The MCH-Feeding Scale can be used by paediatricians and other health care professionals for quick identification of feeding problems.
SUMMARY In this article the authors propose that non‐organic failure to thrive (FTT) is a growth failure secondary to feeding‐skills disorder, and that this disorder is neurophysiological in origin. The symptoms of feeding‐skills disorder were suggestive of an oral sensorimotor impairment which is usually present from birth or early life, but tends to go unrecognized. Data from 38 infants with non‐organic and 22 infants with organic FTT demonstrated that early clinical symptoms of feeding impairment, and observed maternal and infant feeding behaviours and interactions, were similar for both groups, suggesting a need to redefine the term ‘non‐organic. RÉSUMÉ Défaut non organique de croissance: déficit de croissance seconduire à des troubles du comportement alimentaire Dans cet article les auteurs suggerent que le defaut non organique de croissance (FTT) peut ětre lié à un déficit de croissance provoque par un trouble du comportement alimentaire, et que le trouble est neurophysiotogique a I'origine. Les symptǒmes du trouble des conduite alimentaires suggèrent un trouble sensori‐moteur oral, habituellement presént à la naissance ou dans les premiers mois, et qui tend à ětre méconnu. Les données provenant de 38 nourrissons avec FFT non organique et de 22 nourrissons avec FFT organique démontrent que les symptǒmes cliniques du trouble alimentaire. les comportements alimentaires observés chez les mères et les nourrissons sont sernblables dans les deux, groupes, suggérant une nécessité de redéfinir le terme ‘non‐organique. ZUSAMMENFASSUNG Nicht‐organische Gedeihstörung: Wachstunssiörung durch Fütterungsschwierighkeiten In dieser Arbeit vertreten die Autoren die Meinung, daβ die nich‐organische Geihstörung (FTT) eine Waschstumsstörung durch Fütterngesschwierigkeiten ist und daβ dises Erkrankung eine neurophysiologische ursache hat. Die Symptome der Fütterungsschwierigkeiten seien ein Hinweis auf eine orale sensomotorische Störung, die in the Regel von Geburt ordervom frühen Lebensalter and besteht, aber häfing nicht rekannt wird. Die Daten von 38 Kindern mit nicht‐organischer und 22 Kindern mit organischer FTT zeigten daβ die frühen klinischen symptome der Fütterungsschwierigkeiten und das beobachtete Fütterungsverhalten und ide Interaktionen zwischen Mutter und Kind ür beide Gruppen ähnlich Waren, was bedeutet, daβ der Begriff ‘nicht‐organisch’ neu definiert werden muβ. RESUMEN Fallo no orgánico en el crecimiento: fallo secundario a alteraciones en las formas de alimentacióon En est articulo los autores proponen que el fallo no orgánico del crecimiento (FNOC) es secundario a alteraciones en las formas de alimentación y que esta alteración es neurofisiológica en su origen. Los sintomas de una alteractón en la forma de alimentarse eran sugestivos de una alteractón oral sensorio‐motora, generalmente ya presente en el nacimiento o en los primeron tiempos de la vida, pero que tiende a ser no reconocida. Los datas recogidos en 38 lactantes con FNOC no orgánico y de 22 con sindrome orgánico demost...
Esophageal atresia (EA) is one of the congenital neonatal anomalies whose immediate consequence for the newborn is the inability to feed. Most centers strive to minimize the effects of surgeries and subsequent postoperative complications such as esophageal strictures, respiratory problems, and gastrointestinal reflux on the child's ability or motivation to feed. Feeding difficulties in early infancy may not only interrupt maternal expectations of becoming providers of nutrition to their infants but may also influence the infant's development of sensory motor skills and parent-child relationships. Early involvement by a multidisciplinary team consisting of occupational therapist, nutritionist, and psychologist is an important addition to the surgical and medical team. The team assists in preparing mothers for feeding-related difficulties, providing anticipatory guidance to improve feeding abilities and relationships, especially for children with multiple surgical involvements and prolonged periods of non-oral feeding.
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