Growth charts and percentiles can seem confusing for new parents, but they're simply tools to track your baby's development over time. This guide explains what percentiles mean, how UK growth charts work, and when you might need to speak to a health professional.
What Are Percentiles?
A percentile shows where your baby's weight falls compared to other babies of the same age and sex. If your baby is on the 50th percentile, they weigh more than 50% of babies and less than 50% of babies their age.
91st
Heavier than 91% of babies
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50th
Right in the middle
25th
Heavier than 25% of babies
9th
Heavier than 9% of babies
UK-WHO Growth Charts
The UK uses growth charts based on World Health Organization (WHO) data, showing how breastfed babies grow under optimal conditions. These charts are in your child's Red Book (Personal Child Health Record).
Percentile Lines on UK Charts
| Percentile | Meaning | Approx. % of babies above |
|---|---|---|
| 99.6th | Very high | 0.4% |
| 91st | Above average | 9% |
| 75th | Upper average | 25% |
| 50th | Average | 50% |
| 25th | Lower average | 75% |
| 9th | Below average | 91% |
| 0.4th | Very low | 99.6% |
Average Baby Weights (UK)
Boys
| Age | 9th Percentile | 50th Percentile | 91st Percentile |
|---|---|---|---|
| Birth | 2.8 kg | 3.5 kg | 4.2 kg |
| 3 months | 5.1 kg | 6.4 kg | 7.7 kg |
| 6 months | 6.6 kg | 8.0 kg | 9.6 kg |
| 9 months | 7.6 kg | 9.2 kg | 10.9 kg |
| 12 months | 8.4 kg | 10.1 kg | 11.9 kg |
| 18 months | 9.5 kg | 11.5 kg | 13.6 kg |
| 2 years | 10.4 kg | 12.5 kg | 15.1 kg |
Girls
| Age | 9th Percentile | 50th Percentile | 91st Percentile |
|---|---|---|---|
| Birth | 2.6 kg | 3.3 kg | 4.0 kg |
| 3 months | 4.6 kg | 5.8 kg | 7.1 kg |
| 6 months | 6.0 kg | 7.4 kg | 9.0 kg |
| 9 months | 7.0 kg | 8.5 kg | 10.4 kg |
| 12 months | 7.7 kg | 9.4 kg | 11.3 kg |
| 18 months | 8.8 kg | 10.8 kg | 13.0 kg |
| 2 years | 9.8 kg | 12.0 kg | 14.6 kg |
When to Be Concerned
Speak to your health visitor or GP if:
- Weight crosses downward through two or more percentile lines
- Weight is below the 0.4th percentile
- Weight is above the 99.6th percentile
- There's a sudden change in growth pattern
- You have concerns about feeding or your baby seems unwell
Normal Growth Patterns
Some variation is completely normal:
First Two Weeks
- Babies typically lose 5-10% of birth weight in the first few days
- Most regain birth weight by 10-14 days
- Weight loss over 10% needs medical attention
First Year
- Rapid growth in first 3-4 months
- Growth rate slows from 4-12 months
- Birth weight typically doubles by 4-5 months
- Birth weight typically triples by 12 months
After One Year
- Growth slows significantly
- Toddlers may gain only 1-2 kg per year
- Appetite often decreases—this is normal
Factors Affecting Weight
Many factors influence where your baby falls on the growth chart:
- Genetics: Larger parents often have larger babies
- Birth weight: Premature or low birth weight babies may track lower
- Feeding method: Breastfed and formula-fed babies grow differently
- Sex: Boys are typically slightly heavier than girls
- Ethnicity: Growth patterns can vary by ethnic background
- Illness: Temporary illness can affect weight
Example: Catching Down
A baby born on the 91st percentile to average-sized parents may naturally "catch down" to the 50th percentile in the first months. This is normal genetic adjustment, not a concern.
Example: Catching Up
A premature baby born on the 9th percentile may "catch up" to the 50th percentile as they grow. Premature babies are measured on corrected age (from their due date, not birth date) until age 2.
Length/Height and Head Circumference
Weight isn't the only measurement tracked:
Length (measured lying down until age 2)
- Average birth length: 50 cm
- Grows about 25 cm in first year
- Grows about 12 cm in second year
Head Circumference
- Average at birth: 34-35 cm
- Grows about 12 cm in first year
- Tracks brain growth and development
Red Book Measurements
In the UK, your baby will be weighed:
- At birth
- First two weeks: To check they regain birth weight
- 6-8 week check: GP appointment
- Health visitor reviews: Usually around 9-12 months and 2-2.5 years
- On request: At baby clinics if you have concerns
Summary
- Percentiles compare your baby to others of the same age and sex
- Any percentile from 0.4th to 99.6th can be normal
- Consistent growth along any curve is more important than the percentile number
- Crossing two or more lines warrants a check-up
- Your health visitor is there to help with any concerns
Baby Health Monitoring in the UK: NHS Guidelines and Support
The United Kingdom provides one of the most comprehensive child health monitoring programmes in the world through the NHS Healthy Child Programme. Every baby born in the UK receives a Personal Child Health Record (PCHR), commonly known as the Red Book, at birth. This book is used by parents, health visitors, and GPs to track a child's growth, development, and immunisations from birth through to age five. Weight measurements are plotted on UK-WHO growth charts, which were adopted by the NHS in 2009 to replace the previous charts based on formula-fed babies.
