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Expected and Desirable Preterm and Small Infant Growth Patterns.

Tanis R Fenton1, Stephanie Merlino Barr2, Seham Elmrayed3

  • 1Community Health Sciences, O'Brien Institute of Public Health, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.

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Summary
This summary is machine-generated.

Optimal infant growth requires individualized nutrition and monitoring, recognizing that parallel growth on charts is key, not specific percentiles. Avoid terms like "growth failure" for infants with smaller but consistent growth patterns.

Keywords:
body compositioncommunicationcounselinggrowth failureparentspostnatalrestrictionstandard deviation scorez-score

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Area of Science:

  • Pediatrics
  • Neonatology
  • Nutritional Science

Background:

  • Adequate nutrition is crucial for infant growth and neurodevelopment.
  • Monitoring infant growth using serial measurements is essential but can be challenging.
  • Individual variability in growth is expected due to genetic and health factors.

Purpose of the Study:

  • To examine infant growth expectations for parents of preterm and term-born infants.
  • To provide a framework for individualized nutrition and growth assessments.
  • To discourage the use of negative terminology for infants with smaller, consistent growth.

Main Methods:

  • Review of current research findings on infant growth.
  • Analysis of expert recommendations for infant nutrition.
  • Examination of messaging strategies for parents regarding infant growth charts.

Main Results:

  • Growth assessments should consider a range of appropriate sizes, not fixed percentiles.
  • Preterm infants should aim for fetal-like growth post-neonatal period, parallel to growth charts.
  • Individualized nutrition and growth assessments are necessary for high-risk infants.

Conclusions:

  • Focus on growth parallel to curves, not specific percentiles, for all infants.
  • Appropriate messaging to parents is vital to reduce unnecessary concern.
  • Individualized care ensures optimal neurodevelopment and future health for infants.