normal head circumference for 2 year old boy

French Version, Color [PDF 44 KB] Modified 4/20/01 They then gain 14 to 28 g/day until 3 months, then 4000 g between 3 and 12 months, doubling their birth weight by 5 months, tripling it by 12 months, and almost quadrupling it by 2 years. Again, three measurements should be taken and averaged to determine an accurate height measurement. 2;h7do;dG}pU@&fS`ZD B&W Press-Ready [PDF 147 KB] Modified 9/15/05 The #1 app for tracking pregnancy and baby growth. Adolescence defines an age group; puberty occurs during adolescence (see Physical Growth and Sexual Maturation of Adolescents Physical Growth and Sexual Maturation of Adolescents During adolescence (usually considered age 10 to the late teens), boys and girls reach adult height and weight and undergo puberty. 0 1. Growth from birth to adolescence occurs in 2 distinct phases: Phase 1 (from birth to about age 1 to 2 years): This phase is one of rapid growth, although the rate of growth decreases over that period. A child's first tooth usually erupts by 6 months of age, and a complete set of 20 deciduous teeth usually develops by 2 read more . Prematurity is defined by the gestational age at which infants are born. Color Press-Ready [PDF 180 KB] Modified 9/15/05 Hello my baby is 2 months old and her weight is 4.6kg and her head circumference is 38.5cm is that normal. Around one month of age, this would go up to 38.1 cm (15 in). The relatively larger amount of body water, its high turnover rate, and the comparatively high surface losses (due to a proportionately large surface area) make infants more susceptible to fluid deprivation than older children and adults. AAP. Head Circumference Chart. 'x{K},/w{zoLK]/KPFz?YZUs;wr//_w_[TvQ[/v~t{_^)?HGLX2\ !iN#3PWt'.+5Bp7-KXV*"VHh Q6QAp%D TwS]5 \K(%4BZ}qV/>3Q9("Ym8]!N,uX N\0.,A0E65M3)r0j{CB Previously, any infant weighing < 2.5 kg was termed read more ). Use for phrases To know about your baby boys growth is critical to ensure his development is on track. 700 Childrensfeatures the most current pediatric health care information and research from our pediatric experts physicians and specialists who have seen it all. Is it normal to spot a gray hair in my two year old's head?? Color Press-Ready [PDF 334 KB] Modified 9/15/05 French Version, Color [PDF 55 KB] Modified 10/16/00 The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Spanish Version, Color [PDF 62 KB] Modified 11/21/00 In addition, various other factors such as the age up to which the child is breastfed, educational qualifications of the parents, and the environment they grew up also have an impact on the IQ level of the children. Thank you for taking the time to confirm your preferences. Have percentile curves for each chart, as follows:2. Should be used in conjunction with term charts after 40 weeks. 25 0 obj<>stream Color [PDF 47 KB] Modified 4/20/01 After puberty, the percentage generally stays stable in girls, whereas in boys there tends to be a slight decline. Spanish Version Color [PDF 52 KB] Modified 10/16/00 Your baby's doctor will measure and chart your baby's head circumference from birth through 2 years of age. B&W Press-Ready [PDF 208 KB] Modified 9/15/05 Notes. 6 20 There's no one number to define a normal baby head circumference at a given age, but there are charts that provide ranges. Catch-up growth can occur during this 2 year period. Spanish Version, Color [PDF 61 KB] Modified 11/21/00 Data table of Head circumference-for-age charts Color Press-ready [PDF 250 KB] Modified 9/15/05 Spanish Version, Color [PDF 52 KB] Modified 10/16/00 Centers for Disease Control and Prevention. The clinical growth charts reflect modifications in the format of the individual charts, whereby two individual charts appear on a single page, and data entry tables have been added. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Set 1 has the outer limits of the curves at the 5th and 95th percentiles. Head circumference graphs for boys and girls from birth to 18 years of age, calculated from reports in the world literature published since 1948, are presented. Every baby should be monitored for growth, and it is important to use the right tool to do so. 0000040288 00000 n Height is measured with a standing stadiometer once a child can stand. If your baby's head circumference is outside the normal range for their age and sex, their healthcare provider will want to check for problems. The following English-language resources may be useful. The medical staff will take the measurement promptly because the charts used for comparison were developed measuring babies before 24 hours of age. 0000001148 00000 n 0000001675 00000 n Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. 