1. Royal College of Paediatrics and Child Health An Introduction to the new UK-WHO Growth Charts

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11. © 2009 Royal College of Paediatrics and Child Health www.growthcharts.rcpch.ac.uk

12. © 2009 Royal College of Paediatrics and Child Health www.growthcharts.rcpch.ac.uk

13. © 2009 Royal College of Paediatrics and Child Health www.growthcharts.rcpch.ac.uk

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16. © 2009 Royal College of Paediatrics and Child Health www.growthcharts.rcpch.ac.uk UK-WHO Charts Summary Launched in England from May 2009 for all new births To be used in Scotland for all babies born on or after 1 January 2010 New UK-WHO Charts are a description of optimal rather than average growth so weight gain patterns will appear different New charts show premature birth weight and infancy growth separately; all infants from 37 weeks gestation should be plotted at term (age 0) De-emphasised 50 th centile, but identifiable from location of curve label A4 charts include detailed instructions; PCHR has information aimed at Parents

17. © 2009 Royal College of Paediatrics and Child Health www.growthcharts.rcpch.ac.uk Measuring and plotting Summary: Measurement Weighing: –Use only class III electronic scales –Weigh babies naked, children over two in vest and pants, without shoes Head circumference –Use narrow, paper or plastic tape round widest part of the head Length (up to age 2) –Proper equipment essential (length board or mat) –Measurers should be trained –Shoes and nappy removed Height (after age 2) –Rigid rule with T piece, or stadiometer –Shoes removed

18. © 2009 Royal College of Paediatrics and Child Health www.growthcharts.rcpch.ac.uk Measuring and plotting Summary: Plotting and Centiles Record measurement and date in ink Plot in pencil Age errors are commonest source of plotting mistakes Centiles describes the percentage expected to be below that line A child is –on a centile if within ¼ space of line, –between the two centiles if not A centile space is the distance between two centile lines

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