Weight loss of up to 10% of birthweight is common in the early days of life. Birthweight is usually regained before 3 weeks of age as feeding is established
Faltering growth after the early days of life is characterised by a slower rate of weight gain than expected for age, sex, and current weight
Investigations for faltering growth involve a clinical, developmental, and social assessment and full physical examination. If the child seems well and there are no suggestive signs or symptoms, further investigations are unlikely to reveal an unrecognised cause
Initial interventions for faltering growth include strategies to increase energy intake and advice on managing feeding and eating behaviours
Faltering growth is usually not due to neglect. Despite this, parents and carers often feel blamed for a child’s slow growth. Providing or signposting appropriate emotional support is an important aspect of the healthcare professional’s role
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