6 0 obj <> endobj But it's not necessary (your baby's doctor will routinely measure and chart the numbers for you), and it's hard to do it accurately. Read This Next 0000000016 00000 n A percentile of 50% represents the average or mean head circumference. For example out of a sample of 100 babies, a percentile value of 40 percent means your baby weighs . Color [PDF 423 KB]. However, there are different versions available to give the parent and medical professional guidance. Released December 15, 2022, these charts extend to a BMI of 60. Color [PDF 52 KB] Modified 10/16/00 Preterm growth charts should be used for these babies. The United States Center for Disease Control (CDC) recommends using the World Health Organization (WHO) charts for the first two year of life (0 to 2 years). https://www.healthychildren.org/English/ages-stages/baby/Pages/First-Month-Physical-Appearance-and-Growth.aspxOpens a new window [Accessed April 2022], CDC. Data table of Weight-for-age charts, B&W [PDF 48 KB] Modified 10/16/00 The weight-for-stature charts are available as an alternative to accommodate children ages 2-5 years who are not evaluated beyond the preschool years. Spanish Version, Color [PDF 48 KB] Modified 4/20/01 ^MmoG/,TV c-=HkYYy{;}}3\6kz)= . Expertise. Our Global Patient Services team is here to help international and out-of-area families every step of the way. If you have a child or care for a child 700 Childrenswas created especially for you. startxref The first time your baby's head will be measured is shortly after birth. At the extremes (>97 th percentile or <3 rd percentile), small . The child's feet should be flat on the floor and the heels flat against the wall. Include Weight, Length and Head Circumference in weekly increments. 0000023815 00000 n 9-12: 14-16: 16-18: 18-20: 20-22 (cm.) Doctors use charts developed by the World Health Organization (WHO) for babies from birth to 24 months. Data table of Weight-for-age charts, B&W [PDF 48 KB] Modified 10/16/00 Macrocephaly is a word that means your baby has a larger than normal head circumference. The average newborn's head circumference is about 13.47 inches (34.2 cm). }ZZ$&m.7M. This calculator may or may not be accurate or reliable. 0000011479 00000 n Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Measurements within normal ranges and that increase on an expected curve are an important indication that your baby's brain is growing as it should. 2009. Checking that your baby fits into this range can reassure you that he is within the normal range of height, weight and head circumference measurements for his age. Smoothed percentiles for. Color [PDF 61 KB] Modified 10/16/00 Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. What is Normal Baby Head Circumference? %%EOF Color [PDF 46 KB] Modified 10/16/00 If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Chart patterns reflect infants breastfed for at least 4 months and still breastfeeding at 12 months. Do not recommended using Body Mass Index (BMI) in children under 2 years of age. If your baby's head circumference is much smaller than average, it may be a sign that their brain has stopped growing or isn't growing properly. Parents often ask Is my child on a good percentile?. trailer B&W [PDF 408K] Data table of Stature-for-age charts The American College of Obstetricians and Gynecologists (ACOG) define a term infant as born between 37-40 weeks gestation. Spanish Version, Color [PDF 51 KB] Modified 10/16/00 The percentile tells you what percentage of babies weigh less than your baby. The normal range is usually defined as approximately between the 5th and 95th percentiles. Microcephaly is a head circumference greater than two standard deviations below the mean. Advanced technologies. Color Press-Ready [PDF 334 KB] Modified 9/15/05 Otherwise, these same charts can be routed to a black-and-white printer, and will print in black-and-white. Data table of Length-for-age charts These cookies may also be used for advertising purposes by these third parties. Your baby's head circumference is one of the first measurements healthcare providers will take of your newborn. But most babies dislike getting their head circumference measured and might become fussy, making it difficult for a doctor to get an accurate measurement in one attempt. Around one month of age, this would go up to 38.1 cm (15 in). Catch-up growth here refers to rapid growth of preterm infants that minimizes the size difference with term counterparts. Have percentile curves for each chart, as follows:2 nd, 5 th, 10 th, 25 th, 50 th, 75 th, 90 th, 95 th and 98 th. Head circumference, which is taken by wrapping a tape measure around a baby's head At each visit, your baby's pediatrician will plot your child's measurements on a growth curve to monitor her individual growth over time. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Color [PDF 84 KB] Modified 11/21/00 You can measure your baby's head circumference at home, too, if you want. Side 1: Length for age + Weight-for-age Side 2: Head circumference-for-age + Weight-for-length Children and adolescents, 2 to 20 years: Side 1: Stature-for-age + Weight-for-length Side 2: BMI-for-age or Weight-for-stature (age 2 to 5 years only) Set 1: Clinical charts with 5th and 95th percentiles Birth to 36 months (5th-95th percentile) Her favorite gig of all is being "Mama Karen" to four grown children and "Nana" to nine grandkids. These charts give the average head circumference for a boy or girl at a given age, and they allow your baby's doctor to compare your baby's head size with the average as well as with your baby's growth over time. Enter Measurement Date - Enter the day the measurement was taken. Commonly, it is assumed that babys head circumference will measure around 2 cm larger than the chest up to six months of age. Spanish Version, Color [PDF 60 KB] Modified 10/16/00 By using our website, you consent to our use of cookies. Females, Birth - 36 Months. Color [PDF 55 KB] Modified 10/16/00 2010. The fontanel, a soft region on the babys head, will close as your child turns 18 months of age. The clinical growth charts for infant length-for-age and infant weight-for-age were revised to improve the appearance of the scale for inches on the length charts by extending the indicators at inch increments, and enhancing alignment of the English with the metric scales on both the length and weight scales. 