Growth Milestones 6-12 months

Growth Milestones - SIX MONTHS

The Social Butterfly The 6-month-old infant likes to be with people and there is a sudden burst in awareness of his or her surroundings. The baby loves to play face to face with parents and begins to develop a sense of trust and the beginning elements of learning (through games like peekaboo). The following comments are designed to help you and your partner enjoy your 6-month-old while continuing to gain confidence in yourselves as parents. This information is not intended as a substitute for well-baby visits by your newborn's pediatrician. Never hesitate to ask your child's physician for guidance concerning specific problems. This is the reason for regular well-baby checkups.

Parenting and Behavioral Encourage speech development by talking to your 6-month-old while dressing, bathing, feeding, playing, walking and driving. Begin playing social games such as pat-a-cake, peek-a-boo, so-big, etc. Begin to set some limits for future discipline by using distraction, reducing stimulation and establishing routines. Establish a bedtime routine and other habits to discourage night awakening. Make sure your baby has learned self-soothing techniques by providing your child with the same transitional object, such as a stuffed animal, "special" blanket or favorite toy. Encourage play with age-appropriate toys. Babies like to bounce, swing, reach for you, pick up and drop objects, and bang things together. Unbreakable household objects such as plastic measuring cups, large wooden spoons, pots, pans and plastic containers make great toys. Shoes are not necessary at this age except for show and to keep their feet warm.

Development Begins to speak single (hard) consonants, like "dada" (sorry mom!). Rolls over both ways (front to back and back to front). The baby will begin to look for a toy dropped out of sight. Has no head lag when pulled to a sitting position. Begins to "tripod" (sits with one hand on the ground for support) and soon will begin to sit without support. Continues to grasp and mouth objects, but now can transfer small objects from one hand to another. Six-month-old babies begin to rake at small objects but cannot pick them up yet because their finger coordination is not yet precise enough. Shows displeasure with loss of a toy. Is able to recognize each parent and may even begin to show some stranger anxiety. Makes attempts to feed himself or herself. Smiles, laughs, squeals and begins to imitate sounds. Can be content in a playpen for a while playing with one or two toys. Can bear weight on his or her legs when held in a standing position (no, it will not make him or her bowlegged). May develop one or more teeth by the 9-month checkup. Don't worry if teething is delayed, as every child has his or her own timetable for teething. The process of getting teeth can be difficult or easy and there is no reason why one baby frets and drools during tooth eruption and another sails through it without a whimper. Ask your baby's doctor what you can do if teething gives your little one a problem.

Feeding Most babies double their birth weight in the first 5 to 6 months. They will not double their weight in the next six months as growth rate slows a little. Therefore, expect your baby's appetite to diminish a little in the next six months. Continue to breast feed or use iron-fortified formula for the first year of the infant's life. Feeding should be on a routine mealtime schedule which hopefully coincides with the family mealtimes. Continue introducing new solid foods, starting with fruits, yellow vegetables, green vegetables and then meats. Your baby will let you know when and how much he or she wants to eat. Your baby will begin to show preferences for some food and dislike for others as new solids are introduced. Now is the time to begin introducing a cup since it is important to eliminate all bottles by the baby's first birthday. The easiest way to do this is by taking advantage of the infant's natural curiosity and desire to imitate adults. Parents should buy two or three brightly colored plastic cups and begin drinking their coffee or tea out of these new cups. Since the child will want the same thing the parents have, start giving your child his or her milk or juice in an identical cup. The child will not be able to hold the cup by himself or herself for some time. An alternate way of introducing the cup is to use one with a top and "feeding spout." While your child will not be using this type of cup when he or she gets older, there is less of a mess when he or she tips it over! Don't lose patience! If your 6-month-old shows little interest, try again in a day or two. Don't worry if it seems your baby is taking less liquid from the cup. This is normal since the growth rate slows down for a while. Avoid giving foods that can cause choking. The most common foods babies' aspirate are peanuts, popcorn, hot dogs or sausages, carrot sticks, celery sticks, whole grapes, raisins, corn, whole beans, hard candy, large pieces of raw vegetables or fruit and tough meat. Always supervise your baby when he or she is eating and learn the proper emergency procedures for choking. If there is a strong family history of a food allergy, you might want to limit or avoid highly allergic foods such as eggs, strawberries, chocolate and seafood until your baby is older. Continue to give the breast-feeding infant supplemental Vitamin D if recommended by your baby's doctor and fluoride supplements if your water supply is not fluoridated. If your baby is being fed by a care giver, go over the schedule with him or her to make sure he or she is feeding your infant the way you want. Because your baby is getting ready to cut teeth, he or she may be "gnawing" on everything.

