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Children's Health

Growth and Development: Just the Figures

Growth and Development: the whole thing in five minutes, for when you want the numbers and nothing else.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 3 min read 1 views
Growth and Development: Just the Figures

Tracking a child's growth and developmental milestones over time.

Key takeaways

  • Centile charts: in the personal child health record, the red book
  • What matters: the trend, not a single point
  • Most useful single change: Attend routine health visitor and developmental reviews.
  • Commonest mistake: Comparing to other children rather than to the chart.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The numbers, in one place

Published figures for Growth and Development
MeasureFigure
Centile chartsin the personal child health record, the red book
What mattersthe trend, not a single point
Crossing centiles downwardwarrants assessment
Health visitor reviewsoffered at set ages in the early years

In one paragraph

The pattern over time on a centile chart matters far more than any single measurement.

Worth doing

  • Attend routine health visitor and developmental reviews
  • Keep the red book updated and bring it to appointments
  • Raise concerns early; you know your child best
  • Ask about hearing and vision if speech is delayed

Worth avoiding

  • Comparing to other children rather than to the chart
  • Waiting to see whether a child catches up on speech
  • Assuming a single low measurement is a problem

Where to go next

When to speak to a doctor

See a GP or health visitor for a child who is losing weight, crossing centiles downward, not meeting expected milestones, has lost skills they previously had, or is not responding to sound or making eye contact. Loss of previously acquired skills always needs prompt assessment.

Where this comes from

  • NHS — Height and weight charts for children
  • NHS — Baby and child development reviews

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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