19 Rapid Physical Changes

As mentioned in the previous chapter, the average newborn in the United States weighs about

7.5 pounds and is about 20 inches in length. After about a 5% weight loss in the first few days, there is a period of rapid growth. By the time an infant is 4 months old, it usually doubles in weight and by one year has tripled its birth weight. By age 2, the weight has quadrupled. The average length at one year is about 26-32 inches.^[1]

Two hormones are very important to this growth process. The first is Human Growth Hormone (HGH) which influences all growth except that in the Central Nervous System (CNS). The hormone influencing growth in the CNS is called Thyroid Stimulating Hormone. Together these hormones influence the growth in early childhood.

Sleep is very important to the growth process as these hormones are released as children sleep each night. As a result, children need 11 to 14 hours of sleep from 2 to 6 years old. Parents may establish rituals, such as reading a story, taking a bath, brushing teeth, etc. to help children wind down and get the sleep they so desperately need.^[2]