Health visitors, who are specialist community public health nurses employed by the NHS, play a vital role in supporting families across England, Scotland, Wales, and Northern Ireland. They conduct a series of mandated health reviews, including the new baby review (within 10 to 14 days of birth), the 6-to-8-week review, the 1-year review, and the 2-to-2.5-year review. During these visits, your baby will be weighed and measured, and the results plotted on their growth chart. Health visitors can provide personalised advice on feeding, sleep, and development based on your baby's individual growth pattern.
If you have concerns about your baby's weight between scheduled reviews, you can visit an NHS baby clinic, which most GP surgeries and children's centres offer weekly. These drop-in clinics are free and staffed by health visitors or nursery nurses who can weigh your baby and provide reassurance or referral if needed. The NHS Start4Life programme also offers free resources, including a dedicated helpline and online guides covering breastfeeding, weaning, and toddler nutrition tailored specifically for UK families.
For premature babies, the NHS uses corrected age (adjusted for how early the baby was born) when plotting growth charts until the child reaches two years of age. This ensures that premature babies are assessed fairly against appropriate developmental milestones. The Bliss charity, the UK's leading organisation for premature and sick babies, provides extensive support and information for parents navigating the NICU experience and beyond.
Frequently Asked Questions About Baby Weight Percentiles
What growth charts does the NHS use for babies in the UK?
How often should my baby be weighed according to NHS guidelines?
Should I be worried if my baby drops a percentile line on their growth chart?
UK-WHO Growth Charts and Health Visitor Monitoring
In the United Kingdom, child growth monitoring follows the UK-WHO growth charts, which were adopted by the Department of Health in 2009 to replace the earlier 1990 UK reference charts. These charts are based on data from the World Health Organization's Multicentre Growth Reference Study, which tracked the growth of breastfed infants from six countries under optimal conditions. The UK-WHO charts are printed in every child's Personal Child Health Record (commonly known as the Red Book), which parents receive shortly after birth. Health visitors use these charts at routine developmental reviews, typically at one to two weeks, six to eight weeks, and then at nine to twelve months, to plot a child's weight, length, and head circumference against national percentile standards.
Health visitors play a central role in the UK's child health surveillance programme, which is coordinated by local NHS trusts. The Healthy Child Programme, published by Public Health England, sets out the schedule of universal health reviews that every child in England is entitled to receive. In Scotland, the Universal Health Visiting Pathway provides an even more intensive schedule, with eleven home visits offered in the first year of life. These visits are not simply about measuring weight; they encompass feeding support, developmental assessments, maternal mental health screening, and safeguarding observations. If a health visitor identifies concerns about a child's growth trajectory, they can refer directly to paediatric services, dietitians, or speech and language therapists without requiring a GP appointment, ensuring that early intervention reaches families as quickly as possible.
Infant Feeding Support and Weight Monitoring Across the UK
Infant feeding practices are closely linked to weight percentile tracking in the United Kingdom, and the NHS provides extensive support to help parents establish successful feeding, whether through breastfeeding, formula feeding, or a combination of both. The UK has set ambitious targets to increase breastfeeding rates, with Public Health England and the devolved health services in Scotland, Wales, and Northern Ireland all implementing the UNICEF Baby Friendly Initiative across maternity units and community health services. This evidence-based programme trains healthcare professionals to support mothers with breastfeeding initiation and continuation, and hospitals that achieve Baby Friendly accreditation have demonstrated higher breastfeeding rates at discharge and at six to eight weeks postnatal.
For parents who are concerned about their baby's position on the weight percentile chart, the NHS Start4Life programme offers free, evidence-based guidance on infant nutrition, including detailed information on introducing solid foods at around six months of age, as recommended by the Department of Health and Social Care. The National Child Measurement Programme (NCMP), which measures the height and weight of children in Reception (aged four to five) and Year 6 (aged ten to eleven) in England, provides population-level data on childhood weight trends and helps identify areas where additional public health intervention may be needed. Parents in the UK can access free support from their health visitor, GP, or local children's centre if they have concerns about their child's weight or feeding, and the NHS website provides comprehensive resources covering every stage of infant and child nutrition from birth through to school age and beyond.