Tuesday, December 29, 2009

carta tumbesaran breastfeed baby...

since aku still tak puas ati dengan statement nurse smlm tu..so aku google 'growth chart breastfed babies' dan aku jumpe artikel ni dalam website kellymom.cuba baca tulisan yg aku bold warna merah tu..

A note about growth charts

*klik kt gambar chart tu if nak tengok fullpage*

A growth chart isn't a test, where you are striving to get your baby into the 100th percentile. The growth charts show us the statistical distribution of weight, height , etc. in a particular set of babies (or children or adults). So if a baby is in the 50th percentile for weight on the CDC charts, it means that half of the babies of the same age in the US are heavier and half are lighter; if a baby is in the 10th percentile for height, then 90% of babies of the same age in the US are taller and 10% are shorter. Healthy babies, just like adults, can come in all shapes and sizes - a baby in the 3rd percentile can be just as healthy and normal as a baby in the 97th percentile. What doctors are generally looking for on a growth chart is that baby stay relatively consistent in their growth pattern (see below for why this may not happen with the current growth charts). Growth charts are only one part of the puzzle, however, and must be evaluated along with other factors, including:

  • What size are baby's parents? What were their growth patterns as babies? What about baby's siblings or other family members? Genetics plays a large part in baby's size, so don't ignore it.
  • Is baby gaining consistently, even if it's not on a curve?
  • Is baby meeting developmental milestones on or near target?
  • Is baby alert, happy, active?
  • Is baby showing other signs of adequate milk intake?

Growth charts and breastfed baby growth

I have heard of many breastfed babies (including my own) whose doctor was disturbed at some point because the baby wasn't gaining weight quickly enough, even though the baby was well within the above parameters for weight gain. The problem is that many doctors are not familiar with the normal weight gain patterns of breastfed babies, and rely too much upon standard growth charts.

Healthy breastfed infants tend to grow more rapidly than formula-fed infants in the first 2-3 months of life and less rapidly from 3 to 12 months. All growth charts available at this time include data from infants who were not exclusively breastfed for the first 6 months (includes formula-fed infants and those starting solids before the recommended 6 months). Because many doctors are not aware of this, they see the baby dropping in percentiles on the growth chart and often come to the faulty conclusion that the baby is not growing adequately. At this point they often recommend that the mother (unnecessarily) supplement with formula or solids, and sometimes recommend that they stop breastfeeding altogether. Even if mom realizes that her baby is perfectly healthy and doesn't follow these unnecessary recommendations, she ends up worrying for no reason (and moms don't need anything extra to worry about!).

Even if a doctor is informed of the difference in growth patterns, she might not be willing to listen...

"When I told my daughter's pediatrician that I had read that breastfed babies gain weight slower than indicated by the growth charts, and asked what her thoughts were, she said that she didn't believe that it was true and continued to question my daughter's weight. She refused to take a look at the article from Pediatrics
[see reference below] that I brought to her office. I was rather surprised at this, since she had breastfed her own children. I ended up changing doctors, and my new doctor had no problem whatsoever with my daughter's rate of weight gain."

2000 Growth Charts

The US Centers for Disease Control revised their standard growth charts in 2000, based upon more recent data which are "representative of the United States population, reflecting the Nation’s cultural and racial diversity." Per the CDC Growth Chart FAQ:

Are these charts appropriate for exclusively breast-fed babies?

The 2000 CDC growth charts can be used to assess the growth of exclusively breast-fed infants, however when interpreting the growth pattern one must take into account that mode of infant feeding can influence infant growth. In general, exclusively breast-fed infants tend to gain weight more rapidly in the first 2 to 3 months. From 6 to 12 months breast-fed infants tend to weigh less than formula-fed infants.

The 2000 CDC Growth Chart reference population includes data for both formula-fed and breast-fed infants, proportional to the distribution of breast- and formula-fed infants in the population. During the past two decades, approximately one-half of all infants in the United States received some breast milk and approximately one-third were breast-fed for 3 months or more. A Working Group of the World Health Organization is collecting data at seven international study centers to develop a new set of international growth charts for infants and preschoolers through age 5 years. These charts will be based on the growth of exclusively or predominantly breast-fed children.

1977 Growth Charts

The 1977 growth charts for babies under 2 years old, which are still used by many doctors, are based on a study conducted in Ohio from 1929 to 1975.

The babies in this study:

  • were primarily fed formula or a combination of breastmilk and formula
  • often started solids before 4 months

As a result, the 1977 growth charts are not a reliable indicator of the growth of children who:

  • are breastfed only
  • delay solids until around six months, as is now recommended by many health organizations


source : kellymom

*jadinya aku tanak pikir apa yg boleh merunsingkan kepala otak aku..lgpn aku tengok sara tak kerap jatuh sakit..klu kena selsema pn cepat jugak recover..pastu dia mmg lasak dan aktif seperti biasa,skrg ni dh belari pecut lagi...gigi pn dh tumbuh banyak dan cepat, takde pun tanda2 tak ckp nutritiens (kalsium)...lepas tu bijak pulak tu mengikut arahan..apa yg diajar cepat je dia tangkap..cuti panjang baru ni mcm2 adik ipar aku ajar 'sign language'. kejap je dia dh master apa yg diajar tu..sikit ari lagi dia dh boleh nk becakap la tu..bunyi dh ada..cuma word tu je tak sebut dengan betul*

6 comments:

Farah said...

yela lin..afif pon sama..last checkup hari tu berat die tak berapa naik sangat..n then nurse suruh letak minyak dalam bubur nasik die suruh tambah kolestrol (erk apakeh?)

tapi i tak buat pon hahhaa cume tukar sikit la menu afif skang..cuma letak lebih ayam dalam bubur die and bf macam biasa.yang penting development anak tak terganggu n die sihat..lagipon dah memang genetik kitorg pon bukannye debab sangat mase kecik2.

CuppyCakeMommy said...

betul2..teruskan bf..dalam al qurah pun dah suruh kan..so buat apa nak dgr kata2 dari orang bodoh sombong cenggitu

AshAnas said...

thanks share info nih....

AshAnas said...

sy pun nurse suh ltk sikit minyak dlm bubur tp sy ltk olive oil skit bgt... tp jrg sgt buat gitu sbb takut kasik baby mkn oily sgt nih... but byk gak bc psl olive oil in baby food ni, ia mbalancekan kprluan lemak dlm piramid mknn baby...

Sharini aka Ummi Khayra said...

Lin, Khayra pun kecik aje.. tp tak bother sangat sebab tau dia aktif macam mana and tau keadaan dia macam mana. Ada baca gak kat kellymom pasal carta tu.. hehhehe memang carta grow baby tak leh compare sangat sebab each baby ada unik dia yang tersendiri.. :)

ezan said...

sarah pun kecik gak... tp maybe sebab dia lahir pun kecik je.. tp ezan xkisah sgt org nak kata sarah kecik sebab ezan tau sarah aktif & sihat. so just contine what we think the best for ur kids. keep on bf!

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