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Paediatrics

Growth and Development Assessment

Questions about height and weight gain, timing of puberty or developmental milestones are reviewed in detail.

What is it?

This assessment is made when there is a question about your child's growth rate or development. Earlier measurements are plotted on a growth chart and the trend over time is examined.

Parental height, eating habits, sleep and past illnesses are considered together. Blood tests or a bone age X-ray may be planned if needed, or a referral to a subspecialty may be made.

Interpretation relies on the trend rather than a single figure; next steps are agreed with the family after the examination.

Who is it assessed for?

  • Children who appear shorter or taller than their peers
  • Children with stalled or rapid weight gain
  • Children with early or late signs of puberty
  • Children whose parents have questions about walking or speech milestones

Step by step

  1. 1

    Previous records

    Any earlier height and weight records are collected.

  2. 2

    Examination

    A detailed physical examination and developmental observation are carried out.

  3. 3

    Tests if needed

    Blood tests or imaging may be planned depending on findings.

  4. 4

    Shared decision

    Results are reviewed with the family and follow-up or referral is decided.

  5. 5

    Re-check

    Measurements are repeated at intervals to see the growth rate.

Questions

Can one measurement be interpreted alone?

Usually not. Growth rate is understood through measurements over time, so earlier records are very useful.

Does every child need tests?

No. The need for tests depends on examination findings and the growth trend.

Will we be referred to a subspecialist?

If considered necessary, a referral such as paediatric endocrinology is made and follow-up continues together.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.