4. 3 month old infant slow weight gain.

Your baby girl is doing perfectly well. We expect a weight gain of 400 gm per month after 3 months of age ( upto 1 year of age) There has been an error on your part in plotting on the WHO growth chart. Please check the graph through IAP website. The baby is a little above the -2SD which corresponds to the 3 rd percentile. This has been consistent since birth. A normal growth variation lies between the 3rd and 97 th percentiles. We are happy with the curve as long as the baby / child is following her percentile curve and is within the normal range. A bit of variation is acceptable though - in between the weight was still better on the curve. Remember, the WHO growth chart followed is aspirational - the growth chart drawn upon a multi country project, involving children who were raised in environments that minimised growth constraints and mothers followed healthy practices like breastfeeding, did not smoke during and after pregnancy. So the data provides aspirational targets as to how the children should grow and go beyond the traditional descriptive references. In essence the child is growing fantastically and you have done an excellent job!