Infant feeding & worrisome grow th.pptx

Infant feeding and growth

1. Infant feeding & worrisome growth

2. ISSUES Failure of lactation / Failure of Health personnel. Weaning difficulties Does not accept complimentary feeds Food refusal Failure to thrive Malnutrition Macronutrients Micronutrients

3. Weaning difficulties Lack of knowledge: Need, timing, food quality/ qt. Lack of initiative Social / cultural customs Child factors Physical: System disorders GIT, CCF, RS, Renal, Rec./ chr . Inf. CNS: Dev delay, Spastic child, Behavior disorders

4. Failure to thrive State of Caloric insufficiency without an apparent etiology in U 5 Child. Sustained weight loss Wt < 3 rd P; W/H < 5 th P. ; Wt 20% or more below W/H Triceps skinfold thickness < 5 mm Failure to gain weight Persistent fall in weight from child’s normal percentile.

5. Etiology of ftt . Non organic Socio-cultural: Poverty, Misconceptions, Neglect, Behavior Genetic, Constitutional Organic Inadequate intake: GIT, CNS. Pre & Peri - natal insult, Increased requirements Chr. CVS, RS, Renal, Endocrine, Chr / Rec Infections Caloric wasting Chr GIT, Metabolic, Endocrine, Renal loses.

6. Management of ftt Evaluation and Assessment Clinical, Dietary, Family psychodynamics, Anthropometric General physical & System specific examination. Neuro -developmental assessment, Behavior disorders S/o abuse, neglect, PEM & other nutrient deficiency Lab evaluation : CBC, Urine, KFT, Mx , Imaging & SOS specific Dxtic tests. Treatment: T/t of organic cause, Psychosocial and development issues. Nutrition rehabilitation, 2- weeks Trial feeding & reassessment of response.

7. Reassessment after trial feeding Good intake Poor Intake

8. Reassessment after trial feeding Good intake Poor Intake