Failure to Thrive

The establishment of consistent weight gain with oral feedings is a standard criterion for discharge from the hospital for most premature infants. However, this does not ensure that the pattern of weight gain will continue following discharge. Failure to thrive may occur either because of an ongoing chronic disease (e.g., bronchopulmonary dysplasia, malabsorption, or central nervous system disease) or because of dysfunctional parenting. NICU graduates should be consuming at least 150 mL/kg/day of a standard formula if not breast feeding and should be consistently gaining approximately 20 to 30 g/day. A comparison of the current weight with the discharge weight (which parents usually remember) allows for a quick evaluation of this problem, or appropriate growth curves can be utilized. 89 Any infant with failure to thrive requires a thorough diagnostic evaluation and often hospitalization for accurate documentation of caloric intake. It should be remembered that prematurity itself is not an adequate explanation for postdischarge failure to thrive.

Gaining Weight 101

Gaining Weight 101

Find out why long exhausting workouts may do more harm than good. Most of the body-building workout and diet regimens out there are designed for the guys that gain muscle and fat easily. They focus on eating less and working out more in order to cut the excess fat from their bodies while adding needed muscle tone.

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