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I would make sure you are looking at the who breastfeeding chart too. Formula fed babies and breastfed baby can grow differently.

There was a thread on here recently where I learned that babies don't settle into their true percentile until between 4 and 6 months so you really shouldn't be concerned about dropping percentiles until AFTER six months.

I have a secret, okay maybe not so secret, hate for the % chart! I know that in some cases where there is very drastic drops, usually accompanied by other "symptoms", it can help bring notice that there's a problem, BUT I think in most cases they just cause unnecessary worry & are only a very small part of tracking healthy growth & development. As long as there *is* growth & development I don't worry.

LO's doctor never told us percentiles and I never asked. Never has the doctor been worried so I didn't care what percentile she was in. I know someone who loves to compare our kids and she uses her percentiles like there's no tomorrow.

Our doctor also looks for consistency, or percentiles that "make sense." For instance, when he was born, he was in the 75th percentile for height, but he's currently in the 15th percentile at 4 months. However, DH and I are both short people (he's 5'2", I'm 5'3"), so of course LO won't be terribly tall.

I have also read that breastfed babies tend to gain weight more rapidly than formula-fed babies in the first few months, and more slowly after that.

At our last visit, the doctor had noted that his percentile on weight was down slightly -- he had been at 55th and is now at 45th -- and attributed it to his recent bout with RSV (although in my head I'm thinking, no, it's because you're using a chart with SIMILAC written all over it), but she wasn't at all concerned and was more noting it because I had been telling her about his multiple night wakings of late and the hypothesized that he's catching up after not being as hungry while he was sick (again, I'm pretty sure that's not why, but rather a sleep regression... but pediatricians aren't sleep experts so I wouldn't expect her to assume that over a "medical" reason).

I'll only push back on the chart she's using if she makes a huge issue over his weight gain. Otherwise, we all know he's doing well because he's gaining, having the appropriate number of dirty/wet diapers, and meeting developmental milestones.