Post natal growth and development

POSTNATAL GROWTH & DEVELOPMENT

DEFINITION• GROWTH The term growth denotes a net

increase in the size, or mass of the tissue. It is largely attributed to multiplication of cells and increase in the intracellular substance.

According to Liebert, Poulos and Marmor (1979)

• Development refers to a process of change in growth and capability over time, as function of both maturation and interaction with the environment.

POSTNATAL GROWTH

• Postnatal growth – growth occuring after birth.

Components of Postnatal growth

• General growth• Lymphoid growth • Neural growth• Genital growth

FACTORS AFFECTING POST NATAL PERIOD

• Sex• IUGR• Genetic factors• Hormonal influences• Nutrition• Infections• Chemical agents• Traumate

Socioeconomic levelPovertyNatural resourcesClimateEmotional factorsCultural factorsParental education

SOCIALSexIUGRGenetic factorsHormonal influencesNutritionInfectionsChemical agentsTrauma

GENERAL

CHILD

NAME : TEJASRIAGE : 1 Year 9 months GENDER : Female

CHILD PARTICULARSS.NO PARTICULAR DETAILS

1 Name Tejasri2 Age & Sex 1 year 9 months

female3 Date of Birth &

Birth weight27-04-2013

3.3 kg4 Birth Order & Birth Interval 2 & 4 years

5 Place Of Delivery Hospital

6 Present illnessHistory of past illnesses

-----Fever

DENTITION

• There are 6 upper teeth and 6 lower teeth- a) incisor teeth - 4 + 4 b) first molar - 2 + 2 Dentition formula - 2 0 0 1 2 0 0 1

INFANT FEEDING PRACTICES

• Colostrum : Given• Pre-Lacteal feed : Not given• Duration of breast : Continuing feeding• Complementary : After 6 months feeding• Food items given at the : Liquid Starch, time of weaning juices

MILESTONES

DEVELOPMENTAL MILESTONES

Gross Motor : The child is able to walk without support

and climb the stairs up & down. She is also able to run for a small distance.Fine Motor : The child is able to point more than 3 body

parts on her or on her mother. She is able to hold a biscuit with a definite

pincer grasp.

The child is able to climb up the stairs without support

Language : The child is able to speak more than 10 words

other than mamma and papa.Social : The child responds to name and some basic

sentences and smiles at person smiling at her . She is also waving her hand to say bye-bye.

ANTHROPOMETRY

PARAMETER OBSERVED EXPECTED REMARKS

WEIGHT(kg) 9.5 kg 9-14 kg Weight of the child is normal

HEIGHT(cm) 81 cm 75-87 cm Height of the child is normal

MID-ARM CIRC.(cm) 14 cm 14 -16 cm Normal

HEAD CIRC.(cm) 47.5 cm 47-49 cm Normal

CHEST CIRC.(cm) 49 cm More than head Circ.

Normal

MID-ARM CIRCUMFERENCE HEAD CIRCUMFERENCEHEIGHT MEASUREMENT

ANTHROPOMETRY

HEIGHT/LENGTH – 81 cm

Weight : 9.5 kg

SUMMARY

• The child (Tejasri – 1 year 9 months old girl) is in normal ranges for weight and height.

• Pre-lacteal feed is not given and she has been fed only on mother’s milk in the initial stages.

• Developmental milestones (gross motor , fine motor , language and social ) are consistent with age.

• No present illness is seen and immunisation schedule is being followed.

INTERVENTIONS

The nutritional needs of the child should be well looked at.

An adequate and balanced diet should be provided to the child which ensures the proper growth & development of the child.

Regular visits to the health centre for follow up on immunisation schedule and nutritional status monitoring is advised.

Developmental Milestones achieved should be well noticed to measure the growth of the child

THANK YOU

Nihal Nikhil Nishant Pallavi Naveen Praveen Priyanjali Rachna Priyanka Ramkumar Rakesh