Faltering growth in children

15th March 2018 by Louise Hudman

Faltering growth in children

This is a recent guideline from NICE, which gives advice on managing faltering growth in children. A lot of this is common sense, but as it is a new guideline, I will summarise the bits relevant to us. I will not deal with weight loss in the first few days, as this is generally managed by the midwives, but there is advice there if needed.

When should you worry about an infant’s growth?

If they have faltering growth:

  • >1 centile fall if birth weight was < 9th centile
  • >2 centile falls if birth weight was 9th to 91st centile
  • >3 centile falls if birth weight was > 91st centile
  • If weight is < 2nd centile, whatever the birth weight.
  • If height is > 2 centiles below mid-parental height (ie take both parents heights and plot the mid point on a chart).

NB – if weight is < 2nd centile, this can be undernutrition or small stature, but < 0.4th centile is likely to be undernutrition.

What should you be measuring?

Read more

No credit card details needed – it takes two minutes.

Join free trial

Login

Already a member? Login to view this content.

Login

"LocumDeck has been a very useful platform for me as I have only started being a GP locum from March this year. The transition from salaried GP to GP locum was smooth for me due to LocumDeck. It has been a very useful platform for me to get bookings and also to keep on top of the administrative side including invoices. It is very easy to manage my availability and terms and conditions which otherwise would be a difficult matter for a GP locum to go through during each booking. I also have used the FAQ section for help with pensions and other issues with GP locum work and have found this very useful. "

Dr Athira Vijay, GP locum, Chelmsford

See the full list of features within our NASGP membership plans

Membership