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Phoebe was born at term weighing 3.4 kg and measuring 49.5 cm. She is now 2 ½ years old and has been attending your clinic regularly for monitoring of her health and development. She has reached all developmental milestones as expected. Her weight and length measurements are shown in the table below. What concerns might you have regarding Phoebe's growth?
2 ½ years
Case study questions and activities
The WHO weight-for-age and length-for-age charts are used from birth to 2 years of age. After 2 years of age the CDC charts can be used. At this age height rather than length should be measured. CDC BMI charts can also be used from 2 years of age.
2. How would you describe Phoebe’s growth pattern?
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From birth to age 12 months her length tracked around the 50th percentile. After this time it steadily increased towards the 85th percentile on the WHO charts. At 2 ½ years height rather than length was measured and when plotted on the CDC charts was just over the 75th percentile. Phoebe’s BMI is 17.9 kg/m2 and on the CDC BMI chart is just below the 90th percentile.
3. How do you interpret Phoebe’s growth?
4. What concerns do you have for Phoebe’s future growth and development?
5. What recommendations might you give Phoebe’s parents?
6. Could action have been taken earlier?
Key Learnings from this case study