Our Taibao Pediatric Consultation Number often encounters various problems of bao moms consulting various babies' growth retardation.
Today, Xiaobian has collected several questions that parents are more concerned about, and answered them one by one.
01—Is the baby's slow growth in height and weight a retarded growth?
The child's height and weight are related to genetics, nutrition, sleep, exercise and other factors, if you want to judge whether the child's growth status is normal, you need to regularly record the baby's growth curve, including: height, weight, head circumference, BMI (body mass index: weight kg / height m square).
The following picture is a 0-2 year old baby height and weight growth curve and BMI curve provided by the World Health Organization (WHO) (blue for male treasure, pink for female treasure).
(0-2 years old height and weight growth curve)
(0-2 years old BMI curve)
In fact, the baby's growth and development rate is in a step-shaped shape, but as long as it fluctuates within a certain range, the overall trend is growing, which is a normal phenomenon and does not require intervention. However, if the baby's height and weight increase slowly, parents should pay attention to it, consult a doctor, and actively look for reasons to correct it.
02—Is the baby's late teething retardation?
There are also great individual differences in the development of the baby's teeth, and the teething is also related to genetics, nutrition and other factors sooner or later. In general, the baby's first deciduous teeth erupt at 6-9 months, but there are also babies who have more teething than this time period. There are also many parents who are worried that the baby's teething order will affect growth and development, in fact, the baby's teething can also be "chaotic order", and some babies "jumping" teeth are also normal. Most babies will grow 16 teeth by the time they are 2-2.5 years old. Many babies have teething, and if there is no special discomfort, parents do not need to worry too much.
However, if the baby is 13 months old, there is no deciduous teeth eruption, we think that the deciduous teeth eruption delayed, this time parents need to go to the hospital to consult a professional doctor Oh ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
03—Is the baby's fontanelle closing late growth retardation?
Every time a new parent sees the xìn door on the baby's head "rise and fall", does it have an inexplicable "sense of fear"?
Every day, I look forward to the fontanelle closing quickly, always worried about some accident. (Fontanelles are divided into anterior fontanelle and posterior fontanelle.) Posterior fontanelles generally close 2-3 months after birth, and we often say that fontanelles generally refer to anterior fontanelles. ）
In fact, fontanelle closure is a time period, generally speaking, fontanelle closure time is 18-24 months. Closing the fontanelle prematurely is not a good sign, because the child's brain grows against the skull, and the gap in the fontanelle is to leave room for brain growth. If the fontanelle closes too early, it is equivalent to putting a "tight hoop" on the growing and developing brain, which will limit the growth of the brain.
However, if the fontanelle has not been closed after 24 months, parents should be vigilant and take their children to see a doctor. Compared with the excessive entanglement of the child's fontanelle closure time, parents should pay more attention to the child's head circumference changes to judge the child's brain growth and development. If the child's head circumference is abnormally enlarged, it is likely that there is hydrocephalus, and if the child's head circumference is too slow or not long at all, it is necessary to consider whether the child has the problem of early closure of the skull suture. The growth and development curve of the head circumference of 0-5 years old baby can be referred to the following figure:
(0-5 years old baby head circumference growth and development curve, blue for male treasure, pink for female treasure)
04—Is the baby talking late because of growth retardation?
The morning and evening when the baby talks often becomes a topic of pride and discussion for grandparents in the community. ——Babies are smart when they talk! My eldest grandson will be called "Mom and Dad" in five months! - Ah, your babies are more than a year old and can't speak?
Is the baby talking late, is it growth retardation? And how to tell if your baby's language development is normal? Parents can refer to the language development law of 0-36 months old baby proposed by the American Academy of Pediatrics.
Babies talk late, and parents should also reflect on their own reasons.
Is there too little communication with your baby? Isn't it too "empathetic"? Children have a look, adults know what they want without opening their mouths? These are not conducive to the baby's language development.
If you want the baby to speak, you also need parents to be "lazy", refuse to be a "senior translator", when the baby issues "uh ah" and other instructions, appropriately extend the time, guide the baby to speak, teach the baby to speak, try to open the mouth as much as possible, let them follow the adult's mouth style to learn.
However, if the child has obvious delay in the development of language ability, such as not calling "dad, mom" after 18 months, etc., it is necessary to consult a doctor to understand the cause and intervene in treatment as soon as possible.
This article is reproduced in Yu gakuen
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Nanjing Taibao Clinic (Technical Support of Nanjing Children's Hospital) Editor: Dolphin