4 Month Update

We went on a adventure to the doctor’s today and the twins got their 4 month check up, which included shots all around. The kids were brave during their doctor visit and Tony and I are excited to share their updates.

Harper:

8 lbs and 5 oz in the 6% for her preemie growth curve

21.8 inches long in the 33%

15 inch head circumference in the 31% (2% of a full term growth curve)

She got an A+ on her physical exam, but has a few issues that we’re going to get help with.  Harper is still having feeding issues. I know I posted a week or so ago that she was finishing all of her bottles, but that only lasted a couple of days. Right now, Harper takes about 14 ounces of formula a day and she should be around 16 or 17. We also discussed the mannerisms that we’ve noticed during her feedings: gagging, crying, seeming overwhelmed, pushing the bottle away, etc. Our pediatrician is going to refer us to a speech therapist to help Harper with her eating skills and she’s going to get a new swallow study done. The doctor thinks she may still be aspirating her formula and wants to make sure we address that.  Harper is also a little more of a challenge with her head shape (something they worked on constantly in the NICU), so we have a physical therapist who is going to show us some exercises to help loosen up her neck and help with her head shape.  Aside from eating and noggin shape, she looks great- Praise God!

 

Jack:

A whopping 10 lbs 15 oz in the 60% for the preemie growth curve

22.3 inches long in the 55%

16.3 inch head circumference in the 95% (the 40% of a full term growth curve)

Jack is doing really and rockin’ his eating. Right now he’s taking about 20 ounces a day and he finishes all of his bottles. We also talked about his reflux problem and were told to keep him on his medicine. He is still choking and spitting up, but he spits up about an hour ½ to two hours after he eats. This makes his sleeping arrangement a little tricky; we’ve elevated the head of his bed, but that isn’t fool proof and it’s a little scary to wake up to the sound of your infant choking. I hope this reflux is something he outgrows soon. Aside from that, he looks great; great head shape, good motor skills and also an A+ physically.

We are so blessed to have such healthy kiddos and we wanted to share some cute photos of them too- enjoy!