When Growth Deviates from the Norm
{"Image DocumentName": "When Growth Deviates from the Norm", "Image ImageDescription": "Check accuracy of your measurements. Note that individual growth may not follow a smooth curve. Recognize limitations of a single growth percentile value. Obtain serial measurements over time. If weight-for-length is < 2nd % or > 98 %, assess fully, follow closely and refer, if needed. Talking Points: While growth for most of the children in your practice will fall within the normal percentile ranges on the WHO growth charts, a baby will occasionally demonstrate some worrisome deviations in weight, length, or head size. Watch for growth trends that cross upward or downward across percentile lines as well as children that fall below 2nd % or above the 98th length-for-age, weight-for-age, head circumference, or weight-for-length. When growth deviates from the expected: Check your measurements. Sometimes a perceived growth deviation may simply be a matter of inaccurate measuring , recording, or plotting. Observe that individual growth may not follow a smooth curve. Recognize limitations of a single growth percentile value. Allow time for observation for growth. If weight-for-length or other growth parameters are < 2nd percentile or > 98th percentile, follow closely, assess fully and refer, if needed. he family may need nutritional guidance in the primary practice setting or may need to be referred to a specialist if specific concerns are noted.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}