13 Oct
I Wish I Could Say I Told You So
It’s a well known fact that I have small babies. Small babies who continue to stay small, but are very healthy. Jack was 5 lbs 12 oz when he was born three days before his due date and because his weight was below the 10th percentile, he was diagnosed with something called “small for gestational age.” This diagnosis had absolutely no effect on him and in fact, I had no idea that it had been diagnosed until I went to my 1st OB appointment when I was pregnant with Xander. Because of Jack’s weight, I was more closely monitored during my pregnancy to make sure that Xander was growing appropriately, which he was.
Our pediatrician never once voiced a concern at Jack’s weight. He steadily gained weight and consistently remained on the bottom of the growth charts. At every well visit, he was pleased with Jack’s weight gain and told me to keep up the hard work with breastfeeding and we were clearly doing everything right.
Fast forward two years. Xander was born at a hefty 6 lbs 5 oz. At his one month well visit, our pediatrician voiced a little concern over his small size and said that he wasn’t opposed to giving him an ounce or two of formula after each feeding. I nodded politely but had no intention of supplementing. His weight was almost identical to Jack’s weight at the same age so I wasn’t concerned. He was having the appropriate number of wet/dirty diapers and was thriving.
I will never forget Xander’s two month well visit. I remember a discussion of his weight, which was right around 10 pounds and around the 10th percentile (may a little lower). I remember the doctor saying X was not gaining enough weight and didn’t I want my child to be healthy. I remember the doctor saying that because Xander’s height was in the 50th percentile, he needed to gain more weight so that his weight was more in line with his height. I remember walking to the car in tears. That night we began supplementing and headed down a two month road of nursing, supplementing, pumping, and weight checks until finally Xander refused to nurse, my pump output was almost nothing and I fully gave up breastfeeding.
I previously detailed why we left our pediatrician but this was a huge part of the reason. In the two months of supplementing, I regularly insisted that Xander is just long and skinny. It’s how he is built. My insistence was met with questions like “Do you feed him when he is hungry?” Well, more than 10 months later, I want to march myself into the old pediatrician’s office, look him in the face and say “I TOLD YOU SO!”
Tuesday was Xander’s 1 year well visit. He weighed in at 20 lbs 1 oz and was 30 inches long. I almost laughed out loud when the nurse read me the percentiles. 10th percentile for weight and 50th percentile for height. So 10 months after we began supplementing and after 8 months of being completely formula fed we wound up in the exact same place. Just like I insisted all those months ago, Xander is long and skinny. And what I’m most grateful for (other than the fact that he is incredibly healthy) is that we now have a pediatrician who is perfectly fine with his weight and his height. My only regret is that I didn’t do a better job of standing up for myself and my baby. Now I just need to stop myself from marching into that old office. Maybe a letter would be better.


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i’m thankful you now have a pediatrician who listens. and thankful you have healthy boys.
LOOK at those chubby cheeks! Obviously he is happy and healthy – and who could ask for anything more than that?
Stupid pediatrician. I am on Team March-on-in-there! Obviously.
I am seriously considering writing them a letter about the whole thing. I am still incredibly angry about Xander’s care from that 2 month appointment until we left when he was 6 months old.
p.s. why is there no “check here to receive all followup comments via email” box on your website?
Excellent question! I shall pass that along to my IT department, namely my husband!
Oooh, this really burns me up! I would totally want to walk in there an say “I told you so” too! I have small-ish kids too. My oldest was barely on the chart there for a while! I have a pedi now that doesn’t even tell me what percentile but knows my kids are healthy! Glad you do too…
I think the reason that I get so mad is because he was SO supportive with Jack! What changed? How did a practice that was “extremely supportive of breastfeeding” and “regularly works with lactation consultants if their are weight issues” so easily decide that formula was best?
I am glad that you finally have a Dr that listens and understands. Sorry you had such a bad experience!
Oh, man. That is a terrible thing to hear! I’m glad you now have a pediatrician who actually is understanding that some kids won’t be in the same height and weight percentile. How absurd! And a bummer that he ever “blamed” breast feeding. Alex was always “low” in the weight department (40-50th) after around his 2nd month compared to height (97+until 2 yrs). It’s NORMAL. Makes me so angry for you and the many other women I’m sure this happens to.
Like you, my son always measured “tall and skinny” but (luckily for me) my pediatrician never had anything negative to say about it. I’m currently gestating Baby #2 and hope that her tune doesn’t change the second time around … If I was in your place I would have been a wreck, too. There’s nothing worse than being questioned when you know you’re doing everything right!
Those measurements are pretty much the same as my daughters. She 2.5 now and still only weighs about 26 pounds. Fortunately, her doctor never said anything about it (of course he usually only spent 5 min with her during visits, but that’s a different story). However, we did get comments from the WIC nurses from time to time. One of them asked my husband if we feed her. *eyeroll*
It kills me because with my older son (who is now 3 and weighs 29 pounds) it was never an issue. All because his height was approximately the same percentage as his height.