0000002035 00000 n In general, healthy term infants and children grow about 2.5 cm/month between birth and 6 months, 1.3 cm/month from 7 to 12 months, and about 7.6 cm/year between 12 months and 10 years. A value below 50 percent means a child's head circumference is less than the average. Use of World Health Organization and CDC growth charts for children aged 0 -59 months in the United States. B&W Press-Ready [PDF 208 KB] Modified 9/15/05 Enter Birthday - The date the child was born. All clinical growth charts may be viewed, downloaded, and printed in Adobe Acrobat. K5Ji#ykH m On average, normal infants should have 6 teeth by 12 months, 12 teeth by 18 months, 16 teeth by 2 years, and all 20 teeth by 2 years; deciduous teeth are replaced by permanent teeth between the ages of 5 years and 13 years. Preterm Infant Growth Charts o [teenager OR adolescent ], , DO, Nemours/Alfred I. duPont Hospital for Children. Use breastfed infants as the norm for growth. 0000010671 00000 n Color [PDF 418 KB], Download all 10 charts in Set 2 0000018840 00000 n It is difficult to assess growth with only a few measurements in a short period of time. Color Press-Ready [PDF 223 KB] Modified 9/15/05 Body water measured as a percentage of body weight is 70% at birth, dropping to 61% at 12 months (about equal to the adult percentage). Because birth to 3 years old is a period of rapid brain growth, your child's healthcare provider will measure their head circumference at every well-baby and well-child visit up to 2 years. <<52F0EDDE615CF04081FED37C6AAA5D78>]>> Spanish Version, Color [PDF 53 KB] Modified 10/16/00 Growth from birth to adolescence read more ). HWn%7Whi/\m7 $A'n9V]H/[E/)| B&W Press-Ready [PDF 207 KB] Modified 9/15/05 Head circumference reflects brain size and is routinely measured up to 36 months. The clinical growth charts for stature-for-age were modified because the scale for inches was not correctly aligned with the metric scale. In contrast the WHO growth charts only provide information on children up to 5 years of age. For these, please consult a doctor (virtually or in person). A single "normal" head circumference, that is one . There is a slow rise again until the onset of puberty, when body fat may again fall, especially in boys. The child stands against the stadiometer. MMWR Recomm Rep 59(36):1184, 2010. Extremities grow faster than the trunk, leading to a gradual change in relative proportions; the crown-to-pubis/pubis-to-heel ratio is 1.7 at birth, 1.5 at 12 months, 1.2 at 5 years, and 1.0 after 7 years. Rate of increase of head circumference with age: 0 to 3 months: 2 cm. But this measurement is done only a few days after birth. Head circumference. Most children who undergo treatment and surgery recover completely and go on to lead normal lives as adults. "The WHO Child Growth Standards". Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 2021. When will my baby's head circumference be measured? Such occurrences are quite rare and often accompanied by other health issues. Spanish Version, Color [PDF 50 KB] Modified 10/16/00 what percentile does she fit in? Select Gender - Choose male for boys and female for girls. (See also Failure to Thrive Failure to Thrive (FTT) in Children Failure to thrive in children is weight consistently below the 3rd to 5th percentile for age and sex, progressive decrease in weight to below the 3rd to 5th percentile, or a decrease in 2 major read more and Health Supervision of the Well Child Health Supervision of the Well Child Well-child visits aim to do the following: Promote health Prevent disease through routine vaccinations and education Detect and treat disease early Guide parents to optimize the childs emotional read more .). It is difficult to measure HC exactly but those numbers are well within the normal range. 