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Doctor insights on: Growth Above 95th Percentile

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How do growth chart percentiles work?

How do growth chart percentiles work?

Identify PATTERNS: Growth charts allow us to determine whether the trend or pattern of a child's growth is healthy. This is crucial, because individual measurements may be +/-, due to squirming babies or slightly different measuring techniques. While it's tempting to focus on individual measurements, this often creates undo anxiety. The big picture--over time--is usually what matters most. ...Read more

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Was at 99 percentile on the growth chart when little. How do I find out now?

Was at 99 percentile on the growth chart when little. How do I find out now?

Growth chart: Google national center of health statistics for a growth chart. You need just current height and weight. ...Read more

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Should I worry that my baby is not always at the same percentile on the growth chart?

Should I worry that my baby is not always at the same percentile on the growth chart?

No: Babies often switch curves on a growth chart, depending on their activity levels, the time of day the measurement is taken, and the genetic potential for growth they are given by her parents. As long as your baby continues to grow, the growth curves are just guides. ...Read more

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My baby weighs 9 lbs 6 oz at two weeks old what percentile is this on the growth chart?

My baby weighs 9 lbs 6 oz at two weeks old what percentile is this on the growth chart?

Full term?: If your baby was full term, this places him close to the 75% tile. What is important is his weight gain from birth. It takes more than 1 point on the curve to insure he is gaining weight. All the best. ...Read more

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What to do if I'm 17 yrs old and my height and weight are 2nd percentile, does not it mean I have growth stunt?

Many factors: Male / female?
If have started menses in females?
Height and growth curve of parents...

Point is, these factors and others may contribute. Your pediatrician should be able to help and maybe an endocrinologist eval. ...Read more

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My baby is measuring in the 8th percentile at 15 weeks for growth. What are some complications? Could it mean, I will miscarry?

My baby is measuring in the 8th percentile at 15 weeks for growth. What are some complications? Could it mean, I will miscarry?

Follow up: 8th percentile is a little concerning, but you need to have follow up ultrasounds to watch feel growth. Now that you are out of the first trimester, your risk of miscarriage is extremely low. ...Read more

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My nephew is in the 2nd percentile for height at one year but always been short.42nd percentile for weight. Could he have a growth issue? Dwarfism?

My nephew is in the 2nd percentile for height at one year but always been short.42nd percentile for weight. Could he have a growth issue? Dwarfism?

Genetic Height?: The key here is his parents heights. Take the average of his parents height, and add 2 for a boy. Where does this fall? Is it at the low end? Another factor is both parents puberty patterns. Were they late bloomers? This can be another cause. Should be evaluated at his one year checkup! ...Read more

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My 4 year old is not on growth chart he was born 6 lb but 2 week later drop below 5 percentile and never recover. Should I be concern?

Growth chart is it!: To many factors to consider, but growth potential (parental height), nutrition and underlying illnesses (ie. Heart, metabolic, gastrointestinal, genetic, etc) may play a role. Talk with your doctor and ask to see the growth chart. In it is the key to being reassured or finding reason for further work up. ...Read more

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My 3yo daughter's weight is around 60th percentile and her height is 30th. Will this always be the case, or can she have a growth spurt and even out?

My 3yo daughter's weight is around 60th percentile and her height is 30th. Will this always be the case, or can she have a growth spurt and even out?

Height growth: Genes and environment (food and exercise) seem to play important role on height growth. Genes you can't control. Give her environmental stimulus and see the results. ...Read more

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I want to track my antenatal growth. Baby's 77mm tall at 13 wks, and 1lb at 20 wks. I want to make sure her percentile is ok. I've not gained lbs yet

I want to track my antenatal growth. Baby's 77mm tall at 13 wks, and 1lb at 20 wks. I want to make sure her percentile is ok. I've not gained lbs yet

FIRST: Check with your OB regarding diet and prenatal vitamins, second...Relax do not stress yourself out and the baby worrying about antenatal growth. Ask your OB and educate yourself; google antenatal growth. Eat well, relax, don't stress, walk, see your ob. ...Read more

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Should I be worried about my child's growth and what should I do? I am worried about my child's growth. When he was three, he was 39 inches (or about the 85th percentile). He is currently six and a half and only 45 inches (or below the 25th percentile).

Should I be worried about my child's growth and what should I do? I am worried about my child's growth. When he was three, he was 39 inches (or about the 85th percentile). He is currently six and a half and only 45 inches (or below the 25th percentile).

First: First of all, you need to be heard. If your doctor is not listening to your concerns then you need to bring to his/her attention. If that does not work find another doctor for your child. Your concerns are valid. A decrease in the growth cure from about 85th percentile to 25th is concerning. In light of this and the family history you should ask to be referred to an endocrinologist (hormone doctor) to evaluate your son. Also a nutritionist can be consulted to make sure your son's diet is appropriate. His history of asthma and allergies should not have caused such a significant drop in his growth curve.
Be an advocate for your son, demand the best care.
All the best. ...Read more

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What happens if baby drops from fetal growth percentile in 4 weeks but is still within the 10 and 90%? Is that a reason for concern?

What happens if baby drops from fetal growth percentile in 4 weeks but is still within the 10 and 90%? Is that a reason for concern?

No concern: The ultrasound measurements can vary from one test to the next. In the last month or two of pregnancy, ultrasound "guesses" about baby's size and weight can be off by quite a bit. It is not perfect technology. As long as the baby does not drop below the 10th percentile it should be fine. It sounds like you are being followed closely, which is good. Good luck. ...Read more

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Had my growth ultrasound at 29 weeks pregnant baby is measuring in the 13th percentile and is lbs 2 lbs 9 oz. They said she was fine. Is this ok?

