Pediatrics who recommended total charts.pdf.

shakthishreevarshni 140 views 17 slides Aug 08, 2024
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About This Presentation

Subjects: pediatrics


Slide Content

WHO Child Growth Standards
Head circumference-for-age GIRLS Birth to 5 years (z-scores)
Head circumference (cm)
Age (completed months and years)
-3
-2
-1
0
1
2
3
Months 246810 246810 246810 246810 246810
Birth 1 year 2 years 3 years 4 years 5 years
30
32
34
36
38
40
42
44
46
48
50
52
54
30
32
34
36
38
40
42
44
46
48
50
52
54

WHO Child Growth Standards
BMI-for-age GIRLS
Birth to 5 years (z-scores)
Age (completed months and years)
BMI (kg/m
2)
5 years4 yearsBirth 3 years2 years1 year
2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810Months
10
11
12
13
14
15
16
17
18
19
20
21
22
10
11
12
13
14
15
16
17
18
19
20
21
22
-2
-3
3
1
-1
2
0

WHO Child Growth Standards
Length/height-for-age GIRLS
Birth to 5 years (z-scores)
Months
Age (completed months and years)
Length/Height (cm)
1 yearBirth 2 years 3 years 4 years 5 years
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810
-2
-3
3
0
2

WHO Child Growth Standards
Arm circumference-for-age GIRLS 3 months to 5 years (z-scores)
Arm circumference (cm)
Age (completed months and years)
-3
-2
-1
0
1
2
3
Months 3 6 9 3 6 9 3 6 9 3 6 9 3 6 9
1 year 2 years 3 years 4 years 5 years
10
11
12
13
14
15
16
17
18
19
20
21
22
23
10
11
12
13
14
15
16
17
18
19
20
21
22
23

WHO Child Growth Standards
Weight-for-age GIRLS
Birth to 5 years (z-scores)
Age (completed months and years)
Weight (kg)
5 years4 years3 years2 years1 yearBirth
2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810Months
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
-2
-3
3
0
2

WHO Child Growth Standards
Weight-for-length/height GIRLS Birth to 5 years (z-scores)
Weight (kg)
Length/height (cm)
-3
-2
-1
0
1
2
3
45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34

Gestational age at birth (weeks)
43
42
41
40
39
44
45
46
47
48
49
Length (cm)
30
27
28
29
31
32
33
34
35
Head circumference (cm)
5.25
4.75
4.25
4.00
3.75
3.50
3.25
3.00
2.75
5.00
4.50
Birthweight (kg)
50
49
48
47
46
45
44
43
51
53
54
55
56
52
Length (cm)
35
30
27
28
29
31
32
33
34
36
37
38
39
Head circumference (cm)
Ref: Villar J et al. Lancet 2014; 384: 857-868 © University of Oxford
33 34 35 36 37 38 39 40 41 42 43
33 34 35 36 37 38 39 40 41 42 43
Birthweight (kg)
1.00
1.25
1.50
5.25
4.75
4.25
4.00
3.75
3.50
3.25
3.00
2.75
2.50
2.25
2.00
1.75
5.00
4.50
INTERGROWTH-21
st
International Standards
for Size at Birth (Girls)
3
rd
97
th
90
th
10
th
50
th
3
rd
97
th
90
th
10
th
50
th
3
rd
97
th
90
th
10
th
50
th

