Paediatricsmiddle twist
A 7-month-old girl is brought to a rural general practice. Her weight has fallen from the 50th centile to below the 0.4th centile over three months; her length remains on the 25th centile and her head circumference on the 50th. She is listless, takes a few sucks and turns away, and her nappy has been dry since the previous evening. Her mother has severe postnatal depression, has missed the last three child health nurse appointments and says she cannot manage. Which one of the following should be arranged first?