Questions about 12m well child checkup

11 posts / 0 new
Last post
Offline
Last seen: 2 years 7 months ago
Joined: 11/30/08
Posts: 225
Questions about 12m well child checkup

Yay for my little man. I can't believe we've reached 12 months! And I am so pleased with us for reaching a 12m breastfeeding milestone. He is growing, learning, and I love watching him. I'm so proud of him.

He is 18 1/2 lbs. This the third percentile for his age. The pediatrician is slightly concerned that he isn't gaining at the right increase. (He was gaining more in the first six months of life, and isn't gaining as much now.) We had this discussion at Than's 9m apt, and I was given information about power packing. Dr would like to see him gain some more weight.

I have mixed feelings about this. On one hand, Than is an active little boy, so it makes sense that he would be burning off calories easier than gaining weight. He isn't losing weight. He's seems to be eating very well, 3 good meals a day which I try to add protein to eat meal. Both my husband and I were tall and lean as children. In this aspect, I feel that he is healthy and doing well.

But then again, we trust the pediatrician (which is why we see him, obviously). Dr wants us to back off the soy milk, and go back to the Bright Beginnings Soy, instead. He wants us to continue the high protein power packing diet Than has been on- cutting out carbs, and even back off the veggies and fruits because they are simple sugars, and add even more protein. It seems a little extreme, but he seems to feel it is necessary.

So what do you think? I don't feel that my opinion and the ped's opinion are contradicting each other, but I don't feel they are total in line with this.

Also, when should Than see a pediatric dentist? He has two teeth all the way in, two three broken through, and two that will be through by this weekend. I've been told varrying answers, and I'm wondering what you are doing for your moonbeams.

Thanks for all your thoughts. I'm grateful to have you ladies to come to when I feel a bit lost.

carg0612's picture
Offline
Last seen: 4 years 6 months ago
Joined: 09/23/09
Posts: 1554

Well I think it's hard to tell if Than's small stature is just him at his genetic potential or if there is anything else that's wrong. I think your ped is probably just trying to rule out any other possibilities. My DD has always been small but since her growth curve was steady her ped always said that "she's on the right track for her genetic growth potential".

It's when they see a jump (in either direction) on the growth curve that peds get nervous.

I don't think it hurts to give the higher protein diet a try. I'm not sure about backing off veggies though - fruits I would understand laying off the fruits but veggies I'd keep on the menu.

As for a dentist I took my older two kids when they were 3. Their ped did a quick check on them when they were 1 and 2. I know the recommendation is by 1 but I haven't done it yet. I guess I'm a bad mommy. Maybe I will by the end of the summer as I feel I slacked off with the other two. But my other two have not had any caveties so I guess I haven't done too badly.

Offline
Last seen: 4 years 7 months ago
Joined: 08/28/09
Posts: 398

Well Avery is on the total opposite end of the growth curve so I am not much help there... one thing that her doctor did tell me is that you want the height and weight to be comaprable... so she isi n the 93rd for height and she is in the 94th for weight.. so I feel she is fine... as far as judging it on being active and burning off calories.. Avery is one of the most active babies I have seen that is her age and she is still higher in weight so I am not sure about the burning off at this point. Maybe get another pedis opinion? I know it seems weird to get another opinion but I think it may help ease your mind some.

As for the dentist... my docs office gave me something that said to start seeing them at a year.. Avery has 8 teeth and some more just about ready.. I asked my adult dentist and he said more of what right now is for is to get them used to the dentist becuase there really is not any other issues at this point. I plan to take Avery this summer just to start the process but I am not super worried about it and know a lot of people that don't until much older.

Offline
Last seen: 1 year 3 weeks ago
Joined: 09/29/09
Posts: 1346

Luke is on the other side of the growth chart. he has not gained any weight in 3 months. I think that's true for some other moonbeams here too. its pretty normal. As long as he is eating healthfully, and he obviously is, I wouldnt worry too much.

Luke's first dentist appointment is next week! They do recommend going at age 1. Luke has 11 teeth so he is more than ready.

