Infant double birth weight
Average Newborn Weight - American Pregnancy Association
It seems some of the most common questions parents hear from the moment a new baby arrives is “what does the baby weigh?” and “how is the baby growing?” The weight of a newborn is often used as a marker of general health, so it makes sense that it is something everyone is monitoring. But how does a parent know if their child is gaining weight at a healthy rate?
There are some general guidelines parents can look at to help keep an eye on their baby’s progress.
How to Monitor Your Baby’s Growth
Most babies who are born full-term (38-40 weeks gestation) weigh between 6-9 lbs. Birth weight can be affected by many factors, such as pregnancy gestation at birth ( whether earlier or later than “full term”), baby’s gender, mother’s health during the pregnancy, parents’ build, nutrition during pregnancy, multiples birth, or baby’s health at birth.
Babies can be born outside of the average guidelines and still be completely healthy. It is expected that newborns will lose some weight in the first 5-7 days of life. A 5% weight loss is considered normal for a formula-fed newborn. A 7-10% loss is considered normal for breastfed babies.
Most babies should regain this lost weight by days 10-14 of life. If a baby loses a significant amount of weight, is sick, or is premature, it may take up to 3 weeks to get back to his or her birth weight.
Formula-Fed and Breastfed Differences
Most newborns will gain about 5-7 oz a week for the first few months. Many babies will have doubled their birth weight by about 3-4 months. At 4 months, weight gain will begin to look different for breastfed and formula-fed babies. Research clearly shows that breastfed babies and formula-fed babies grow at different rates starting at about 4 months of age.
However, most growth charts are based only on formula-fed babies’ growth, which leads many breastfeeding moms wondering if their baby is “normal.” The World Health Organization (WHO) has worked to develop new growth charts based on breastfed babies, but not all physicians are using these when making their assessment.
Make sure your physician is clear on what feeding method you are using so the correct chart is used to assess your baby’s weight gain. For more information, see the WHO Growth Charts for Infant Boys and the WHO Growth Charts for Infant Girls.
Your Newborn’s Weight Gain
Newborns are often weighed throughout their stay in the hospital and sometimes again 48-72 hours after discharge. Newborns are then weighed a week after birth and sometimes again at two weeks after birth. If a baby has any health concerns, weight checks may be scheduled more frequently.
If parents don’t have a scale at home, they can monitor their baby’s intake of food in other ways:
- After the first week, a newborn should be having at least 5-7 wet diapers a day and at least about 3-4 dirty diapers a day. (This may change with time, and formula-fed babies seem to have fewer bowel movements than breastfed babies.)
- You can also monitor your baby’s intake by noticing if your baby seems satisfied at least for a little while after feeding. (Keep in mind that some babies do seem to want to eat all the time!)
If you have any questions or concerns regarding your baby’s weight gain, don’t hesitate to ask your health care provider.
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Compiled using information from the following sources:
The Nemours Foundation, https://kidshealth. org/
World Health Organization, https://www.who.int/
KellyMom Breastfeeding and Parenting, https://www.kellymom.com/
Ask Dr. Sears.com, https://www.askdrsears.com/
Birthweight doubling time: a fresh look
. 1976 Apr;57(4):469-73.
C G Neumann, M Alpaugh
- PMID: 1264541
C G Neumann et al. Pediatrics. 1976 Apr.
. 1976 Apr;57(4):469-73.
Authors
C G Neumann, M Alpaugh
- PMID: 1264541
Abstract
Infant birthweight doubling time is widely quoted as being achieved between 5 and 6 months. The purpose of this study was to determine the time of birthweight doubling and to identify important related variables. A total of 357 normal infants with birthweights between 2,500 and 4,100 gm were studied. Mean age of birthweight doubling for the entire group was 119 days (3.8 months). Bottle-fed infants doubled their birthweights earlier than breast-fed infants: 113 days vs. 124 days (P less than .05). Boys doubled their birthweights earlier than girls: 111 days vs. 129 days (P less than .0001). Solids were introduced earlier in bottle-fed infants (mean , 1.9 months) than in breast-fed infants (mean, 3.9 months). Harvard percentiles for mean group weight and length at the time of birthweight doubling were: for bottle-fed infants, 75th and 55th percentiles respectively: for breast-fed infants, 55th and 60th percentiles respectively; for boys, 75th percentile for both weight and length; for girls, 50th percentile for both weight and length. Thus, bottle-fed infants appear to have weight gains in excess of length gain and may be developing early obesity. In light of the poor prognosis in treating obesity, closer supervision of early infant feeding practices is indicated.
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Girls with one body and two faces were born in an Australian family
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In a large Australian family, girls were born who have one body, two brains and two faces for two. This is diprosopus, the rarest case of Siamese twins.
