Birth chart analysis for 2015,the secret garden movie free download,adsl phone number checker - Review

13.09.2013
In 2006, the WHO (World Health Organization) released new international birth-5yo charts based on 8,500 children from Brazil, Ghana, India, Norway, Oman and the USA. Nellhaus male and female head circumference charts for children over 3 years old (I don't love these charts, as the pooled data is from 1948-1965, and is not as "interracial" as advertised, but we don't have many other options for older children).
The widely available China growth charts are from a sample of Southern Chinese children in Hong Kong in the 1960s, and thus quite out of date and not necessarily ethnically appropriate. Also available online are Hong Kong boy and girl growth charts, which do include weight, height, and head circumference. An article called "Updated gestational age specific birth weight, crown-heel length, and head circumference of Chinese newborns" based on preterm and term births in Hong Kong has weight, height, and head circumference charts. Adopt Vietnam has links to a few Vietnamese growth charts; however, they are not easy to interpret and are of unknown date and sample size. We are adopting an infant from Ethiopia and are looking for a growth chart for girls 0-12 months from Ethiopia. I'm not aware of growth charts for Ethiopia - Google and Pubmed searches aren't turning up anything either. One month after birth our baby boy was 7 pounds 4 ounces,52 cms and head circumference was 34.2.
The WHO charts seem appropriate, but since they have yet to publish head circumference charts, we still use the CDC charts for kids from Guatemala. Those impacts can include a more "thrifty metabolism" that increases later risk for overweight, hypertension, and adult-onset diabetes (the "metabolic syndrome"); they can also include developmental impacts like ADHD, difficulties with emotional regulation, and so on. Another thing we noticed was the left side of part of his face seems to be lazy or maybe have some sort of facial paralysis.
As for facial asymmetries, additional photos of facial expression at rest, smiling, and crying can be very helpful. You bring up a good point here, which is that we should not assume that growth problems are an "orphanage" issue. Another general point here is that children with very poor head growth need further workup. If your concerns persist, I would recommend consulting an international adoption pediatrician, or perhaps your local pediatrician.
Definitely follow-up with your agency about estimates of prematurity, and if they know of any newborn preemie-type complications. I'm not aware of any Guatemalan or Central American-specific growth charts, but if you find any, please let me know!
In our experience, children from China, Taiwan, and more recently Vietnam have trended lower on the US head circumference charts, but not typically "well below", although that would depend on your definition of well below.
Sorry, we can't provide that sort of specific advice here on the website, but there's no shortage of growth charts above for you to plot them on. We've just received a referral for a girl in Vietnam, born around August 4 with an exam date of August 31. Sorry, but again, I can't comment on specific children and whether their growth is worrisome or not in this forum. Since she is "technically" 3 weeks premature, I've been plotting growth on a preemie chart.
We are particularly concerned about her head circumference at birth as well as now, since it's significantly disporportionate to her body growth. If a child already in your family developed special needs, you'd of course rise to the occasion.


