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Xander's weight percentile dropped steadily from when he was born to 6 months before it settled out. He went from the 75th percentile in weight down to the 13th around 6 months. And we hadn't even started introducing solids yet, so it was all breast milk.

From what I understand, it's completely normal to drop in percentiles, especially in breastfed babies. I think it's around 6 months that they settle into their true percentile. So the test will be from here on out seeing what his weight does.

That being said, will he only drink 10 oz of breast milk at daycare? Could you try sending a little more? Xander drank around 15 oz for 10 hours a day at daycare, which is definitely on the higher end of things, but maybe adding a little more might help? If he won't drink that much or you can't produce that much to send, maybe just try adding another puree?

But really, try not to worry about it. I think it sounds like he's okay and like you said, you guys were in the hospital, which I'm sure affected things. Hopefully he'll be holding steady at his next checkup in 6 weeks!

@Danizaur: If he's happy with 10 oz, then definitely stick with that! In general, breastfed babies don't usually increase the amount of milk they take as they get older because your milk just gets fattier in order to compensate. Maybe try adding another puree if you're concerned and see if he'll eat it? But if he won't and he's not acting hungry, I really don't think you need to be too concerned. Some babies are just smaller than others! But I know it's hard not to worry - I went through the same thing with Xander. Those first few months were so stressful and I was pumping all the time to provide Xander with 15 oz during the day that I'm sure he didn't even need. I got so much pressure from others to introduce solids early or to give him formula just because his percentiles were going down, but it's soooooooooo normal.

@Danizaur: My ped said that babies tend to slow down in their growth around six months, especially as they become more active.

@Danizaur: It's hard not to worry - but I would think that since he was sick and is becoming more mobile, it's totally normal to dip in weight gain.
J was the same - it's always been tough to get him to gain weight. And he's a picky eater. I kind of give him a pass if he wants to eats extra crackers or another yogurt, I know he could use the calories.

At around 6 months DS got really sick (after having been sick for weeks) with pneumonia. His weight took a total nosedive, which you can see in the attached growth chart. He's now 9 months, eats 3 solids meals a day and is back on his curve. I wouldn't worry about supplementing at this point, I'd just start feeding more solids meals with healthy fats.

Sadie's weight has never been in the same percentile at each visit. My doc said as long as they're on the chart and they're eating, there's no cause for alarm!

Is this the AAP chart or the WHO chart? Breastfed babies tend to have a slower growth curve than the AAP chart which is based on a higher percentage of formula fed babies.

The fact that he was sick enough to be hospitalized seems like a completely reasonable explanation for weight loss and I'm sure he'll catch up soon. I would feed him things like avocado, egg yolk, coconut oil, and grass fed butter if you are worried about his fat intake. I give Vi coconut oil in a medicine dropper and she likes it!

I don't quite have any wise advice, but I went through something like this too and wanted to share our experience...

Our chart was crazy too. We went from one point he was 90% at 2 months, to something like 15% or less at 9 months. I was going crazy and my husband was stressing me out. Our pediatricians weren't extremely concerned (and multiple of them kept telling us we are not big people ourselves, so it is "logical" for the drop), but it was very nerve-wrecking as a first time parent. All I know is he wasn't very interested in eating (breastmilk or solids) at all after 3-4 months. We seldom met the daily requirement of however many oz of breastmilk/formula a day. We went to a GT specialist and did a bunch of tests, worrying something is up with his digestive system...etc. We worked with a nutritionist to up the calories on his food by adding olive oil in purees and additional formula powder in breastmilk bottles...etc. We were on special acid reflux meds. We only worked with the specialists between 9 months to 1+ years old.... because at one point, it was exhausting to worry about something that isn't really a problem.... when LO was growing just fine.

Looking back, honestly there was nothing to be concerned about. LO is 2.5 years old now and he just continued to grow up as a very healthy, happy child. Back then, so many pediatricians kept trying to convince me that LO was "finding his own path on the chart". It was nerve wrecking to see the crazy continuous drop when being mapped to the "official chart". And I am really angry with whoever that actually comes up with that stupid chart! How could they tell us how a child suppose to be at each month when every child is so different. It is like oh there is not enough thing for you to worry about let me map you to a "standard" chart. I hope your case is similar too that there is nothing to worry about!

Follow up... My clinic used to only use one type of chart but apparently WHO has a guideline specifically for breastfed babes which is a bit lower in weight growth than formula babes. Wonder which type of chartig your clinic uses