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Children with constitutional growth delay (CGD), the most common cause of short stature and pubertal delay, typically have retarded linear growth within the first 3 years of life. In this variant of normal growth, linear growth velocity and weight gain slows beginning as young as age 3-6 months, resulting in downward crossing of growth percentiles, which often continues until age 2-3 years. At that time, growth resumes at a normal rate, and these children grow either along the lower growth percentiles or beneath the curve but parallel to normal children.
At the expected time of puberty, the height of children with constitutional growth delay begins to drift further from the growth curve because of delay in the onset of the pubertal growth spurt. Catch-up growth, onset of puberty, and pubertal growth spurt occur later than average, resulting in normal adult stature and sexual development. Although constitutional growth delay is a variant of normal growth rather than a disorder, delays in growth and sexual development may contribute to psychological difficulties, warranting treatment for some individuals. Studies have suggested that referral bias is largely responsible for the impression that normal short stature per se is a cause of psycho-social problems; non referred children with short stature do not differ from those with more normal stature in school performance or socialization. A recent study determined that constitutional growth delay was the most common cause of short stature in children.
My 6 years girl getting breast pain one side and they are bit big in size compared to other, please guide me whether I have see Gynecology or pediatrics. Appreciate your early reply.
Hi sir My kid s 4 years old baby girl. She s having sleeplessness. By birth she s like that. It s very difficult maintain my kid to sleep. Bt she's very active. We also facing like sleeping problem by her. Cani get any ayurvedic medicine for my child.
My three-year-old boy pees more than 2 to 3 times a day normally, can I know why? 3 days ago he suffered stomach infection and what food should I need to give him at breakfast, lunch .dinner etc.
Hi doctors, My 20 month old baby girl, suddenly got cold, fever and loose stools with vomit, she tends to vomit whenever she coughs, my pead told due to infection from bottle feeding and to stop at once, then to avoid milk for 1 week, so I feed her with juices only, she prefers only orange juice so I give her fresh juice, but is it safe to give orange juice when cold is there? Any way stopping bottle suddenly is also quite challenging, she accepts milk n juice from bottle only, slowly I need to change her.
11 Month Old Baby Boy. Suggest some best food diet good health and strength. As per my knowledge I have added Dry Fruits and almonds to his diet. Still there are lot of food items which can be added to a baby diet for a proper healthy nutrition. Kindly suggest the same.
Hello Doctors, My son having 4 months age and from yesterday he is having cold so we given CORIMINIC drops - 4 ml once in the morning as per doctor earlier prescribed. If it is not clear can we give one more time the same drop today evening? And also it will be great if you are suggesting anything. Thanks.
Sleeping trouble & bed wetting by my son of 9 years having tonsils problem as well. We sits up while sleeping also and snores as well.
My daughter is just two years old. She never wants to eat anything. We always have to force her to take food. Our local child specialist has advised us not to force her, she will eat whenever she will be hungry. We did that for almost two days. But she never wanted to eat in those two days. We are very worried. Please help us.
She is 2 years old her weight is 9kg she is not having her diet properly what to do? Is there any medicine for hunger for her.
Pregnancy is a journey in itself where you tend to go through physical changes, psychological changes and social changes as well. While the body struggles to cope with the hormonal and other major changes, the mind also tries continuously to adapt and cope with emotional as well as mental stress. Teenagers are considered to still be in a maturing stage when they have difficulty dealing with factors such as peer stress, emotional ups and downs, identity issues, personality building challenges and psychological barriers.
So, getting pregnant at this stage can be very traumatizing. Issues such as postpartum depression have become very common among teenagers.
Psychological Barrier in Teenage Pregnancy: As per the Pediatrics Journal, teenage mothers tend to have higher rate of depression compared with adult women who experience pregnancy. This may be due to various reasons like difficulty to face the society, unplanned pregnancy, immaturity to deal with pregnancy and related symptoms, own social involvements, which come between pregnancy and a whole lot of reasons.
However, the psychological effects and stress, which account for these barriers are sometimes quite severe and according to researchers, teen mothers often show symptoms of Post Traumatic Stress Disorder, which may sometimes lead to suicidal tendencies.
Signs and Symptoms of Stress and Trauma:
- Some of the major stress signs in teenage pregnancy either in the prepartum or postpartum period may include anxiety, depression, concentration difficulties, eating disorders, insufficient sleep, sadness or mood swings.
- Already teenage pregnancy leads to excessive mental stress and if there is a complication in delivery or premature birth before 37 weeks, the level of depression tends to get higher.
- There is a distinct difference between postpartum depression and baby blues. While baby blues are similar to stress and sleep problems, eating troubles, mood fluctuations seem the same as postpartum depression, they tend to go off within two to three weeks, while depression lasts.
- Excessive fatigue resulting into a brittle mood.
- Sudden attacks of panic are also quite common.
- Difficulties in bonding with baby or having patience with baby's demands.
This type of stress and trauma may lead to child abuse, neglecting children or depression. Lowered self-confidence and irritated state of mind are also some of the common complaints. Therefore, to avoid the postpartum stress and major difficulties, teenage pregnant moms can consult psychiatrists for help and advice.
I have a new born baby and she is 22 days old. Today she is frequently (no of times) going to motion and that to in small quantities. What might be the reason? What should I do? Please suggest me.
What care should be taken (from now on) for my six year old daughter so that she has healthy hair and skin in future. Should some supplements be given for a healthy body?
My 5 months old boy is not liking mothers milk instead he prefers Lactogen 1 which we were giving along with mothers milk since the breastfeeding was not filling his appetite. What to do so he starts taking the breast milk again?
My daughter is 5 years old. She is fit normally but she is often got cough and cold. Normally during rainy days. We have consulted many physicians and they often say that she suffer from dry cough or whooping cough. Is there any cure for her? Please give a suggestion I am waiting for your reply.
The journey to parenthood begins long before the baby arrives, long before the expectant parents ever set eyes on the new life they have created. Being a parent is hard and exhausting, mentally, physically and emotionally. As a mother, one goes through a journey that encompasses huge changes to her body, her emotional state of mind, career, relationship with partner and her entire outlook on the world around her but, let's not forget the emotional impact on fathers too.
There is no, particular psychological pathway to parenthood as every couple's experience is shaped by a unique set of circumstances; their own childhood memories of their parents, observations of other parents and by the type of relationship they have with each other.
Being parents changes you: Becoming a parent changes two fundamental things: first, your perception about yourself, and secondly, it changes the nature of your relationship with your partner. You need to understand that you're no longer two independent adults but a team. You have to prioritize the needs of your child over and above your own needs. The sooner you realize and implement this in your life, the better you turn out as a parent.
Planning is essential: As an expectant couple, you need to plan and prepare, not to guarantee a result, but to open their minds to the vast enormities of the life changes that you are about to experience. This way you will be better prepared and equipped to cope with the challenges and situations that may come your way. You should try to imagine what your life will be like, after the baby arrives, realistically. The pregnancy period is an opportunity for both - the mother and the father, to run through a psychological rehearsal of "life after the birth of baby". Although it is, unrealistic and impractical for the expectant parents to think that, they can strategize for every conceivable scenario related to new parenthood, what so ever it may be, however, they can use the nine months of pregnancy to begin to reflect on how a baby will affect their relationship.