Nutritional Anemia in Children

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Abstract
Expanding blood volume and erythropoiesis associated with rapid growth render an exogenous source of Fe essential for prevention of nutritional anemia during the second 6 mos. of infancy and early childhood. Social, economic, and emotional factors disturb the feeding pattern of infants, with resultant development of feeding problems. Disturbances in the parent-child relationship reflected as feeding problems were responsible for development of anemia in this group of patients. Some of the specific problems observed were inability to breastfeed; regressive anorexia associated with toilet training or with weaning; perpetuation of anorexia, which may occur with teething or acute infections; and perpetuation of physiological anorexia, which may occur in the 2d year of life. Immaturity of parents, marital incompatibilities, sexual problems, as well as the social and economic factors associated with poor housing and financial privation, all were factors causing a poor parent-child relationship. The most consistent finding perhaps was the failure of any single mother in this series to breastfeed her infant.

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