Growth Charts for Preterm Infants and Related Tools for Growth Monitoring

2014 ◽  
pp. 20-35
Keyword(s):  
Preterm Infants ◽  
Growth Charts ◽  
Growth Monitoring

Promoting Optimal Monitoring of Child Growth in Canada: Using the New WHO Growth Charts

2010 ◽  
Vol 71 (1) ◽  
pp. e1-e3 ◽  
Author(s):  
Keyword(s):  
Children And Adolescents ◽  
Health Professionals ◽  
Family Physicians ◽  
Optimal Growth ◽  
Growth Charts ◽  
Sample Population ◽  
Growth Monitoring ◽  
Paediatric Society ◽  
International Growth ◽  
Community Health Nurses

Growth monitoring and promotion of optimal growth are essential components of primary health care for infants, children and adolescents. Growth monitoring includes serial measurements of weight, length or height for all children, head circumference for infants and toddlers, and interpretation of those measurements relative to the growth of a large sample population of children depicted on a selected growth chart. These measures help to confirm a child's healthy growth and development, or identify early a potential nutritional or health problem. This enables health professionals and parents to initiate action before the child's nutritional status or health are seriously compromised. Over the last three decades there has been substantial discussion on which reference population to use in assessing adequacy of childhood growth. In 2004, Dietitians of Canada, Canadian Paediatric Society, The College of Family Physicians of Canada and Community Health Nurses of Canada published recommendations for use of the 2000 American growth charts from the Centers for Disease Control and Prevention. At that time, limitations of the charts were noted, including the fact that these charts were growth references, describing how a sample population of children grew, regardless of whether or not their rate of growth was optimal or not. It was also noted that the decision on which growth charts to recommend would be revisited as more appropriate data became available. Increasing evidence that growth patterns of well-fed healthy preschool children from diverse ethnic backgrounds were comparable, supported the use of a single international growth reference based on healthy, wellnourished children from different geographic and genetic origins, who had fully met their growth potential. Until recently, no such growth charts existed. In 2006, the World Health Organization (WHO), in conjunction with the United Nations Children's Fund and others, released new international growth charts depicting the growth of children from birth to age five years, who had been raised in six different countries (Brazil, Ghana, India, Norway, Oman, USA) according to recommended nutritional and health practices, including exclusive breastfeeding for the first four to six months of life. The optimal growth displayed in the WHO growth charts for infants and preschool children represents the prescribed gold standard for children's growth; hence these charts are considered growth standards. In 2007, the WHO also released charts for monitoring the growth of older children and adolescents that had been updated and improved to address the growing epidemic of childhood obesity. Dietitians of Canada, Canadian Paediatric Society, The College of Family Physicians of Canada, and Community Health Nurses of Canada make the following recommendations, intended as a practice guideline for medical practitioners and other health professionals. The desired outcome is that wide dissemination of these recommendations will promote consistent practices in monitoring growth to improve the nutritional status and health outcomes of Canadian infants, children and adolescents.

Postdischarge growth monitoring in preterm infants fed with different milk formulas

2008 ◽  
Vol 84 ◽  
pp. S108
Author(s):  
Eva Maria Garcia Canto ◽  
Marie-Anne Feret Siguile ◽  
Jose Sanchez Paya ◽  
Maria Remedios Garcia Martinez ◽  
Bartolome Jimenez Cobo
Keyword(s):  
Preterm Infants ◽  
Growth Monitoring

scholarly journals Skill up; gradation of anganwadi workers pertaining to growth chart plotting and interpretation in rural areas of Varanasi district, India

2019 ◽  
Vol 7 (12) ◽  
pp. 4635
Author(s):  
Chandra Prabha ◽  
Ratan Kr. Srivastava ◽  
Manoj Kumar Gupta
Keyword(s):  
Rural Areas ◽  
Similar Proportion ◽  
Growth Chart ◽  
Growth Charts ◽  
Growth Monitoring ◽  
Interventional Study ◽  
Chi Square ◽  
Control Community ◽  
Chi Square Test ◽  
Line Survey

