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#ir #peds
Risk Factors
Child Factors
• Premature, low birth weight
• Feeding, sleep or elimination problems
• Recurrent illness
• Developmental delay
Parental Factors
• Parents abused or neglected as children
• Unwanted, unplanned pregnancy
• Marital problems, single parent
• Drugs/alcohol
• Young inexperienced parents
• Unwell/stressed parent
• Poor follow‐up, uncooperative parents
• Misconceptions of eating habits and nutrition
Child and Parental Factors
• Difficulty feeding, refusal to feed
• Colic, sleep problems
• Behavioural issues
• Parent not able to recognize child’s needs and respond to child’s cues
Environmental Factors
• Low SES, unemployment
• Lack of support, social isolation
• Lack of access to consistent medical care
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Growth
perthyroidism, hypopituitarism, DM‐1, DI • CNS: Difficulty coordinating swallow, MR, CP, Diencephalic Syndrome • Haematology: Chronic hematologic disorders, malignancies • Inflammatory/Immune: SLE, immunodeficiencies <span>Risk Factors Child Factors • Premature, low birth weight • Feeding, sleep or elimination problems • Recurrent illness • Developmental delay Parental Factors • Parents abused or neglected as children • Unwanted, unplanned pregnancy • Marital problems, single parent • Drugs/alcohol • Young inexperienced parents • Unwell/stressed parent • Poor follow‐up, uncooperative parents • Misconceptions of eating habits and nutrition Child and Parental Factors • Difficulty feeding, refusal to feed • Colic, sleep problems • Behavioural issues • Parent not able to recognize child’s needs and respond to child’s cues Environmental Factors • Low SES, unemployment • Lack of support, social isolation • Lack of access to consistent medical care History • Duration of problem, detailed dietary and feeding history, appetite, behavior before and after feeds, BM history, vomiting • Pregnancy, birth, birth


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