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My son was born 95th for height and 75th for weight. He didn't get back to his birth weight by almost 6 weeks and from there it was a slow but steady climb. He found his curve and has been on track ever since (around 50th for height, 25th for weight consistently), he's now 3.5.
I think sometimes it gets skewed when a baby is born big and figuring out nursing, bottles, starting solids, etc. As long as they've growing in both height and weight around same rate, it's normal.

EBF babies often drop in the percentiles because the older babies get the more and more people drop breastfeeding and turn to supplementing so that throws off the "curve". Our daughter continually dropped percentiles until she was about 9 months and then found her "true curve". Our doctor was never concerned. LO was EBF until we transitioned to whole milk at a year. She hit all her milestones early and is a thriving 2.5 year old, who is now taller than most of her peers (though still a skinny little nugget).

@rachiecakes:

H has dropped in percentiles over the months, but she is still following her own curve. She was bigger when she was born and gained weight/height quickly, but it started to slow around 4 months. Our ped is not concerned. She's 21 months now and thriving.

Looks normal! Keep up the great work!

I had almost the exact same situation. LO was 40th percentil at birth and 2 months, and by 4 months he was 25th, and he kept going down--I think at 9 months he was 10th? And at 1 year he was 12th or something. I didn't supplement but I did start solids at 5 months and started adding a small bottle before bed (which he didn't eat half the time!)--didn't really seem to do much, TBH and I wish I hadn't worried so much about it! He is just a tall skinny kid (has always been 80-90th percentile in height).

A pediatrician isn't going to do something or not because they are pro-BF if your child is in danger. My daughter was EBF and we started solids at 8 months. She started off above 50th percentile in height and weight and has consistently declined since birth. At 15 months she was under 10 for both. She's just a peanut. She eats incredibly well (and a lot). She is gaining and hitting milestones early. No one is concerned. I would follow your Pediatricians advice, or if you aren't happy with them discuss them with her or find a new pediatrician for a second opinion.

Also, there is a separate growth chart for EBF babies. So they might not be using that one! Our office doesn't. You can google it though. My daughter wasn't even 14 lbs at her 6 month visit if that makes you feel any better! She was 19 lbs at a year.

I chose Other because you didn't indicate how tall you or your husband are. My LO did this and it was totally normal, but DH and I are short and small. My LO started out at around 65% weight and 50% height and has progressively moved down the percentiles. By one year she was around 35% weight and 20% height. Now (21 months), she is probably 25% weight and 10% height. I've never worried because I am only 5'1" so it's likely that LO will be very small as well. Also FWIW, my pediatrician said as long as they gain between appointments, she wouldn't worry (regardless of %).

Our ped told us to never pay attention to the percentile, and just pay attention to whether she is growing along her curve! Plus I think their growth slows around 5-6 months, so I think it's normal!

So is your LO gaining weight even though dropping in percentiles? As long as they are gaining and growing, I don't think it's a big deal. My DS was middle of the charts and dropped to the bottom/off the charts, and DD is middle of chart weight and not even on it for height. My ped never made a big issue of it and actually said percentiles really mean not much in the big picture as long as they are growing and gaining. You can have kids not even on the charts as babies and they grow up to be giants.

My first son was born at 50%, then steadily dropped until 6 months, when he found his curve. My ped was not at all concerned, and he's grown on his own curve (5%) since then.

@ms. pug: 5 oz in one week is perfect!! Glad to hear you got some reassurance. Keep doing what you're doing - it sounds like your LO is doing great!