At this Checkup An important part of each well-child visit is the evaluation of the baby's growth. In the vast majority of children, growth falls within normal ranges on the standard growth curves for weight, height or head size. The smooth curves of a growth chart might create the impression that a baby grows in a continuous, smooth manner. Instead, growth usually occurs in spurts. Therefore, single growth (height, weight, head size) measurement at any particular month in a child's life is of limited value - more important is the child's rate of growth over time. The 6-month old will also be checked thoroughly both physically and developmentally.

Sleep Encourage your baby to console himself or herself by putting your child to bed awake. Some 6-month-old babies decrease the length and/or frequency of naps. Due to the emergence of stranger anxiety, the 6-month-old baby may show resistance to going to sleep for naps and at night. Some 6-month-old babies begin night awakenings for short periods of time. Should this happen, check your baby, but keep the visit brief, avoid stimulating your infant and leave the room quickly once you feel everything is OK.

Immunizations Since immunization schedules vary from doctor to doctor, and new vaccines may have been introduced, it is always best to seek the advice of your child's health care provider concerning your child's vaccine schedule. DTaP 3rd dose Rotavirus 3rd dose Pneumococcal 3rd dose Haemophilus Influnzae 3rd dose Hepatitis B 3rd dose by clicking on the immunization, parents can view more information about that particular vaccine. Ask your baby's doctor about possible side effects (fever, irritability, tenderness over the injection site). Keep a record of your child's immunizations. (Click to download an immunization record) For More Vaccine Information, see: ►Kidsgrowth Vaccine Guide ►The Vaccines and the Diseases they Prevent; ►What Immunizations should my child have had by six months?

Safety Your adorable newborn is about to become "mobile" so child-proofing your home should take priority at this age. Now that your baby is more active, be more careful than ever not to leave him or her anyplace from which he or she can fall. Always keep one hand on your child and never turn your back, for even a second, when you put him or her on a sofa, bed, changing table or any other high place. Your baby always needs your full attention. Never leave your baby alone with a young sibling or pet. Continue to use an infant car seat that is properly secured at all times. Avoid using baby walkers. There is considerable risk of major and minor injury and even death from the use of walkers and there is no clear benefit from their use. If your home uses gas appliances, install and maintain carbon monoxide detectors. Continue to keep the baby's environment free of smoke. Keep the home and car nonsmoking zones. Get down on the floor and check for safety hazards at your baby's eye level. Empty buckets, tubs or small pools immediately after use. Ensure that swimming pools have a four-sided fence with a self-closing, self-latching gate. Avoid overexposure to the sun. Do not leave heavy objects or containers of hot liquids on tables with tablecloths that your baby may pull down. Place plastic plugs in electrical sockets. Keep toys with small parts or other small or sharp objects out of reach. It is especially important to remind older siblings that they should always play with small objects out of reach of their baby brother or sister. Keep all poisonous substances, medicines, cleaning agents, health and beauty aids, and paints and paint solvents locked in a safe place out of your baby's sight and reach. Never store poisonous substances in empty jars or soda bottles. Install safety devices on drawers and cabinets where the infant may play. Install gates at the top and bottom of stairs, and place safety devices on windows. Lower the crib mattress. Avoid dangling electrical and drapery cords. If you have a pet, keep his or her food and dishes out of your baby's reach. Also, never allow your child to approach a dog while the dog is eating. Use the playpen as an "island of safety." Learn first aid and infant cardiopulmonary resuscitation (CPR).

Eliminations Your baby will have his or her own frequency of bowel movements. Most babies strain, grunt and fuss when they have bowel movements. This does not mean they are constipated.

When to Call the Doctor Anything that bothers you! Appears not to be gaining weight. Your baby shows little interest in social interaction, avoids eye contact, and smiles infrequently. Your baby seems stiff or floppy. Your baby's head lags when pulled to a sitting position. Your baby only uses one hand to reach. Your baby makes no attempt to roll over. There is no infant squealing or laughing. Eyes are crossed most of the time. You have not seen any developmental changes since the last checkup.

