1 / 14

Contd …. Growth and Developement

Contd …. Growth and Developement. Dr Shreedhar Paudel 11/03/009. Assessment of physical growth. Evaluated by Body measurements Velocity of physical growth. Technique of Measurement. Weight Length- for babies under 2 years Height- for children more than 2 years of age

sef
Download Presentation

Contd …. Growth and Developement

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Contd…. Growth and Developement Dr ShreedharPaudel 11/03/009

  2. Assessment of physical growth • Evaluated by • Body measurements • Velocity of physical growth

  3. Technique of Measurement • Weight • Length- for babies under 2 years • Height- for children more than 2 years of age • Chest circumference • Head circumference

  4. Normal Growth • Weight: average birth weight- 3 kg • The new born loses about 10% of the body wt which is regained by the age of 10 days • Wt gain- 25 to 30 gm/day- first 3 months of life, after that 400 gm of wt gain per month up to 1 yr • Simple formula- 5 months- 2* birth wt - 1 year- 3* birth wt - 2 years- 4* birth wt

  5. Normal Growth…. • Length or height • 50 cm at birth • 60 cm at 3 months of age • 70 cm at 9 months • 75 cm at 1 year • 90 cm at 2 years • 100 cm at 4.5 years

  6. Normal Growth • Head circumference • 32 to 35 cm at birth • 40 cm at 3 months of age • 45 cm at 1 year • 48 cm at 2 years • 52 cm at 12 years (If the head circumference exceeds 1 cm in 2 weeks during the first 3 months of life, hydrocephalus should be suspected)

  7. Normal Growth …. • Chest circumference - 3 cm less than that of head circumference at birth - Both are equal by the age of 1 year - Chest circumference exceeds head circumference after 1 year of age

  8. Normal Growth…. • Velocity of growth • Increment in a unit time • Tool for early identification of factors affecting growth • Can also help in predicting the ultimate adult height

  9. Growth Charts • Show progressive changes in the height and weight of a child as the age advances • A good epidemiological tool for early diagnosis of malnutrition, occult infections and other adverse environmental factors • Percentile curves are plotted in a proper way • Normal range is mean ± 2 SD i.ebetween 3rd and 97th percentile curves

  10. Developmental milestones • Developmental milestones are physical or behavioral signs of development or maturation of infants and children. • Developmental milestones are tasks most children learn, or physical developments, that commonly appear in certain age ranges.

  11. Developmental Milestones • Gross motor • 3 months Neck holding • 5 months Sitting with support • 8 months sitting without support • 9 months Standing with support • 10 months Walking with support • 11 months Crawling • 12 months Standing without support • 13 months Walking without support • 18 months Running • 24 months Walking upstairs • 36 months Riding tricycles

  12. Developmental milestones • Fine motor • 4 months Grasps a ring when placed in hand • 5 months Reaches out to an object and holds it with both hands ( bidextrous grasp) • 7 months Holds an object with palm ( palmar grasp) • 9 months Holds small objects in between index finger and thumb ( pincer grasp)

  13. Developmental Milestones • Language • 1 month Turns head to sound • 3 months Cooing • 6months Can say ‘ma’ ‘ba’(monosyllables) • 9 months Can say ‘mama’ ‘baba’ (bisyllables) • 12 months Two words with meaning • 18 months Ten words with meaning • 24 months Simple sentences • 36 months Telling a story

  14. Developmental Milestones • Social • 2 months Social smile • 3 months Recognizing mother • 6 months Smiles at mirror images • 9 months Waves ‘bye- bye’ • 12 months Plays a simple ball games • 36 months Knows gender

More Related