Common scenarios involve parent-child mismatches, in which the child's demands, although not pathologic, cannot be adequately met by the parents, who might, however, do well with a child who has different needs or even with the same child under different circumstances.
The child's temperament, capacities, and responses help shape caregiver nurturance patterns. Poor caregiving does not fully account for all cases of nonorganic FTT. demands of other children in large or chaotic families, marital dysfunction, a significant loss, financial difficulties). Stimulation may be lacking because the caregiver is depressed or apathetic, has poor parenting skills, is anxious about or unfulfilled by the caregiving role, feels hostile toward the child, or is responding to real or perceived external stresses (eg. The unstimulated child becomes depressed, apathetic, and ultimately anorexic. In some cases, the psychologic basis of nonorganic FTT appears similar to that of " hospitalism," a syndrome observed in infants who have depression secondary to stimulus deprivation. Nonorganic FTT is often a complex of disordered interaction between a child and caregiver. overdiluting formula to "stretch" it because of financial difficulties), or an inadequate supply of breast milk (e.g., because the mother is under extreme stress, poorly nourished, feeding too infrequently, baby has poor latch, or mother is consuming drugs that lower milk supply.). Lack of food may be due to impoverishment, poor understanding of feeding techniques, improperly prepared formula (eg.
Up to 80% of children with growth failure do not have an apparent growth-inhibiting (organic) disorder growth failure occurs because of environmental neglect (eg. Illness of any organ system can be a cause.įor example, Gastro-esophogeal reflux (GER) can interfere with necessary nutrient intake by making it difficult or impossible for the baby to continue feeding, or by causing a feeding aversion which causes the baby to avoid feeding entirely. Growth failure is due to an acute or chronic disorder that interferes with nutrient intake, absorption, metabolism, or excretion or that increases energy requirements. The physiologic basis for failure to thrive (FTT) of any etiology is inadequate nutrition. Treatment aims to restore proper nutrition. Both types relate to inadequate nutrition. The cause may be an identified medical condition or related to environmental factors. Failure to thrive is weight consistently below the 3rd to the 5th percentile for age, progressive decrease in weight to below the 3rd to the 5th percentile, or a decrease in the percentile rank of 2 major growth parameters in a short period. As used by pediatricians, it covers poor physical growth of any cause and does not imply abnormal intellectual, social, or emotional development. However, the term is also applied to geriatrics. (August 2009)įailure to thrive ( FTT) is a medical term which denotes poor weight gain and physical growth failure over an extended period of time. Unsourced material may be challenged and removed. Please help improve this article by adding reliable references. This normal decline usually occurs when normal or relatively small parents have a big baby, who gradually shifts his or her growth curves to match that of the parents.This article needs additional citations for verification. Jay Hochman points out on GutsandGrowth, 30% of full-term infants cross 1 weight and height percentile and 23% trend across 2 percentiles between birth and 2 years of age. Occasionally, what looks like FTT can actually be normal. When the these result from another condition (a genetic defect or under-nutrition from poor absorption, for example), the problem is considered secondary or "organic." FTT is considered primary or "non-organic" when it occurs in an otherwise healthy child–and then we have to investigate further to look for food aversions, swallowing or sensory difficulties or unrecognized delays in development. While that can occasionally still be the case, we know there's many causes for poor weight gain and growth. That's not the best name–because it was originally used decades ago when it was assumed that the cause was poor parenting.
0 kommentar(er)