Growth Milestones - NINE MONTHS

"The Creepy-Crawler" The 9-month-old child continues making major gains in development and begins displaying a little independence. The youngster of this age is always on the move and will begin to get opinionated about such things as what foods to eat and when to go to sleep. Occasionally, these opinions turn into protests, so now is the time to begin setting some limits and saying "no." The following comments are designed to help you and your partner enjoy your 9-month-old while continuing to gain confidence in yourselves as parents. The information is not intended as a substitute for well-baby visits by your newborn's pediatrician. Never hesitate to ask your child's physician for guidance concerning specific problems. This is the reason for regular well-baby checkups.

Parenting and Behavioral Keep up a constant chatter with your 9-month-old child. Talking to your child while dressing, bathing, feeding, playing, walking and driving encourages speech development. Encourage play with age-appropriate toys. Babies like to bounce, swing, reach for you, pick up and drop objects, and bang things together. Unbreakable household objects such as plastic measuring cups, large wooden spoons, pots, pans and plastic containers make great toys. A foam rubber ball helps the child develop his or her small motor skills. Provide opportunities for safe exploration. Begin to set limits by using verbal "no's," distraction, removing the object from the baby's sight or removing the baby from the object. Never use spanking as a form of discipline, even a "little" tap on the hand. If you become angry with your baby, put the child in his or her crib or playpen for one or two minutes. This will allow you to calm down and allows your baby to realize he or she has done something wrong. Consistence of discipline is very important - adhering to the limits you set keeps your child safe. Shoes are not necessary at this age (except for "show"). They should be used only to protect the feet from sharp objects and the cold. Stranger anxiety may limit some parent's ability to leave their 9-month-old with grandparents or a baby sitter. It is important for parents to get out from time to time without their little one. You get a breather, and your son or daughter learns that sometimes you do go away, but you always come back.

Development During this period your baby will probably learn to creep, crawl and otherwise get around the room. He or she may even pull up in the bed or on furniture and begin "cruising" around the room. Responds to his or her own name. Understands a few words such as "no-no" and "bye-bye." Begins developing certain concepts - for example, your child will retrieve a toy after he or she watched you put it under a blanket. May say "dada" or "mama" but not specifically. Sits well independently. Bangs two toys together. Plays interactive games well such as peek-a-boo and pat-a-cake. Perhaps the most striking developmental achievement is the use of fingers and thumb to poke, pry, probe and pick up smaller and smaller objects. Sleeps through the night except for an occasional night wakening. The 9-month-old has now learned to be "cool" or even a little afraid of certain strangers - even family members he or she does not see very often. The baby of this age also begins to take a dim view of being examined by their doctor. Often has one or both bottom front teeth.

Illness Nine months is the age when a child becomes increasing susceptible to infections, probably due to loss of maternal antibodies the youngster received during pregnancy. In addition, everything goes into his or her mouth, including germs! Do not be discouraged if your child has a cold or two between now and his or her first birthday.

Feeding Give your baby soft table foods if approved by your doctor to increase the texture and variety of foods in his or her diet. Give your child the opportunity to use his or her newly developed skill of plucking things by offering small bits of soft table foods. (You may need to give your child a bath after every meal!) The 9-month-old is a great imitator. The food on your plate is much more appetizing to him or her, so take advantage of this to introduce new table foods. Never give a 9-month-old food that may cause choking and aspiration, such as peanuts, popcorn, hot dogs or sausages, carrot or celery sticks, whole grapes, raisins, corn, whole beans, hard candy, large pieces of raw vegetables or fruit, or tough meat. Always supervise your child while he or she is eating. Continue teaching the infant how to drink from a cup so he or she is off any bottles by 1 year. Continue using breast milk or iron-fortified formula for the first year of your infant's life. Continue giving extra Vitamin D to the breast-feeding infant and supplemental fluoride to all children who are not exposed to fluorinated wate

At this Checkup An important part of each well-child visit is the evaluation of the baby's growth. In the vast majority of children, growth falls within normal ranges on the standard growth curves for weight, height or head size. The smooth curves of a growth chart might create the impression that a baby grows in a continuous, smooth manner. Instead, growth usually occurs in spurts. Therefore, single growth (height, weight, head size) measurement at any particular month in a child's life is of limited value - more important is the child's rate of growth over time. The 9-month-old will also be checked thoroughly both physically and developmentally.

