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  • What is normal weight loss in the term, exclusively breastfed infant in the first week post-birth?
  • Research-based tools which support decision-making about newborn weight trajectories: Newborn Weight Loss Tool (NEWT), Fenton Preterm Growth Charts, and the World Health Organisation growth charts
  • How to investigate the infant with inadequate weight gain

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Research-based tools which support decision-making about newborn weight trajectories: Newborn Weight Loss Tool (NEWT), Fenton Preterm Growth Charts, and the World Health Organisation growth charts

Dr Pamela Douglas19th of Feb 202528th of Mar 2025

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Newborn Weight Tool

This tool, abbreviated as NEWT, was developed by Penn State Health and Children's Miracle Network, US. It uses a research sample of weights from more than 160,000 newborns. The nomogram plots a baby's weight percentile at any given time in the first month following birth and compares it with the research population. The results can be used for early identification of infants on a trajectory for greater weight loss, poor weight gain, and related complications, and helps decide when supplementation may be required.

https://newbornweight.org/

Fenton Preterm Growth Charts

These tools, developed out of research in six countries by the University of Calgary, Canada, are designed for growth monitoring of preterm infants with birth gestational age less than 37 weeks, tracking their weight to 50 weeks gestational age.

https://ucalgary.ca/resource/preterm-growth-chart/preterm-growth-chart

World Health Organisation growth charts

You can locate downloadable copies of the weight charts (female and male infants) in the NDC Resource Hub.

Comments by neonatalogists about newborn weight gain and supplementation

The podcast with Australian neonataologist Dr Freeman, here, is also available in transcript, here. Dr Freeman discusses her approach to deciding whether or not to recommend supplementation.

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How to investigate the infant with inadequate weight gain

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The Royal Women's Children's Hospital (Melbourne, Australia) clinical guidelines for history taking, assessment, investigations, and management of poor weight gain are found here.

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.