How is pediatric growth failure (failure to thrive) treated?

Updated: Nov 05, 2018
  • Author: Andrew P Sirotnak, MD; Chief Editor: Caroly Pataki, MD  more...
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Observation of feeding is very important. Pay careful attention to the following:

  • Maternal (caregiver) attachment during the feeding process; [6] evaluation of signs of maternal attachment (eye contact, vocalizations, interpretation of cues)

  • Evaluation of the child-parent dyad (eg, conflict over eating related to poor limit setting, lack of discipline, or meal time disruption)

  • The perception of parents and/or caregivers regarding the problem

  • Feeding techniques (forced feeding)

A 72-hour diet diary that includes the following can be helpful:

  • Details relative to growth from breastfeeding or bottle-feeding

  • Formula preparation and amounts provided

  • Time and amount of feedings (eg, 5 oz of Enfamil; one-half jar of strained peaches)

  • Behaviors of infant or child during feeding or nursing

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