Sleep Encourage your baby to console himself or herself by putting your child to bed awake. Due to the emergence of stranger anxiety, the 9-month-old baby may show resistance to going to sleep for naps and at night. Some 9-month-old babies begin night awakenings for short periods of time. Should this happen, check your baby, but keep the visit brief, avoid stimulating your infant, and leave the room quickly once you feel everything is OK. Do not give extra bottles, take the infant into bed with you or rock him or her back to sleep. This will only reinforce the night awakenings and it will become a habit. Sleep is also occasionally disturbed when the infant pulls up in his or her crib and can not get back down. Never put the baby to bed with a bottle.

Safety Remember, there is no such thing as a "child proof" cap. Your adorable newborn is now "mobile" so child-proofing, if not done at 6 months, is a priority. Get down on the floor at your baby's eye level and see what the infant can get in to. Continue to use a rear facing infant car seat in the back seat. Do not leave your child alone in a tub of water or on high places such as changing tables, beds, sofas or chairs. Always keep one hand on your baby. Avoid using baby walkers. There is considerable risk of major and minor injury and even death from the use of walkers. There is no clear benefit from the walker's use. If your home uses gas appliances, install and maintain carbon monoxide detectors. Always empty buckets, tubs or small pools immediately after use. Ensure that swimming pools have a four-sided fence with a self-closing, self-latching gate. Swimming pools are deadly to children at this age. Continue to keep the baby's environment free of smoke. Keep the home and car nonsmoking zones. Avoid overexposure to the sun. A waterproof sun screen with an SPF more than 15 is OK. Even with sun screen, avoid the hours between 10 a.m. and 3 p.m., when the sun is most dangerous. Do not leave heavy objects or containers of hot liquids on tables with tablecloths that the baby may pull down. Place plastic plugs in electrical sockets. Keep all poisonous substances, medicines, cleaning agents, health and beauty aids, and paints and paint solvents locked in a safe place out of the baby's sight and reach. Never store poisonous substances in empty jars or soda bottles. Install gates at the top and bottom of stairs, and place safety devices on windows. Lower the crib mattress. Learn child cardiopulmonary resuscitation (CPR)

Immunizations Since immunization schedules vary from doctor to doctor, and new vaccines may have been introduced. It is always best to seek the advice of your child's health care provider concerning your child's vaccine schedule. Many physicians apply a painless skin test for tuberculosis which needs checking by the parents in three days. A positive reaction does not mean the child has tuberculosis - only that he or she has been exposed to the disease. Ask your baby's doctor about possible side effects (fever, irritability, tenderness over the injection site). Some physicians at 9 months, others at 12 months, perform a hemoglobin or hematocrit determination to check for anemia ("low blood"). This requires a small poke on the finger to obtain a drop of blood. For More Vaccine Information, see: ►Kidsgrowth Vaccine Guide ►The Vaccines and the Diseases they Prevent; ►What Immunizations should my child have had by nine months? ►Keep a record of your child's immunizations. (Click to download an immunization record)

When to call the Doctor Anything that bothers you! Your baby shows little interest in social interaction, avoids eye contact and smiles infrequently. Your baby seems stiff or floppy. Will not bear weight on legs. No babbling, infant squealing or laughing. Does not turn when name is called. Eyes are always crossed. You have not seen any developmental changes since the last checkup.

Growth Milestones - TWELVE MONTHS

"Happy Birthday" A year ago, did you wonder if you would ever make it to this day? Well, you have! And along the way you have taken a tiny helpless newborn and watched him or her become a constantly moving and exploring person. Get ready! Your baby is about to enter the toddler stage of child development. Some 1-year-old children are cruising around furniture while others are walking. All 1-year-olds get into everything and become more vocal . . . and more assertive! Your child's world is enlarging, bringing new excitement and new challenges to you as a parent. The following comments are designed to help you and your partner enjoy your 12-month-old son or daughter while continuing to gain confidence in yourselves as parents. They are not intended as a substitute for well-baby visits by your newborn's pediatrician. Never hesitate to ask your child's physician for guidance concerning specific problems. This is the reason for regular well-baby checkups.

