What should you know about failure to thrive infant?

Growth is interpreted from a series of measurements and the baby’s birth and family context. Feeding may be difficult because of latch, coordination, fatigue, reflux-like symptoms or swallowing problems. Infection, heart or lung problems, digestive conditions and other health issues can also reduce intake or affect growth. Sometimes the recorded feeding plan does not match what the baby can take. The label itself does not reveal which explanation applies.

Arrange a review with the baby’s clinician and take the personal health record. Note feeds, supplements, vomiting, stools, wet nappies and periods of alertness. Ask whether the clinician can watch a feed and recheck measurements using the same method. Use only the feeding changes recommended for this baby. Avoid adding cereal, water or concentrated formula without advice, since an infant’s fluid and nutrient balance is delicate.

Seek urgent care if the baby is difficult to wake, has breathing trouble, turns blue or grey, refuses feeds, vomits green material, has signs of dehydration, or becomes floppy or unusually quiet. A sudden change from the baby’s normal feeding or behaviour deserves prompt advice even when the latest weight is not known. Call emergency services for severe breathing difficulty or unresponsiveness.

Ask how intake and growth will be measured, whether a feeding specialist is needed, what symptoms should be logged, and when to return. Clarify the safe feeding plan and exactly who to contact overnight if the baby feeds poorly.