Patient Care Project（Mother Baby）Presentation——Growth

Patient Care Project (Mother Baby) Presentation MBBS III Group 7 - 9 October, 2010 Growth

Introduction General Concept of Growth *A series of biological processes resulting in a gradual change in an organism from a simpler to a more complex level

Introduction  General Concept of Growth  A series of biological processes resulting in a gradual change in an organism from a simpler to a more complex level

Introduction Growth Process includes k morphogenesis k Organ maturation k maintenance Usually reflects the general well-being of an individual from infancy to adulthood

Introduction  Growth Process includes:  Morphogenesis  Organ maturation  Maintenance  Usually reflects the general well-being of an individual from infancy to adulthood

Introduction Factors Affecting Growth k Prenatal Maternal factors(e. g. maternal weight, BMI, toxic exposure, nutritional state, haemodynamic status and stress) Placental factors( e.g. size, microstructure, nutrient production and nutrient utilisation) Fetal factors(e.g. genetics, nutrient and hormone production)

Introduction  Factors Affecting Growth  Prenatal:  Maternal factors (e.g. maternal weight, BMI, toxic exposure, nutritional state, haemodynamic status and stress)  Placental factors (e.g. size, microstructure, nutrient production and nutrient utilisation)  Fetal factors (e.g. genetics, nutrient and hormone production)

Introduction Factors Affecting Growth k postnatal k genetics k Prenatal condition k nutritional factors k Chronic illnesses k Socioeconomic factors

Introduction  Factors Affecting Growth  Postnatal  Genetics  Prenatal condition  Nutritional factors  Chronic illnesses  Socioeconomic factors

Head GIRLS 10 th, 50th and sOth centiles en h 18 84 76 AhEad 38 eighth kg 56 T Fttr 12 48 26 e 44 10 We ighth 2124 mont 60 80 100w 363840

Assessment of Growth  Fundamental in paediatric examination  Growth charts are commonly used  Trends more important than absolute position

Assessment of growth Do children always grow smoothly as predicted by growth curve? No, there are spurts and plateaus *t Deviation from a trend due to k normal deviation Serious chronic illness and psychological stress

Assessment of Growth  Do children always grow smoothly as predicted by growth curve?  No, there are spurts and plateaus.  Deviation from a trend due to:  Normal deviation  Serious chronic illness and psychological stress

Interesting growth pattern Catch-up growth Catch-down growth

Interesting growth pattern  Catch-up growth  Catch-down growth

Catch-up growth s Observed in children recovering from neonatal illnesses, those born preterm and those born small for gestational age w Probably because of their increase in milk uptake

Catch-up growth  Observed in children recovering from neonatal illnesses, those born preterm and those born small for gestational age  Probably because of their increase in milk uptake

Catch-up growth Catch up within the first 6 months, provided there are no other energy- consuming illnesses Parents can then feed them as much as they want unless they vomit

Catch-up growth  Catch up within the first 6 months, provided there are no other energy￾consuming illnesses  Parents can then feed them as much as they want unless they vomit