Had my growth ultrasound at 29 weeks pregnant baby is measuring in the 13th percentile and is lbs 2 lbs 9 oz. They said she was fine. Is this ok?

13%: Since the fetal weight is 13% it is likely that your doctor will want to repeat the sonogram in 3-4 weeks to confirm adequate fetal growth. Less than 10% is considered be the cutoff for fetal growth restriction. Discuss the plan of care with the doctor treating your pregnancy ...Read more

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Almost 5 Yo DD is very short, fit & active. I am short but hubby and others in family have good height. She is < 3 percentile. Growth Hormone Therapy?

Almost 5 Yo DD is very short, fit & active. I am short but hubby and others in family have good height. She is < 3 percentile. Growth Hormone Therapy?

Hard to speculate: About 3% of the normal kids fall in that range of height and would not benefit from growth hormone.A first step would be to have an x-ray done of her wrist/hand. Growth centers in those bones can reveal a bone maturity. A reading suggesting 5 or later would suggest she is genetically short. A reading of 4, just a late bloomer, 3 or earlier would warrant blood studies of her hormones. Start with her doc ...Read more

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I am 15 weeks pregnant and my baby's growth is in the 8th percentile. The doctor says my baby is measuring a couple of days behind. Could this be why?

I am 15 weeks pregnant and my baby's growth is in the 8th percentile. The doctor says my baby is measuring a couple of days behind. Could this be why?

Depends: Sometimes, this early in the pregnancy, a baby could be at the 8th percentile because you or your husband are on the short side. Another reason could be doctor's comparing this ultrasound against a previous one and there's an error in dating. First trimester ultrasounds can be off by +/- 5 days or so. Which, as you might guess, can affect the accuracy. Ob/Gyn will tell you if need to be worried ...Read more

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32+2 wks pregnant with twins, PE, on blood thinner & gestational diabetes, scan babies growth 10th percentile is it concerning? Planed c sec at 36 wks

32+2 wks pregnant with twins, PE, on blood thinner & gestational diabetes, scan babies growth 10th percentile is it concerning? Planed c sec at 36 wks

High risk pregnancy: I hope everything goes well with you and your babies, please stay close to the hospital and keep a close follow-up with your doctors, you will all be fine, best wishes ...Read more

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2 month old dropped from 87th-95th percentile for height to 15th. Has remained 50th percentile for weight, why such a drop in height?

Measurement error: Length in infants is a difficult measurement to replicate. Baby's length is dependent upon how tense/relaxed he is. Think how he pulls his legs up when he cries. If 1st length was while asleep and 2nd while awake and resisting, he'll appear shorter. Staff may fail to fully stretch legs, head may move from starting point. Discuss with dr, but unlikely to be a concern. ...Read more

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To be in the 50th percentile with fetus crl measurements, what does this mean compared to being in the 95th or 5th percentile? (62mm @ 12wk+4days)

To be in the 50th percentile with fetus crl measurements, what does this mean compared to being in the 95th or 5th percentile? (62mm @ 12wk+4days)

Normal!: This means your baby is exactly the average size for this point in pregnancy. 5th percentile would be on the very small side, and 95th percentile would be quite big. At this point in pregnancy both extremes would make us confirm your due date. ...Read more

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How accurate are the charts with crown rump fetus measurements? What does it mean being in the 5th, 50th and 95th percentile?

How accurate are the charts with crown rump fetus measurements? What does it mean being in the 5th, 50th and 95th percentile?

Very accurate: Those charts are compilations of hundreds of thousands of data points, and are generally fairly accurate. Those percentiles are for averaged norms at those levels. ...Read more

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My 4 month old baby is in 65th percentile for length and 95th percentile for weight. Is he considered very fat? How can I help him? He's bottle fed.

My 4 month old baby is in 65th percentile for length and 95th percentile for weight. Is he considered very fat? How can I help him? He's bottle fed.

Normal Percentiles: Your baby's reported percentiles are within the normal range. Caloric restriction is neither necessary nor advisable. At this age, your baby should be feeding on demand and allowed to feed until satisfied. As long as growth continues along normal percentiles, baby is showing normal development, and is seeing the doctor at the recommended well-baby visits, there is no cause for concern. ...Read more

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Is it good if baby is measuring in 95th percentile at 33 weeks ga?

Is it good if baby is measuring in 95th percentile at 33 weeks ga?

Yes if.....: If your baby has always measured on this percentile, then remaining there with subsequent measurements is an indication of steady healthy growth. If your baby rapidly increased to the 95th after being on much lower percentiles, there may be cause for concern, especially if you have gestational diabetes. ...Read more

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Does any boy get growth pains?

Does any boy get growth pains?

Common: Growing pains are relatively common. Typically, they are located in the muscles of the leg (although less commonly can be in the arm). They are usually felt on both sides, and appear late in the day or at night, waking the child, with pain varying from mild to very severe. Pain is absent by the morning, and there are no objective clinical signs of inflammation ...Read more

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Can pull ups effect my growth?

Can pull ups effect my growth?

Good for you: They won't make you taller or shorter, but if you can do a few, you're more fit than most of your fellow-teens. ...Read more

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How can I know if I stunt my growth?

How can I know if I stunt my growth?

Children: You would have/should have known as a child whether your growth was stunted or not as we typically slow our growth in our mid teens and stop growth in early twenties. Stunted growth is defined as being in the 5th or less percentile of the World Health Orlganization's reference population in height for age. See:http://www. Cdc. Gov/growthcharts/data/set1clinical/cj41l022.pdf ...Read more