Extraordinary twins were born on May 8 to Australian Renee Young. Newborn girls, Hope and Faith, have one body, one set of internal organs, share arms and legs and one head, but each has its own brain and its own face, is reported by the Australian newspaper Sydney Morning Herald .
This is a very rare case of twin fusion (Siamese twins), which is called a diprosopus, or craniofacial duplication.
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Twins were born at the 32nd week of pregnancy in a hospital in Blacktown, the doctors performed a caesarean section on the woman. Their total weight at birth is more than two kilograms. The heart is working normally, and in the brain of each of the girls there are also no abnormalities. nine0003
Renee Yang and her life partner Simon Hovey learned of this unusual pathology during an ultrasound scan performed at 19 weeks of pregnancy. Despite the initial shock they experienced, the couple decided to continue with the pregnancy. Although the doctors dissuaded them from this, convincing them that the born child would be a "freak" for society.
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Parents now say they don't regret their decision. “Although our girls have only one body, they have two faces and we call them differently. These are our girls and we love them,” Hovey said. nine0003
The twins are now at the Children's Hospital in Westamd, a suburb of Sydney, and are doing well, breathing and eating.
Although doctors warned the couple that the twins might have difficulty breathing at birth. According to the father, they are already being bathed. “We are not going to stay in the hospital for a long time,” says Simon Hovey. “We want to bring them home healthy and happy so that our family can become even a little bit bigger.”
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Identical twins are produced when a fertilized egg divides and gives rise to two embryos. Siamese twins are formed when the egg divides very late - 14-15 days after fertilization.
By this time, the cells are already specialized, so that complete separation of the embryos becomes impossible.
About half of Siamese twins are stillborn, and babies survive in 5-25% of cases. Interestingly, in 70-75% of cases, Siamese twins are girls. nine0003
Diprosopus is one of the rarest types of Siamese twins. Scientists know that this pathology is associated with abnormal activity of the SHH protein. Increased activity of the protein leads to the growth of facial features, and sometimes to their duplication. Typically, these newborns do not survive.
This is only the 35th recorded case of twins born with diprosop in the world. But of all those born so far, there have been no survivors.
In 2008, a girl was born in India who had two noses, two pairs of eyes and two mouths, but only one pair of ears. The girl lived two months after birth and died of a heart attack. nine0003
Incredibly, Renee Young and Simon Hovey already have seven children. Moreover, they live on welfare in a council house in the suburbs of Sydney. Renee Yang receives a disability pension as she suffers from severe rheumatoid arthritis. This family is focused on children, and it is normal for them to have twins in the family, despite their unusualness. Parents say they would do the same if they had a child with Down syndrome.
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what increase is correct? Norms of increase in height and weight of a newborn
The first thing that happy parents tell their relatives and friends is the sex, height and weight of the newborn. “The son was born, 52 cm, 3.5 kg”, or: “We have a girl, 3000 g, 50 cm” are the most frequent words that they speak on the phone or write in SMS messages about their child. The same parameters are the first to be entered by the doctor in the health history of the newborn. Why are the numbers of a child's height and weight so important for doctors and parents? nine0365
Normal indicators for a newborn
Height, body weight, and head and chest circumference are the main indicators that doctors use to evaluate the physical development of a newborn child. Small or, conversely, large weight, the ratio of the circumference of the head and chest, the height of the baby are not just dry numbers, they can be used to suggest or exclude some diseases of the newborn. Then, when the child grows up, based on these parameters, pediatricians will monitor his health, give advice on feeding, regimen, and make some appointments. nine0003
That's why, as soon as a baby is born, it is immediately measured, weighed and entered into the medical record. Then, in the first year of life, the height, weight, circumference of the chest and head of the child should be measured once a month, since the baby is growing very intensively at this time.
The norm for a newborn is:
Height: 46 to 56 cm
Weight: 2600 to 4000 g
Head circumference: 34-36 cm
Chest circumference: 32-34 cm
What influences a child's weight gain
How a child will gain weight and grow in length depends on hereditary data, on his nutrition and on the quality of life in general. At the same time, heredity affects to a large extent the growth of the child - if mom and dad are tall, then the growth of their son or daughter will most likely also be the same. But the main role in weight gain is played by the quality of nutrition - the baby eats properly, which means that weight gain will be good. And, of course, the quality of a child’s life is of great importance: if he grows up in good living conditions, often goes out into the open air (sunbathing is especially important), if they do a lot with him, pay attention to health, then growth and weight gain will correspond normal for his age. nine0003
Baby height: increase by month
The height of full-term newborns is usually between 46-56 cm. Boys are usually longer than girls, but if the parents are tall, then the newborn girl can be significantly ahead of the average newborn boy in growth.
