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Our ped said 1 ounce a day was about the most a baby could legitimately gain-mine's 95% for height and 50% for weight. And she thinks it's just his structure-long and lean. He dropped a bit the week after we got his tongue clipped (week 2), but she was confident it was only because he didn't feel well, and that his appetite would pick up soon. So I kept pumping because he wasn't eating much. We didn't supplement, even when he didn't gain anything. Anywhere from 0.5-1.0 oz would be ok for me, though, after I was sure his mouth wasn't hurting. T's obviously was causing him issues and he wasn't totally sure how to use it once it was clipped. It seemed disorganized, like you said

My lo was born small 6lb 10oz so I was always worried about her weight. Her Dr and the office were very supportive of breastfeeding and did a great job re assuring me she was doing fine. She was around the 15% for the longest time for weight. As long as they stay on their curve and aren't dropping off my Dr said not to worry.

My ob on the other hand made me feel inadequate and suggested formula just based on looking at my baby during my own 6 week checkup. She went so far as calling the pediatrician. I went in for an extra weighing and they said all was good! I think some Drs are just less familiar with breastfeeding.

@ldh112: I don't think there's any place she "should" be as long as she's gaining. Some babies will be 95/90 and some will be 95/30, it's just how their bodies are built. If the trend continues downward, though, I'd be concerned about that

My daughter now 2.5 yr old, was around 15th percentile for a while and then even dropped to 10%. We would talk about her weight at every well child visit and after questions the doctor decidea she is fine. Doctor said she looks proportionate and is happy, so she isn't concerned. Also was getting plenty of wet diapers and poopies. Every child is different, and now I can truly say this as we just had our second baby. Our son at his 1 month checkup was in the 65th percentile. He's fitting into my daughter's 6 months onesies now at 7 weeks. He also gets plenty of wet diapers and poops even more than daughter. I don't feel like I'm doing anything drastically different yet they are so different in weight and their growth speed.

Definitely follow the WHO weight charts if she is breastfed, rather than the CDC charts. The CDC charts are for formula fed babies. It sounds like you're doing everything right. If she is refusing a bottle she's probably not hungry, you can't make her eat. I would just watch and make sure she follows her own growth curve. I once read that after about 2 months of age, babies are more likely to be on their natural curve rather than a curve because of external factors.

My son has always been small and is between the 10-25%ile for weight. But some kids have to be on the outside of those curves - that's why theyre shaped like that!!

I believe KellyMom recommends average weight gain of 3-7 ounces per week so if she's gaining within that range, having plenty of wet and dirty diapers and is generally happy and content then you're probably doing ok!

Lots of babies move percentiles in the first few months as they find their "natural" curve (particularly if mum had IV fluids during labour) but it's never a bad idea to keep in regular contact with an IBCLC so you ave support!

I wouldn't be concerned by what percentage your LO is at so long as the percentage isn't trending downward. So the percentage drops you listed would be worrying to me but hopefully they'll settle or start rising soon.

@blackbird: Really? Because my DD blew that weigh gain (your ped saying they can't really gain more than an ounce a day) out of the water! Between 5 days old and her 1 month appointment, she gained 46 ounces!