Background: The task of using the growth chart by Anganwadi Workers (AWWs) for growth monitoring requires technical skill. It was hypothesized that skill up-gradation can make a difference in the performance of AWWs in regard with growth monitoring. The aim of the study was to evaluate the effect of intervention in improving skill of AWWs regarding growth chart plotting and interpretation.Methods: It was a field based interventional study, which was conducted in rural areas of Varanasi district, India. A total of 66 AWWs each from Chiraigaon (intervention) and Cholapur (control) community development blocks of Varanasi district was selected for the study. Each AWW was provided 3 weight readings of different ages for plotting and 4 filled growth charts for interpretation. Chi square test has been applied to assess the significant difference.Results: Only around 10% of AWWs could correctly plot all 3 growth charts and similar proportion of AWWs could also correctly interpret all 4 filled growth charts. The planned intervention could significantly improve their skill of growth chart plotting and interpretation and during end line survey 41% and 77% of AWWs could correctly plot all 3 growth charts and interpret all the four growth charts, respectively.Conclusions: The developed hypothesis is proved, and intervention was found effective in significantly improving the skills of AWWs in regard with growth monitoring.

scholarly journals Growth Monitoring: Experience from Ghana

1992 ◽  
Vol 14 (2) ◽  
pp. 1-3 ◽  
Author(s):  
W. Bruce Owusu ◽  
Anna Lartey
Keyword(s):  
Child Welfare ◽  
Growth Charts ◽  
Growth Monitoring ◽  
Essential Component ◽  
Greater Accra Region ◽  
Lack Of Knowledge

Mothers’ understanding of growth charts is an essential component of growth-monitoring programmes. This study investigated mothers’ interpretation of growth charts as they attended child welfare clinics in the greater Accra region of Ghana. Eight hundred seventy-five mothers were interviewed using questionnaires and sample growth charts. Factors impeding attendance at the clinics included business, forgetting, travel, and lack of knowledge. Nearly 40% of the mothers had no idea of the meaning or purpose of growth charts. Efforts to enhance the awareness of mothers and children's caretakers must be intensified.

scholarly journals Generating longitudinal growth charts from preterm infants fed to current recommendations

2020 ◽  
Vol 105 (6) ◽  
pp. 646-651
Author(s):  
Aneurin Young ◽  
Edward T Andrews ◽  
James John Ashton ◽  
Freya Pearson ◽  
R Mark Beattie ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Real World ◽  
Head Circumference ◽  
Web Application ◽  
Care Pathway ◽  
Repeated Measurements ◽  
Growth Charts ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Integrated Care Pathway

ObjectiveTo use repeated measurements of weight, length and head circumference to generate growth centile charts reflecting real-world growth of a population of very preterm infants with a well-described nutritional intake close to current recommendations.DesignInfants born before 30 weeks gestational age (GA) were recruited. Infants received nutrition according to an integrated care pathway, with nutrient intake recorded daily, weight recorded twice-weekly and length and head circumference weekly. The LMS method was used to construct growth centile charts between 24 and 36 weeks corrected GA for each parameter.SettingA single tertiary neonatal unit in England.Patients212 infants (124 male) (median GA at birth: 27.3 weeks, median birth weight: 900 g).ResultsMedian daily energy, protein, carbohydrate and fat intake were within 3% of published recommendations. The total number of measurements recorded was 5944 (3431 for weight, 1227 for length and 1286 for head circumference). Centile charts were formed for each parameter. Data for male and female infants demonstrated similar patterns of growth and were pooled for LMS analysis. A web application was created and published (bit.ly/sotongrowth) to allow infants to be plotted on these charts with changes in SD score of measurements reported and graphically illustrated.ConclusionsThese charts reflect growth in a real-world cohort of preterm infants whose nutrient intakes are close to current recommendations. This work demonstrates the feasibility of forming growth charts from serial measurements of growing preterm infants fed according to current recommendations which will aid clinicians in setting a benchmark for achievable early growth.

scholarly journals Polish growth charts for preterm infants — comparison with reference Fenton charts

2021 ◽  
Author(s):  
Izabela Mikulak ◽  
Maria Borszewska-Kornacka ◽  
Joanna Puskarz-Gasowska ◽  
Renata Bokiniec
Keyword(s):  
Preterm Infants ◽  
Growth Charts
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