APGAR SCORE: 1 MINUTE _____________ 5 MINUTES ____________ 10 MINUTES______________
NAME_________________________________
HOSPITAL NO. _________________________
RACE _________________________________
DATE/TIME OF BIRTH ___________________
DATE/TIME OF EXAM ___________________
AGE WHEN EXAMINED _________________
SEX ____________________________________
BIRTH WEIGHT __________________________
LENGTH ________________________________
HEAD CIRC._____________________________
EXAMINER _____________________________
MATURATIONAL ASSESSMENT OF GESTATIONAL AGE (New Ballard Score)
NEUROMUSCULAR MATURITY
SCORE RECORD
SCORE
HERE
NEUROMUSCULAR
MATURITY SIGN
TOTAL NEUROMUSCULAR
MATURITY SCORE
POSTURE
SQUARE WINDOW
(Wrist)
ARM RECOIL
POPLITEAL ANGLE
SCARF SIGN
HEEL TO EAR
-1 0 1 2 3 4 5
>90° 90° 60° 45° 30° 0°
180° 140 –180° 110 –140° 90 –110° <90°
<90°90°100°120°140°160°180°
MATURITY RATING
SCORE WEEKS
-10 20
-5 22
0
5
10
15
20
25
30
35
40
45
50
24
26
28
30
32
34
36
38
40
42
44
PHYSICAL MATURITY
SCORE RECORD
SCORE
HERE
PHYSICAL
MATURITY SIGN
TOTAL PHYSICAL
MATURITY SCORE
SKIN
LANUGO
PLANTAR SURFACE
BREAST
EYE / EAR
GENITALS
(Male)
-1 0 1 2 3 4 5
sticky
friable
transparent
GENITALS
(Female)
gelatinous
red
translucent
smooth pink
visible veins superficial
peeling & / or
rash, few veinscracking
pale areas
rare veinsparchment
deep cracking
no vessels leathery
cracked
wrinkled
none sparse abundant thinning bald areas mostly bald
imperceptible
barely
perceptible
flat areola
no bud stippled areola
1–2 mm bud
raised areola
3–4 mm bud
full areola
5–10 mm bud
scrotum flat,
smooth scrotum empty
faint rugae
testes in
upper canal
rare rugae
testes
descending
few rugae
testes down
good rugae
testes
pendulous
deep rugae
clitoris
prominent
& labia flat
prominent
clitoris & small
labia minoraprominent
clitoris &
enlarging
minora
majora &
minora equally
prominent
majora large
minora small
majora
cover clitoris
& minora
creases over
entire sole
creases
ant. 2/3
faint
red marks
anterior
transverse
crease only
>50 mm
no crease
heel-toe
40–50 mm: -1
< 40 mm: -2
lids fused
loosely: -1
tightly: -2
lids open
pinna flat
stays folded
sl. curved
pinna; soft;
slow recoil well-curved
pinna; soft but
ready recoil
formed & firm
instant recoil
thick cartilage
ear stiff
Reference
Ballard JL, Khoury JC, Wedig K, et al: New Ballard Score, expanded to include extremely premature infants.
J Pediatr 1991; 119:417–423. Reprinted by permission of Dr Ballard and Mosby—Year Book, Inc.
SCORE
GESTATIONAL AGE
(weeks)
Neuromuscular ______
Physical _____________
Total ________________
By dates _____________
By ultrasound________
By exam _____________

WHO Child Growth Standards
Weight-for-length/height BOYS Birth to 5 years (z-scores)
Weight (kg)
Length/height (cm)
-3
-2
-1
0
1
2
3
45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34

WHO Child Growth Standards
BMI-for-age BOYS
Birth to 5 years (z-scores)
Age (completed months and years)
BMI (kg/m
2)
5 years4 yearsBirth 3 years2 years1 year
2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810Months
10
11
12
13
14
15
16
17
18
19
20
21
22
10
11
12
13
14
15
16
17
18
19
20
21
22
-2
-3
3
1
-1
2
0

WHO Child Growth Standards
Length/height-for-age BOYS
Birth to 5 years (z-scores)
Months
Age (completed months and years)
Length/Height (cm)
1 yearBirth 2 years 3 years 4 years 5 years
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
45
50
55
60
65
70
75
80
85
90
95
100
105
110
115
120
125
2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810
-2
-3
3
0
2

WHO Child Growth Standards
Head circumference-for-age BOYS Birth to 2 years (z-scores)
Head circumference (cm)
Age (completed months and years)
-3
-2
-1
0
1
2
3
Months 2 4 6 8 10 2 4 6 8 10
Birth 1 year 2 years
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53

Gestational age at birth (weeks)
43
42
41
40
39
44
45
46
47
48
49
Length (cm)
30
27
28
29
31
32
33
34
35
Head circumference (cm)
5.25
4.75
4.25
4.00
3.75
3.50
3.25
3.00
2.75
5.00
4.50
Birthweight (kg)
50
49
48
47
46
45
44
43
51
53
54
55
56
52
Length (cm)
35
30
27
28
29
31
32
33
34
36
37
38
39
Head circumference (cm)
Ref: Villar J et al. Lancet 2014; 384: 857-868 © University of Oxford
33 34 35 36 37 38 39 40 41 42 43
33 34 35 36 37 38 39 40 41 42 43
Birthweight (kg)
1.00
1.25
1.50
5.25
4.75
4.25
4.00
3.75
3.50
3.25
3.00
2.75
2.50
2.25
2.00
1.75
5.00
4.50
INTERGROWTH-21
st
International Standards
for Size at Birth (Boys)
3
rd
97
th
90
th
10
th
50
th
3
rd
97
th
90
th
10
th
50
th
3
rd
97
th
90
th
10
th
50
th

WHO Child Growth Standards
Weight-for-age BOYS
Birth to 5 years (z-scores)
Age (completed months and years)
Weight (kg)
5 years4 years3 years2 years1 yearBirth
2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810 2 4 6 810Months
2
4
6
8
10
12
14
16
18
20
22
24
26
28
2
4
6
8
10
12
14
16
18
20
22
24
26
28
-2
-3
3
0
2

WHO Child Growth Standards
Arm circumference-for-age BOYS 3 months to 5 years (z-scores)
Arm circumference (cm)
Age (completed months and years)
-3
-2
-1
0
1
2
3
Months 3 6 9 3 6 9 3 6 9 3 6 9 3 6 9
1 year 2 years 3 years 4 years 5 years
11
12
13
14
15
16
17
18
19
20
21
22
11
12
13
14
15
16
17
18
19
20
21
22
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