25/06/2026
Youâre sitting with a family and after plotting babyâs weight gain - itâs low.
But is this slow weight gain⌠or failure to thrive?
Theyâre often spoken about as though theyâre the same thing, but clinically, theyâre very different â and understanding the difference matters.
Some key differences can include:
⌠Slow weight gain
⢠Baby is generally alert and responsive
⢠Good muscle tone
⢠Feeding reasonably well
⢠Weight gains are consistent, even if slower than expected
⌠Failure to thrive
⢠Baby may appear unsettled, lethargic, or difficult to wake for feeds
⢠Poor tone or low energy
⢠Feeding challenges may be more significant
⢠Weight gains can be erratic, plateauing, or declining
And while numbers on a scale are important, theyâre never the whole picture.
A thorough assessment looks at feeding effectiveness, milk transfer, maternal supply, infant health, birth history, output, behaviour, growth trends, and family wellbeing â not just a single weight check.
For families, this season can feel incredibly stressful. Many are told to âjust top upâ or âwait and seeâ without anyone truly investigating why weight gain is struggling in the first place.
This is where experienced, evidence-based support matters.
As an Endorsed Midwife & IBCLC with close to 30 years supporting mothers and babies, Megan provides comprehensive assessment and care planning for:
⢠Slow weight gain
⢠Insufficient milk supply
⢠Infant oral restrictions
⢠Breastfeeding challenges
⢠Feeding assessments
⢠Triple feeding exhaustion
⢠Low transfer concerns
⢠Expressing and supplementation plans
⢠Protecting breastfeeding while improving growth
Because families deserve more than generic advice â they deserve skilled care that looks at the whole picture.
If youâre worried about your babyâs weight gain, milk supply, or feeding journey, support is available. Early assessment can make a significant difference for both baby and parents.
Book a consultation with Megan - Endorsed Midwife & IBCLC for personalised feeding and weight gain support.
*
*