Is weight gain concerning in a neonate (newborn) at 1 week of age?

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Last updated: May 7, 2025View editorial policy

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From the Guidelines

Weight gain in a one-week-old neonate is not concerning and is actually a desirable indicator of good health and adequate nutrition. According to the study by 1, infants with normal weight gain and no other symptoms tend not to have obstruction as the cause of their vomiting. In fact, the expected rate of weight gain is approximately 20-30 grams per day (or about 0.5-1 oz daily) after an initial weight loss of up to 10% in the first few days of life.

Key Points to Consider

  • Healthy neonates should begin gaining weight by days 5-7, as stated in the study 1.
  • The study 1 highlights that parental complaints of vomiting or regurgitation in infants are common, but the cause is usually gastroesophageal reflux (GER), particularly in the first weeks of life.
  • Weight gain pattern indicates adequate nutrition, whether from breastfeeding or formula feeding, and for breastfed babies, weight gain also suggests successful establishment of milk supply.

Important Considerations

  • If a one-week-old is gaining weight appropriately, this is a positive sign of good health and adequate feeding.
  • However, if a one-week-old is not yet gaining weight or is still losing weight at this age, this would warrant medical attention to assess feeding techniques, milk supply, or potential underlying medical issues, as suggested by the study 1.
  • Regular weight checks during the first weeks of life are important to ensure the baby is thriving, and any concerns should be discussed with a healthcare professional.

From the Research

Weight Gain in Neonates

  • Weight gain in neonates is a critical aspect of their development, and any concerns regarding weight gain should be addressed promptly.
  • However, the provided studies do not directly address the concern of weight gain in neonates 1 week of age.

Relevant Studies

  • A study published in 2014 2 discusses early weight loss and weight gain in healthy, full-term, exclusively-breastfed infants, but it does not specifically address weight gain concerns in neonates 1 week of age.
  • Another study published in 2022 3 focuses on rapid weight gain during infancy as a risk factor for later childhood obesity, but it does not provide information on weight gain concerns in neonates 1 week of age.

Lack of Direct Evidence

  • There are no research papers provided that directly assist in answering the question of whether weight gain is concerning in neonates 1 week of age.
  • The provided studies primarily focus on breast milk supply, domperidone use, and rapid weight gain during infancy, which are not directly relevant to the question at hand.

Indirectly Related Information

  • A study published in 2018 4 discusses the use of domperidone to increase breast milk volume in mothers expressing breast milk for their preterm infants, which may be indirectly related to weight gain in neonates.
  • However, this study does not provide information on weight gain concerns in neonates 1 week of age.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Early weight loss and weight gain in healthy, full-term, exclusively-breastfed infants.

Breastfeeding review : professional publication of the Nursing Mothers' Association of Australia, 2014

Research

The care of infants with rapid weight gain: Should we be doing more?

Journal of paediatrics and child health, 2022

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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