A Case Report of Failure to Thrive in an Exclusively Breastfed 6-Month-Old Infant

Bryant, P.H., Roche, C., Debiasi, L., McPeters, S., & Speck, P.M. (2020). A case report of failure to thrive in an exclusively breastfed 6-month-old infant. Pediatric Nursing, 46(5), 225-232. Failure to thrive (FTT) is a complex problem affecting the infant, the biological mother, and their fami...

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Bibliographic Details
Published inPediatric nursing Vol. 46; no. 5; pp. 225 - 232
Main Authors Bryant, Pamela H, Roche, Cathy, Debiasi, Laura, McPeters, Steadman, Speck, Patricia M
Format Journal Article
LanguageEnglish
Published Pitman Jannetti Publications, Inc 01.09.2020
Anthony J. Jannetti, Inc
Subjects
Age
Algorithms
Babies
Breast milk
Breastfeeding & lactation
Case reports
Case studies
Causes of
Child abuse & neglect
Child Health
Children & youth
Diagnosis
Failure
Failure to thrive
Families & family life
Health aspects
Hospitals
Immunization
Mothers
Nutrition
Patient admissions
Pediatric research
Pediatrics
Pregnancy
Primary care
Reporting requirements
Skill Development
Young Children
United States
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Summary:Bryant, P.H., Roche, C., Debiasi, L., McPeters, S., & Speck, P.M. (2020). A case report of failure to thrive in an exclusively breastfed 6-month-old infant. Pediatric Nursing, 46(5), 225-232. Failure to thrive (FTT) is a complex problem affecting the infant, the biological mother, and their family. Discovering the cause of FTT is a complex process for the primary care provider (PCP), and involves clinical observation of feedings, and aggressive monitoring of growth and development with laboratory testing. The case presented addresses the systematic review of FTT diagnostic criteria and interventions. In this case, a simple and inexpensive creamatocrit measurement of breastmilk fat may find subtle deficiencies in nutrition at the first signs of FTT, possibly preventing expensive hospitalizations and accusations of child maltreatment. For the PCP, simple increase in caloric intake with aggressive evaluation and monitoring is necessary to improve weight gain of the infant with FTT before a hospital referral. Key Words: Failure to thrive, breastmilk, creamatocrit (CRCT), child maltreatment, child abuse, adverse childhood experiences, munchausen by proxy, mandatory reporting.
ISSN:0097-9805