Parenting and Behavioral Because your one-year-old is mobile, whether crawling, cruising, or walking, it is important to begin putting limits on their behavior. They learn by exploration but need safe limits. Praise the one year old for good behavior. It is important to teach the child the word "no." Saying "no" in a stern voice with good eye contact is almost always effective in this age group. Some parents have a fear of the word "no." They do not want their child to feel restricted, so they bend the other way and let their youngster run wild without any limits. A child needs guidance for his or her own protection and to learn that others have rights. "No" at the appropriate time is as important for the child's development as is nutrition and love. Discipline should be consistent to be effective. To discipline a one year old, use distraction, loving restraint, removal of the object from the toddler or the toddler from the object. Discipline does not mean punishment or spanking. If you become angry with your baby, put your little one in his or her crib or playpen for one or two minutes of "time out." This will allow you to calm down and it also allows your baby to realize that he or she has done something wrong. During "time out" the child should not be able to see you or any other family member. Encourage play with age-appropriate toys. Children this age love push and pull toys. Develop motor coordination by clapping and dancing to children's music. Encourage your toddler to play alone as well as with playmates, siblings and parents. Encourage your child to play alone with supervision and with other toddlers. Remember that aggressive behaviors - hitting and biting - are common at this age. How parents respond to this behavior determines if it will continue. Despite your child's desire to become independent, you will find the 1- year-old often clinging to a parent more than before. In addition, stranger anxiety may cause some parent's not to be able to leave their child with grandparents or a baby sitter. It is important for parents to get out from time to time without their little one. You get a breather, and your son or daughter learns that sometimes you do go away, but you always come back. A demon explorer who wants to learn all about the size, shape and movability of everything in sight. Opens cabinets, pulls tablecloths, usually examines an object before putting it into mouth One Year Developmental Checklist

Development Pulls to stand, crawls rapidly, seats self on floor , cruises on furniture or walks alone with an unsteady gait. Plays social games such as pat-a-cake, peek-a-boo and so-big. Bangs two blocks together. Has vocabulary of one to three words in addition to "mama" and "dada." Drinks from a cup - not bottles. Waves "bye-bye." Feeds himself or herself Points with a finger and displays a precise pincher grasp when picking up small objects. May say one to three meaningful sounds besides using "mama" and "dada" correctly. Shows definite understanding of a few simple words; Loves music, rhythms, and rhymes Will begin to cooperate a little in getting dressed by holding still.

Illness The 12-month-old child will continue to experience upper respiratory infections (colds) and might even have an occasional ear infection. Children who are in day care will experience more infections than those who are at home with a parent or grandparent.

Feeding Your baby's appetite is going to take a nose dive in the next six months. Your child has been experiencing very rapid growth for a while - doubling their birth weight at 5-6 months and tripling it at a year. Now their rate of growth is slower than in the first year and their appetite cuts back. Do not misinterpret this normal decrease in eating as a sign of illness or disease. Never, under any circumstances, force a child to eat. Develop a "take it or leave it" attitude and do not get into the habit of substituting, bribing or begging your child to eat. Your child will determine the amount of food he or she needs. Therefore, never overload the plate. If your son or daughter wants more, he or she may have it. One of our problems as adults is over eating, and many of us learned this in childhood. Most babies at this age are eating mostly table foods but it is okay if your youngster still prefers "baby food." Milk intake decreases considerably and your child will either want to feed himself or herself or will still want you to do it. Give your 12 month old child a spoon to hold and get used to, although most cannot master utensils until 18 months. As much as possible, let your toddler feed himself or herself (most will want to anyway). Feed your youngster three meals a day eaten with the family, and a midmorning and mid-afternoon snack. Discuss milk feedings with your doctor. If you are formula feeding, your doctor might suggest weaning to whole milk ( note: some babies have harder bowel movements at first with whole milk) and limit the amount of milk to 24 ounces or less. It is important to eliminate all bottles by one year of age. After one year, the bottle is more of a comfort item and can cause damage to the teeth. If you are breast feeding, discuss with your child's pediatrician your feelings about weaning to a cup. Avoid foods that can cause choking, such as peanuts, popcorn, hot dogs or sausages, carrot sticks, celery sticks, whole grapes, raisins, corn, whole beans, hard candy, large pieces of raw vegetables or fruit, or tough meat. Always supervise your child when he or she is eating.

