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Study guide · Growth & Development

Normal child growth: weight gain, height, growth charts, corrected age

Normal growth follows predictable numbers: fast weight gain in early infancy that slows through the first year, then steady gains of about 2 kg and 2 inches a year until puberty. Plot every measurement on the right chart, and use corrected age for preterm infants.

For medical students, residents, nurses and pediatricians. Written from current guidelines; trees are from Pedemy's flashcards.

Key points

  • Weight gain: about 30 g/day at 0–3 months, 20 g/day at 3–6 months and 10 g/day for the rest of the first year.
  • Term birth weight doubles by about 4 months, triples by 12 months and quadruples by 24 months.
  • Length grows about 50% in the first year, doubles by 4 years and triples by 13 years.
  • From 2 years to puberty: about 2 kg (4–5 lb) and, from 4 years, about 2 inches (5 cm) a year.
  • US charts: WHO growth standards from birth to 2 years; CDC growth charts from 2 years onward.
  • Corrected age = chronological age minus weeks born early; use it until 24 months.

Weight gain in infancy

  • Term birth weight doubles by about 4 months.
  • It triples by 12 months.
  • It quadruples by 24 months.
AgeAverage weight gain
0–3 monthsAbout 30 g/day
3–6 monthsAbout 20 g/day
6–12 monthsAbout 10 g/day

Length, height and weight after infancy

MeasureRule of thumb
Length in year 1Increases by about 50%
Length doublesBy about 4 years
Length triplesBy about 13 years
Height gain, 4 years to adolescenceAbout 2 inches (5 cm) a year
Weight gain, 2 years to pubertyAbout 2 kg (4–5 lb) a year
Weight estimate, 1–6 yearsPounds ≈ (age in years × 5) + 17
Weight estimate, 7–12 yearsPounds ≈ (age in years × 7) + 5

Brain growth

The brain grows fastest in the first 2 years, which is why head circumference is measured at every visit in this period.

AgeBrain size as a share of adult size
BirthAbout 25%
1 yearAbout 75%
3 yearsAbout 80%
7 yearsAbout 90%

Choosing the right growth chart

The WHO standards describe how healthy breastfed infants grow, so they suit the first 2 years. CDC charts are used from 2 years, when children are measured standing.

ChildChartHow to measure
Preterm infant, before termPreterm chart, such as FentonWeight, length, head circumference
Birth to 2 yearsWHO growth standardsRecumbent length, lying down
2 to 20 yearsCDC growth chartsStanding height
Down syndromeSyndrome-specific growth chartA child below the 3rd percentile on standard charts may be normal on these

Corrected age for preterm infants

Corrected (adjusted) age is chronological age minus the weeks the baby was born early (40 weeks minus gestational age at birth). Plot growth and judge milestones by corrected age until 24 months.

  • Example: a 12-month-old born at 29 weeks was 11 weeks (about 2½ months) early, so his corrected age is about 9½ months.
  • A healthy former preterm infant who plots low on chronological-age charts: first replot by corrected age.

Common questions

How much weight should a baby gain per day?

About 30 g/day in the first 3 months, about 20 g/day from 3 to 6 months, and about 10 g/day for the rest of the first year.

Should I use WHO or CDC growth charts?

In the United States, use WHO growth standards from birth to 2 years and CDC growth charts from 2 years onward.

How long do you use corrected age for preemies?

Until 24 months. Subtract the weeks born early from chronological age when plotting growth and checking milestones.

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Sources

Written for Pedemy in our own words from the sources above; checked November 2026. For education only, not medical advice; check doses and local protocols before treating a patient. Pedemy is independent and not affiliated with or endorsed by the organizations cited.

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