Early years - UK-WHO growth charts and resources


The College has produced growth charts for early years. These are based on World Health Organisation (WHO) Child Growth Standards, which describe the optimal growth for healthy, breast fed children.

On this page:

On other pages:

0-4 years

This chart should be uesd for preschool infants and toddlers requiring plotting of growth data in primary or secondary care up to age four. It is also suitable for moderately preterm infants (32-36 weeks gestation).

The chart includes a BMI centile lookup and an adult height predictor.

These are the 2nd edition (January 2013). They include updates to illustrations and intructions on the interpretation of head circumference.

Neonatal and Infant Close Monitoring (NICM)

This chart is designed for plotting very preterm infants and those with significant early health problems such as weight faltering form 23 weeks gestation to 2 years corrected age.

This chart features low lines to monitor unusually short or under-weight children and the date box system for gestational correction. This also comes in foldable format for PCHR. 

This was formerly called the Low Birth Weight chart.

Children being plotted on this chart can be transferred at age 2 to either the 2-18 years chart or the Childhood and Puberty Close Monitoring (CPCM) chart - see school age charts and resources.

Warning about head circumference

It is possible to misread the head circumference scale on NICM chart in babies with very large heads.

Please read Warning on misreading of head circumference scale UK WHO NICM charts (PDF, 327KB, 1 page)

Personal Child Health Record (PCHR)

These are supplied in the PCHR, or 'red book', given to all parents at the birth of their child and are used for routine surveillance purposes.

They include a preterm page (32-36 weeks gestation) and weight up to age 4 years, length and head circumference up to age 2 and height from 2-4 years.

Height and weight pages are also now available for 4-18 years.  

Information, presentations and training materials

The education and training materials below have been produced by the RCPCH and are intended for use in training sessions for NHS staff and others. 

Guide for NHS staff on growth charts education materials (PDF, 289KB, 1 page)  

Information for parents, carers and health professionals

If you are a parent, carer or health professional and would like more information about what the growth charts tell you about a child's growth, or if you are interested in reading a summary about the charts, follow the links below:

All fact sheets (zip file) (PDF, 5.5MB) - or download individually:

Fact sheet for parents (PDF, 400KB, 2 pages)

Summary for parents and carers (PDF, 30KB, 1 page)

Information for healthcare professionals (PDF, 2MB, 20 pages)

GP summary (PDF, 176KB, 1 page)



All presentations (zip file) (40.4MB) - or download individually:

Training materials

All training materials (zip file) (2.33MB) - or download individually: 

Terms and conditions

The educational and training material on this page can be freely downloaded and used without charge as long as:

  • their source is acknowledged in any publications or products using them
  • they are not used for the purposes of advertising or promoting other products.

Users may not themselves claim any IP rights over them or seek to restrict use of them by others. The materials are Copyright © 2009 Royal College of Paediatrics and Child Health, and this copyright notice should continue to be reproduced on any copies you may make or distribute.

Also see: RCPCH terms and conditions.