Oral Health Begin brushing your child's teeth with a tiny, pea-size amount of toothpaste. To protect the toddler's teeth, do not put him or her to bed with a bottle or prop it in his or her mouth. Give your child fluoride supplements as recommended by the pediatrician based on the level of fluoride on the level of fluoride in the toddler's drinking water. Ask your pediatrician when your child should see the dentist for the first time.

Sleep Encourage your baby to console himself or herself by putting your child to bed awake. Children this age frequently resist going to sleep because they do not want to be separated from people and their new activities. Your child may start to give up one of his or her naps, although most 1-year-olds still take two naps. Some 1-year-old children continue to experience night awakenings for short periods of time. Should this happen, check your baby, but keep the visit brief, avoid stimulating your infant, and leave the room quickly once you feel everything is okay. Do not give extra bottles, take the infant into bed with you, or rock him or her back to sleep. This will only reinforce the night awakenings it will become a habit. Never put your baby to bed with a bottle.

Immunizations and Medical Tests Since immunization schedules vary from doctor to doctor, and new vaccines may have been introduced,it is always best to seek the advice of your child's health care provider concerning your child's vaccine schedule. It is recommended that the one-year old child receive: Measles, Mumps, and Rubella (MMR) Vaccine #1 (Can be administered at either 12 or 15 months) Varicella (chicken pox) vaccine (Can be administered at either 12 or 15 months) Hepatitis B (HepB) #3 may be given at this time if not previously administered. Prevnar (Pneumococcal) Vaccine #4 (this may also be given at 15 months instead) 3rd Inactivated Polio Vaccine 4th HIB vaccine (can be administered at 15 months instead) Lead screening is done at 12 months of age for children at risk. Hematocrit or hemoglobin (for anemia) screening if not done at nine months or if needed for WIC (Women-Infants-Children). For More Vaccine Information, see: ►Kidsgrowth Vaccine Guide ►The Vaccines and the Diseases they Prevent; ►What Immunizations should my child have had by 12-15 months? ►Keep a record of your child's immunizations. (Click to download an immunization record)

Safety You must take safety to the "next level!" Your adorable newborn is now more "mobile" than ever, so child-proofing, if not done previously, is a priority. Accidents kill more children than all other diseases combined. Get down on the floor at your baby's eye level and see what your toddler can get in to. Remember, there is no such thing as a "child proof" cap. Keep the number of the poison control center near the telephone. One year is the minimum age for riding in a forward-facing car seat. If guns are in the house, safety precautions are crucial. Do not leave your 1-year-old alone in a tub of water or on high places such as changing tables, beds, sofas or chairs. Always empty buckets, tubs or small pools immediately after use. Ensure swimming pools have a four-sided fence with a self-closing, self-latching gate. Swimming pools are deadly to children this age. The cupboard under the kitchen sink is very attractive to a baby of this age, so have a lock put on all doors that have cleansers, detergents, bleaches, furniture polish and insecticides behind them. As soon as you use medicine of any kind, replace the cap and put the bottle out of reach, preferably locked up. Be particularly vigilant when you have visiting grandparents who are not used to watching the medicines that closely. Continue to keep the baby's environment free of smoke. Keep the home and car nonsmoking zones. Avoid using baby walkers. There is considerable risk of major and minor injury and even death from the use of walkers and there is no clear benefit from their use. Prevent fires and burns by: Turning your water heater down to 120 degrees F (50 degrees C), use the back burners on the stove with the pan handles out of reach, do not cook with your child at your feet, keep all electrical appliances out of the bathroom, keep hot appliances and cords out of reach, place plastic plugs in electrical sockets.check your smoke detectors and replace batters if necessary, and practice a fire escape plan. If your home uses gas appliances, install and maintain carbon monoxide detectors. Avoid overexposure to the sun and use sunscreen. Do not leave heavy objects or containers of hot liquids on tables with tablecloths that the baby may pull down. Keep all poisonous substances, medicines, cleaning agents, health and beauty aids, and paints and paint solvents locked in a safe place out of your baby's sight and reach. Never store poisonous substances in empty jars or soda bottles. Install gates at the top and bottom of stairs, and place safety devices on windows. Lower the crib mattress. Learn child cardiopulmonary resuscitation (CPR).

Check your child's progress with our Growth Charts.