I am finding all of these questions and answers very helpful as we try to evaluate a referral from India. 2) What signifigance, if any, do ratios play in terms of head circumference compared with height and weight?
4) Is there any truth to the speculation that babies from orphanages may suffer head growth delays early on due to their lying on their backs in a crib most of the day? 5) And, finally, is there potential for babies to jump the curve, so to speak, once they have been placed into a more healthy and mentally stimulating environment? Many of the available country-specific growth charts are out-of-date, from a small sample size, drawn from ethnic groups that may not represent your child's ethnicity, based on malnourished populations, or all of the above. You're asking the right questions, as far as trying to learn whether he was premature or small for gestational age (SGA). I think I have to make it clear that it's not feeling ethical, accurate, or particularly helpful for me to comment on individual children's growth trends from a comments section of a website, without knowing a lot more about the particular child. I received information (weight, height, head circumference) on a boy who is 3 and was told he is malnourished. The 3rd percentile (lowest rung of "normal") at 3 yrs old is the same weight as the 50th percentile (average weight) of a 19mo. She has been with us for over 2 years, on the gluten free diet for a year, finished with 9 months of INH last November. Celiac sprue is a medical issue that was important to find here, and in fact, when we see children in our adoption or FAS children that are markedly small, we try to not pin it "just" on orphanage or alcohol issues, but also to do a full "short stature" or "failure to thrive" workup.
I would consider endocrinology consultation to help with the workup but also to discuss possible treatment. Depending on who's available to you, a neurodevelopmental pediatrician, neurologist, or FAS specialist would be a good idea to explore what's going on there.
Perhaps, but she's past the point where we usually see very rapid catchup, so her gains, if any, will probably be more subtle over time.
Newborns with FAS are often, but not always, small at birth, so they can fall anywhere on or below the charts.
Unfortunately, you're going to have a hard time plotting his growth without more of an estimate of how premature he was. Just below the 3rd percentile and gaining well with time, with no known microcephaly risk factors or neurodevelopmental concerns would not raise big alarms for us, but would be worth following closely. They're not hard to figure out, and you'll find other online resources like this one that can plot things for you if you like. Her head circumference was 34 cm which seems within the normal - if low - range for her ethnicity. I just received a referral for a little girl who is totally off the chart for Russia in terms of height, weight and head circumference (lower than 3%).
I was looking for a FETAL growth chart specific for Indians as the growth plotted on charts here (Australia) show that the baby is small and dropping its centiles.
US growth charts aren't perfect either, but they are drawn from large population surveys, and were recently revised to better reflect the racial-ethnic diversity and combination of breast- and formula-feeding in the US.
The less-than-smooth percentile lines does make me wonder whether the sample size or statistical techniques were adequate.
You could probably do well enough with one of the preemie charts above, cross-referenced with Dr Monteil's head circumference charts. As always, you want to follow growth over time, but I wouldn't consider that head size to increase his risk for developmental issues.


I goofed above by answering individual child questions in the context of sharing broader information about country trends, but am increasingly uncomfortable doing so.I'd love to be of help, but it's just impossible to say much about growth and risk without knowing a lot more than can be left in a comments section. Many of those consequences are manageable, and kids are impressively resilient, but it is likely that there will be some impacts from those early years.
There was a weight discrepency at birth (birth certificate read 9lbs 5oz and medical report read 8lbs 5oz)- regardless, a big baby and was thinking there may have been diabetes with the mother. We did see a picture where he is smiling a little so it looks like the muscles work- maybe just a little weak.
There is a probability of fetal alcohol as alcohol was one of the reasons given in the court order for removal. Children who are born small and do not catch up in the 1st two years of life may be candidates for growth hormone therapy. They might consider head imaging, genetic testing, and should certainly screen her for facial features of FAS.
To make a formal diagnosis, you also need a reliable history of alcohol exposure; however, even without the known prenatal drinking, having the full facial features of FAS is still quite predictive of future FAS. He's small enough that some degree of prematurity is likely; that would actually be reassuring in some ways, as unexplained very small for gestational age is considered potentially riskier than appropriately-grown-for-gestational-age prematurity. I would suggest sharing his complete referral information with a doc familiar with children adopted from India for a fuller, more informed discussion around growth and risk. Worth following her head growth, but sounds like you're in good, cautious hands with your current providers. Very roughly speaking, if head size is more than one centimeter below the 3rd percentile line, or statistically at or below "-3 standard deviations from the mean", that's more unusual and potentially concerning. Google has a neat feature that will convert units for you if you type things like "40 cm in inches" in the search box. I think every person in every family faces it differently, with their head, their heart, or both. That said, the longterm benefits of growth hormone treatment are modest, and it does involve frequent injections.
Early diagnosis and intervention for any delays or learning issues is also important, so I would have her evaluated formally if she hasn't been already. This is where a preadoption review of all available records and followup questions can be helpful. What growth percentile is "normal" or acceptable, given the poor nutrition that some children may experience? Spontaneous improvement usually happens with the former but not necessarily with the latter cause. You might have a local pediatrician or IA doc take a look at your referral when you have a bit more growth and photo information. Is there anything you can tell us in general regarding the growth charts based on what little info we have thus far? Can a 3 or 4 year old child recover from being malnourished his entire life without permanent damage?



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