At her last visit(due to a minor injury), my youngest weighed in at 15 pounds 15 ounces at 11 months which is under the third percentile on the WHO growth chart. She is running between the 15th and 25th percentile for height. Now my family doctor who usually examines her, has never said a word about her being too thin or small but as much flack as some people here catch, I didn't take her to her 9 month check up for fear of something being said. I know they do a lead test, hematacrit and TB test at her 1 year check up so I will take her in spite of my anxiety.
I talked to a friend who used to be a family doctor but is now a hospitalist to ask why it mattered that a child's weight and height percentiles didn't match. She said that the issue is not a tall skinny baby but a baby which is short and skinny because you have to rule out the possibility that they are not getting taller because they are not getting enough calories. She said for her, if the baby falls beneath the 25% for height and is skinny, she looks into it further. If the child is meeting all their milestones, and nursing well, she might suggest adding fat to the child's diet and seeing if they gain weight or grow faster. The issue seems to be that if you are taking slightly too little calories, you survivie but you end up smaller than you are genetically programmed to be. If you are moderately calorie deprived, you end up shorter and less smart than you would have been if you have more calories. SO... they are not so hot that you have a fat baby, more that they want to be sure your baby is just programmed to be small and not getting too few calories. So take her opinion for what it's worth. BTW, she nursed her own daughter for 3 years and still sometimes co-sleeps so she is not at all hostile to the LLL position.
So my question to you guys, has anyone ever had a small skinny older baby/toddler who actually gained weight when you added fat to their diet? For my LO, I am still nursing her 5-7 times a day and she was eating 2 meals of whatever we were eating. So I have started giving her a whole grain waffle slathered in butter in the morning and buttering any bread or vegetables she eats. I am wondering if this has worked for other people. The funniest example of this was at a restaurant when she had pinto beans with cheese and honey butter. Butter has been my best fat for her because she won't eat anything cold, such as whole milk yogurt. What has been your experience?