KBlaix's picture
Offline
Last seen: 4 years 3 weeks ago
Joined: 11/23/07
Posts: 140

Personally, I hate those charts and I wouldn't worry, as long as he's not losing weight. Pediatricians study medicine, not nutrition, and changing his diet seems a bit drastic to me. If your worried enough to put him on a specialized diet, I'd first see a nutritionalist. Having a balanced diet is important. Eliminating fruits & vegetables and "power packing" protein in a baby's diet doesn't seem very healthy to me.

reeveslady's picture
Offline
Last seen: 2 years 7 months ago
Joined: 11/23/05
Posts: 1423

Well, if Than didn't have dairy problems, I'd tell you you could bulk him up by adding cheese and butter to his veggies. I guess the reason his pedi told you to go more with proteins is because of his allergies. I don't think I'd tone down the veggies too much since they do provide good vitamins and have fiber for a healthy digestive system, but I think I'd go with a little extra meat if you can. However, like you said, it could just be in his genes to be tall and slim.

And, over here, they recommend taking your kids to the dentist when they first get teeth so that:
1) The kids get used to going to the dentist.
2) The dentist can demonstrate the right way to brush and care for little teeth (and perhaps give some handy tips for parents whose babies don't like brushing).

mom22sofar's picture
Offline
Last seen: 4 years 10 months ago
Joined: 02/20/09
Posts: 306

As someone already said, the issue is usually if they fall off their growth-so if you have a child that is 5th percentile and stays there all year, that is not as much a concern as a child that was 50th and falls to 25th, then 10th, then 5th, if that makes sense?

I went through this with my dd, she is at 7 still a peanut, but we have had times where we have struggled to encourage her to eat higher caloric/nutrition foods to help boost her a bit. it can be quite stressful as a mom. She has had all kinds of testing done, and this is just who she is, but I do feel better knowing that now and not stressing what if...

when do you see your ped allergist again? he/she might offer some insight as well. sorry it is stressful for you

RyleesMom's picture
Offline
Last seen: 3 years 5 days ago
Joined: 10/10/03
Posts: 123

regarding the dentist.. we don't go til sometime the 2nd year. I aim about 2-1/2. "They" might recommend first visit at a year but in my personal opinion it seems pointless. At 2 and 3 they aren't going to "remember what they were taught" from that one visit at the dentist or be "used to them" because they went when they were 1. They don't have memory in the way an older kid does. I just think it is a waste of a co-pay.. (if you have one). I just try to teach good brushing habits and teeth cleaning routine so that at 2 they are very aware of oral hygeine, and are excited to go to the dentist

julieanddanny's picture
Offline
Last seen: 4 years 4 months ago
Joined: 03/06/03
Posts: 248

"RyleesMom" wrote:

regarding the dentist.. we don't go til sometime the 2nd year. I aim about 2-1/2. "They" might recommend first visit at a year but in my personal opinion it seems pointless. At 2 and 3 they aren't going to "remember what they were taught" from that one visit at the dentist or be "used to them" because they went when they were 1. They don't have memory in the way an older kid does. I just think it is a waste of a co-pay.. (if you have one). I just try to teach good brushing habits and teeth cleaning routine so that at 2 they are very aware of oral hygeine, and are excited to go to the dentist

Our dentist doesn't see kids until 2-3. Recommends a visit to mom or dad's cleaning then a get to know you visit at about 3...

Marite13's picture
Offline
Last seen: 3 years 4 months ago
Joined: 08/07/09
Posts: 3368

I agree with Kari about the food and Dara about the dentist! It almost sounds like your ped wants to put Than on a baby Atkins, which is very scary to me! I asked my dentist too about when to bring Beni and he said not until 2 or 3- if she came now it would be just to watch. He did say the 1 year appt that sometimes gets pushed is much more to teach parents the right way to care for baby's teeth, than to actually look at baby's teeth.

mlark1128's picture
Offline
Last seen: 4 years 3 months ago
Joined: 05/09/07
Posts: 742

"reeveslady" wrote:

Well, if Than didn't have dairy problems, I'd tell you you could bulk him up by adding cheese and butter to his veggies. I guess the reason his pedi told you to go more with proteins is because of his allergies. I don't think I'd tone down the veggies too much since they do provide good vitamins and have fiber for a healthy digestive system, but I think I'd go with a little extra meat if you can. However, like you said, it could just be in his genes to be tall and slim.

And, over here, they recommend taking your kids to the dentist when they first get teeth so that:
1) The kids get used to going to the dentist.
2) The dentist can demonstrate the right way to brush and care for little teeth (and perhaps give some handy tips for parents whose babies don't like brushing).

ITA!