are growing in other ways like length/head circumference, are meeting developmental milestones, requisite number of wet/dirty nappies and seem happy and content when awake then there's probably not anything wrong. I wasn't about to subject Alex to a bunch of tests that may not have been necessary just because someone who sees him once a month for 20 minutes tells me he's not growing when he most obviously is to anyone who knows us. If he had given me any cause to worry, then I would have cut out the middleman (Plunket) and gotten him looked at and had every test at my disposal to find out what the problem was...not that Plunket thought I would I don't think, just kept implying that I was doing something "wrong" because he wasn't gaining how he was expected to. LOL

He's just a dot in the weight stakes(he was 7.6kg last week and he's 13 months). He's still off the bottom of the Plunket charts, but just back on the WHO charts. A baby who is true failure to thrive wouldn't gain at all, would probably be losing weight and is actually, from all I have read, incompatible with life because there are usually serious underlying medical issues.

So my "advice" ladies is watch the baby, the scale is such a small part of determining whether or not they are growing as they should that I tend to ignore it for the most part and it has meant life, unlike first time round has been a breeze and I have actually enjoyed Alex instead of worrying about how much he does, or doesn't weigh.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2008 at 1:03pm
I kindof agree but not fully. Daniel was putting on weight, albeit very slowly and went from the 75th at birth to about the 10th. Plunket weren't concerned. I was and my GP was - we went to paediatrics and found he had a severe heart defect that could have killed him. In Daniel, the weight was really the only indicator something was wrong - height and head were fine, development was fine, nappies were fine ... I think charts have a place for giving you one aspect of your child's health, and like everyone is saying, they have to be seen in the context of the overall health and development. I'm not wanting to be doom and gloom and say "rush to your doctor if they're not staying stable on the charts", but because of my experience, I do want to keep a close eye on his weight. Call me paranoid and obsessive but if I wasn't, my wee boy wouldn't be here today.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Danash Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2008 at 1:46pm

http://www.education.vic.gov.au/ecsmanagement/mch/childhealthrecord/growth/default.htm

not sure if this is of any help but it is what I have been using since moving to Aust.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote mumtooboys Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2008 at 6:35pm
Originally posted by Flissty Flissty wrote:

I was and my GP was - we went to paediatrics and found he had a severe heart defect that could have killed him.


See, but that is the major difference, you felt like something was wrong and if I had felt in my heart of hearts that something wasn't right then I would have been just like you and I wouldn't have stopped until someone listened.

The reply was worded badly, I do that from time to time. LOL Weight is one of my pet peeves as it were...........

I was turned into a neurotic mother with DS1 because everyone but me seemed to think there was a problem with him even though I never felt, apart from the colic and reflux that there was. So yes, by all means if you feel that something isn't right....even if they are gaining heaps of weight then by all means look into it, but for "normal" circumstances like mine, where all things, including my gut instinct as his mum pointed to there not being a "problem" I think focusing solely on weight, without taking into account any other factors helps no one.

There seems to be a lot of "hit and miss", some Plunket nurses seem to make an issue out of everything and some seem to take issue with nothing, even when there is something not right or something not wrong as the case may be. I think we should stop trying to over ride our instincts as mums by doing what we "should" do according to the "experts" and listen to our individual babies as we are the experts on them. Now does that make sense? LOL

I think if I had listened to my instincts as a mum first time (usually hard to do when you have no idea what you are doing) then things might have turned out differently, which is not to say I would change the boy I have now, but I wonder what he could have been if left alone iyswim?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2008 at 9:18pm
I hear you! I'm sure with number two I'll look back and think I should have chilled out! You're completely right with the challenges of conflicting advice from the experts, trying to feel your way, learning to have confidence in your instincts which is based on gut not fact ... Being a mother really isn't easy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ElfsMum Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2008 at 10:32pm
good on you for going with your instinct!:)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2008 at 5:16pm
And I managed to TJ my own thread!

The consensus seems to be there's nothing NZ based.

The CDC ones from the US are normed on BF and FF babies - these are on the link that Verena gave us. I think they're the ones the hospital uses.

The WHO ones are more recent and are onlly on BF babies - this is the link
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 02 November 2008 at 10:24am
I agree with you mumtooboys that weight/centile at birth isn't neccessarily a good indicator of a child's weight/centile as they grow, but I also agree with Flissty that where kids are crossing centiles it's worth getting it checked out even if you're not all that concerned.

Maya was 97th at birth, and now at 5 is on the 50th and has been for years, it's obviously where she is supposed to be. But between birth and 10 mths she dropped from the 97th to the 3rd. I was worried, I kept trying to get someone to take me seriously but even taking her to the emergency dept at Starship with chronic diarrohea several times a week didn't get me anywhere. In the end I refused to leave, she was admitted and saw a paed consultant instead of the registrars who had been fobbing us off and it turned out she had gastric bleeding as a result of severe food allergies and she was never going to start gaining weight without treatment as she wasn't absorbing anything she ate.

The gremlins on the other hand were also diagnosed Fails to Thrive but in their case it was just that they kept picking up viruses and bugs (chickenpox, rotavirus etc.) and had chronic middle ear problems which meant they didn't eat a lot as they often felt unwell, so it was just a case of riding it out till they were better and started eating better.
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