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Care priority and warning signs
Care priority
Routine Care / Praise Mother
Assessment
- Assess Breastfeeding:
- Confirm infant receives >= 8 breastfeeds in 24 hours.
- Confirm infant receives NO other foods or drinks.
- Observe a breastfeed:
- Confirm infant is well attached.
- Confirm infant is suckling effectively.
- Assess Weight for Age:
- Confirm Weight-for-Age Z-score is >= -2.
- Check for Thrush:
- Confirm NO ulcers or white patches in mouth.
Classification
- Not low weight for age AND No feeding problem AND No thrush -> NO FEEDING PROBLEM
Key features
- Absence of any feeding problem indicators.
- Weight for age is adequate.
- No thrush present.
- Indicates satisfactory feeding and growth currently.
Management
Non-pharmacological management
- Praise the mother for feeding the infant well.
- Provide general home care advice (warmth, hygiene - Page 46).
- Address any other identified health issues.
Pharmacological treatment
- No specific treatment needed for feeding/weight.
Follow-up
- No specific follow-up needed for feeding/weight.
- Continue routine health checks and growth monitoring.
Counselling points
- Praise the mother's efforts in feeding the baby well.
- Reinforce positive feeding practices (exclusive breastfeeding on demand).
- Provide general home care advice.
- Advise to return if any feeding problems or signs of illness develop.
Prevention
- Continued support for optimal breastfeeding practices.
- Regular growth monitoring.
References
IMCI Chart Booklet - Page 38, Page 46 (Home Care)