What happens to the growth of children in the first year of life? During this period, the child grows most intensively - by as much as 20-25 cm! In the future, there will be no such significant increase in growth. nine0003
It is known that the growth of children increases unevenly, in jumps. For example, there are seasonal and daily dynamics. Many parents notice that during the summer the child stretches more than at other times of the year. It has also been found that children grow faster at night than during the day.
An interesting fact: those parts of the body that are farthest from the head grow faster (that is, the baby's foot grows faster than the lower leg, and the lower leg, in turn, faster than the thigh), this is due to the age-related change in the proportions of the child's body. nine0003
In addition to height, doctors evaluate other parameters of the newborn. Be sure to measure the circumference of his head and chest. A newly born baby has an average head circumference of 34-36 cm, and a chest circumference of 32-34 cm. The chest and head circumferences, as a rule, become the same by 4 months of age. After that, the chest in circumference increases faster than the head. In a one-year-old child, the chest circumference is approximately 48 cm, and the head circumference is approximately 46–47 cm. But these are only average numbers: after all, children, just like adults, have different physiques, different head shapes - therefore, there may be a slight deviation from the average digits. nine0003
Monthly height increase:
1-3 months: 3-3.5 cm monthly (total 9-10.5 cm)
3-6 months: 2.5 cm per month (about 7.5 cm total)
6-9 months: 1.5-2 cm monthly (4.5-6 cm total)
9-12 months: 1 cm per month (3 cm total)
Baby's weight: increase by month
Newborn weight can be 2. 6-4 kg. Babies born weighing more than 4 kg are considered large. This can be either a feature of the constitution (large parents and the child will be large), or evidence of a violation of carbohydrate metabolism in the mother. nine0003
An important fact: the body weight of a child at discharge from the hospital is usually less than that with which he was born - both indicators are recorded in the documents issued to the mother. Do not be afraid of such "weight loss" - this is a natural process called physiological weight loss. It occurs due to the loss of water through the lungs and skin, the drying of the remnant of the umbilical cord, the excretion of urine and meconium (original feces).
The maximum weight loss in most newborns occurs by the 3-5th day and normally amounts to no more than 6-8% of the initial weight. And already by the 7-10th day of life, healthy children weigh the same as immediately after birth. If a child loses more than the specified norm or cannot restore the lost grams for a long time, this may indicate an infection or congenital pathology. nine0003
In the first year of life, the baby's weight increases the most. There are several ways to calculate weight gain.
For example, in the first half of the year, a child should gain at least 600–800 g per month. By 6 months, his weight normally doubles. In the second half of life, the rate of weight gain decreases somewhat - it increases by 300–550 g per month. This is due to the fact that the child becomes more mobile: he no longer just lies in the crib, but actively turns over, crawls, sits down, gets up and starts walking. By one year, the weight of the child should triple compared to the original. nine0003
Some mothers are very careful about how their baby gains weight. They are ready to weigh their child every day, almost after each feeding, believing that the weight should increase with each meal. It is not worth wasting time on this - the weight of the child, like height, increases unevenly. It does not happen that the baby adds average grams every day: over time, the mother will notice that there are periods when the weight is stable or increases slightly, and then suddenly there is a sharp jump. nine0003
For control, it is enough to weigh the child once a week, preferably in the same clothes. There are two types of scales for weighing children: mechanical and electronic. Today, electronic scales are more convenient to use - they are light, compact, mobile. Some models automatically take into account and subtract the weight of the diaper, “remember” previous weighings, can show the dynamics of weight changes and even measure height. If it is not possible to purchase scales, you can get by with a monthly weight measurement in a children's clinic. nine0003
After the first year of life, the rate of weight gain (as well as growth) decreases significantly. In ordinary life, a child, and even an adult, will never be able to double or even triple his weight in one year.
Average height and weight in 1 year:
Height 75 cm
Weight 10.5 kg
Chest circumference 48 cm
Head circumference 46-47 cm
Attention to the numbers: the rate of weight gain
Each person has his own idea of health. So, it seems to some parents (as well as grandparents) that the baby should be a kind of well-fed "boletus". And insufficient, in their opinion, the weight and height of the baby leads them into confusion. nine0003
In fact, there are more and more overweight children these days, and this is most often seen in formula-fed babies. So, some parents, wanting to feed their child more satisfyingly, make the mixture more concentrated or increase the number of feedings. As a result, children gain more weight than necessary, which is why many of them lag behind their peers in development - they begin to roll over, crawl, walk later, get sick more often, and are more prone to allergic reactions. nine0003
In such a situation, it is necessary to review the child's diet: strictly observe the number and volume of feedings, after the introduction of complementary foods, give the baby more fruit and vegetable purees, and limit cereals, crackers, cookies. It is necessary to do gymnastics with the child, create conditions for physical activity.