The document provides an overview of postnatal growth and development, highlighting factors that affect growth and detailing the case of a 1 year and 9 months old girl named Tejasri. She is assessed to be within normal ranges for weight and height, has appropriate developmental milestones, and is currently following her immunization schedule. Recommendations include monitoring nutritional needs and ensuring a balanced diet for healthy growth and development.

1. POSTNATAL GROWTH &
DEVELOPMENT

2. DEFINITION
• GROWTH
The term growth denotes a net increasein the size,or
mass of the tissue. It islargelyattributedto
multiplicationof cellsand increase in the
intracellularsubstance.

3. According to Liebert, Poulos and
Marmor (1979)
• Development refers to a process of change ingrowth and
capability over time, as function of both maturation and
interactionwith theenvironment.

5. POSTNATAL GROWTH
• Postnatalgrowth – growth occuring afterbirth.
Componentsof Postnatalgrowth
• General growth
• Lymphoid growth
• Neural growth
• Genitalgrowth

6. FACTORS AFFECTING POST NATAL
PERIOD
• Sex
• IUGR
• Genetic factors
• Hormonal influences
• Nutrition
• Infections
• Chemical agents
• Traumate
Socioeconomic level
Poverty
Natural resources
Climate
Emotional factors
Cultural factors
Parental education
SOCIAL
Sex
IUGR
Genetic factors
Hormonal influences
Nutrition
Infections
Chemical agents
Trauma
GENERAL

7. CHILD
NAME : TEJASRI
AGE : 1 Year 9 months
GENDER : Female

8. CHILD PARTICULARS
S.NO PARTICULAR DETAILS
1 Name Tejasri
2 Age & Sex 1 year 9 months
female
3 Date of Birth &
Birth weight
27-04-2013
3.3 kg
4 Birth Order & Birth Interval 2 & 4 years
5 Place Of Delivery Hospital
6 Present illness
History of past illnesses
-----
Fever

9. DENTITION
• There are 6 upper teeth and 6 lower teeth-
a) incisor teeth - 4 + 4
b) first molar - 2 + 2
Dentition formula - 2 0 0 1
2 0 0 1

10. INFANT FEEDING PRACTICES
• Colostrum : Given
• Pre-Lacteal feed : Not given
• Duration of breast : Continuing
feeding
• Complementary : After 6 months
feeding
• Food items given at the : Liquid Starch,
time of weaning juices

11. MILESTONES

13. DEVELOPMENTAL MILESTONES
Gross Motor :
The child is able to walk without support
and climb the stairs up & down.
She is also able to run for a small distance.
Fine Motor :
The child is able to point more than 3 body
parts on her or on her mother.
She is able to hold a biscuit with a definite
pincer grasp.

14. The child is able to climb
up the stairs without
support

15. Language :
The child is able to speak more than 10 words
other than mamma and papa.
Social :
The child responds to name and some basic
sentences and smiles at person smiling at her .
She is also waving her hand to say bye-bye.

16. ANTHROPOMETRY
PARAMETER OBSERVED EXPECTED REMARKS
WEIGHT(kg) 9.5 kg 9-14 kg Weight of the
child is normal
HEIGHT(cm) 81 cm 75-87 cm Height of the
child is normal
MID-ARM CIRC.(cm) 14 cm 14 -16 cm Normal
HEAD CIRC.(cm) 47.5 cm 47-49 cm Normal
CHEST CIRC.(cm) 49 cm More than head
Circ.
Normal

17. MID-ARM CIRCUMFERENCE HEAD CIRCUMFERENCEHEIGHT MEASUREMENT
ANTHROPOMETRY

18. HEIGHT/LENGTH – 81 cm

19. Weight : 9.5 kg

20. SUMMARY
• The child (Tejasri – 1 year 9 months old girl) is
in normal ranges for weight and height.
• Pre-lacteal feed is not given and she has been
fed only on mother’s milk in the initial stages.
• Developmental milestones (gross motor , fine
motor , language and social ) are consistent
with age.
• No present illness is seen and immunisation
schedule is being followed.

21. INTERVENTIONS
The nutritionalneeds of thechild should be welllooked at.
An adequateand balanced diet should be provided to the
child whichensures the proper growth & development of the
child.
Regularvisits to the healthcentre for follow up on
immunisationschedule and nutritionalstatusmonitoringis
advised.

22. Developmental Milestones achieved
should be well noticed to measure the
growth of the child

23. THANK YOU
 Nihal
 Nikhil
 Nishant
 Pallavi
 Naveen
 Praveen
 Priyanjali
 Rachna
 Priyanka
 Ramkumar
 Rakesh