6 months to 1 year: 0.5 centimeters/month: Total during the first year of life: 12 centimeters: 1 year to 3 years: 1 centimeter/6 months: 3 years to 5 years: 1 centimeter/year: 1 centimeter = 0.39 inch: . The infant is laid on the stadiometer. It may be seen with chrom Having a grey hair in 2 years old is not normal ,wait and watch if any more grey hair come up .At present just watch .It may happen if there family You can use the Center For Disease Control Growth Charts to check height, weight, BMI & head circumference for childs age and gender. B&W Press-Ready [PDF 152 KB] Modified 9/15/05 B&W Press-Ready [PDF 141 KB] Modified 9/15/05 French Version, Color [PDF 66 KB] Modified 10/16/00 Is it normal for a 2 year old to sweat only her head while she is asleep? Your newborn baby's growth and development, https://www.healthychildren.org/English/ages-stages/baby/Pages/First-Month-Physical-Appearance-and-Growth.aspx, https://www.cdc.gov/growthcharts/html_charts/hcageinf.htm, https://www.cdc.gov/zika/pdfs/microcephaly_measuring.pdf, https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5909a1.htm, https://www.merckmanuals.com/home/children-s-health-issues/growth-and-development/physical-growth-of-infants-and-children, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541430/, https://pubmed.ncbi.nlm.nih.gov/25932781/, https://medlineplus.gov/ency/article/002379.htm, https://kidshealth.org/Nemours/en/parents/growth-charts.html, the most helpful and trustworthy pregnancy and parenting information. This app uses WHO tables and data for head circumference for age calculations. Symptoms associated with tooth eruption are called teething Teething Teething is the process in infants of tooth eruption through the gums. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Gently, the infant's legs are straightened and the knees are pressed down. This rare condition can increase the pressure in your baby's head. Color Press-Ready [PDF 390 KB] Modified 9/15/05 Data table of Head circumference-for-age charts The American Academy of Pediatrics. Color Press-Ready [PDF 401 KB] Modified 9/15/05 your doctor. Sj4(7 b[`0ELm(`F&QIZhbsb )pN-ZH 2GFlNKvKb. When autocomplete results are available use up and down arrows to review and enter to select. Industry Standards. Parenting.Firstcry.com accepts no liability for any errors, omissions or misrepresentations. French Version, Color [PDF 79 KB] Modified 11/21/00 Color [PDF 41 KB] Modified 10/16/00 Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. At puberty, a second growth spurt occurs, affecting boys Sexual Differentiation, Adrenarche, and Puberty Male sexual development and hormonal function depend on a complex feedback circuit involving the hypothalamus-pituitary-testes modulated by the central nervous system. Centers for Disease Control and Prevention. Corrected age is used to describe the childs age from the original due date. By using this calculator you acknowledge any reliance on this calculator shall be at your sole risk. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Journal of Neurosurgery: Pediatrics 16(2): 186-94. https://pubmed.ncbi.nlm.nih.gov/25932781/Opens a new window [Accessed April 2022], MedlinePlus. B&W Press-Ready [PDF 206 KB] Modified 9/15/05 During every visit to the paediatrician, the doctor will make a note of various aspects related to your babys growth and development. Tooth eruption is variable (see table Tooth Eruption Times Tooth Eruption Times ), primarily because of genetic factors. In general, boys weigh more and are taller than girls when growth is complete because boys have a longer prepubertal growth period, increased peak velocity during the pubertal growth spurt, and a longer adolescent growth spurt. These summary files contain the clinical charts from either set 1 or set 2 as described above. Percentile >=98: Macrocephaly. Molars are numbered from the front to the back of the mouth (see figure Identifying the teeth Identifying the teeth ). Color Press-Ready [PDF 499 KB] Modified 9/15/05 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Other causes of a large head size are brain tumors or genetic conditions. Your Color [PDF 77 KB] Modified 11/21/00 Boys chart- Head circumference for age: Birth to 2 years (percentile) Boys chart- Head circumference for age: Birth to 5 years (percentile) Tables. National Health Statistics Reports; no 158, 2021. From birth until age 2 years, it is recommended that all growth parameters be charted using standard growth charts from the World health Organization (WHO). 0 For potential or actual medical emergencies, immediately call 911 or your local emergency service. *E,e=WE2'M)II Y((i2G6?BA"IWSI7Csffsi9VCI "R0C/Un;r2*Q+ihnX. Using corrected age during a period of catch-up growth provides the infant time to achieve typical growth standards. French Version Color [PDF 56 KB] Modified 10/16/00 Saving Lives, Protecting People, NEW: CDC Extended BMI-for-age growth charts for very high BMIs, CDC Extended BMI-for-age growth charts page, Set 1: Clinical charts with 5th and 95th percentiles, Set 2: Clinical charts with 3rd and 97th percentiles, Data table of Head circumference-for-age charts, Centers for Disease Control and Prevention, Data Table of Infant Length-for-age Charts, Data Table of Infant Weight-for-age Charts, Data Table of Infant Head Circumference-for-age Charts, Data Table of Infant Weight-for-length Charts, Case Study: Comparison of 1977 and 2000 Growth Charts, Data Table for Boys Weight-for-Length and Head Circumference-for-age Charts, Data Table for Boys Length-for-age and Weight-for-age Charts, Data Table for Girls Weight-for-length and Head Circumference-for-age Charts, Data Table for Girls Length-for-age and Weight-for-age Charts, National Health and Nutrition Examination Survey, U.S. Department of Health & Human Services, Head circumference-for-age and Weight-for-length, Side 2: Head circumference-for-age + Weight-for-length, Side 1: Stature-for-age + Weight-for-length, Weight-for-stature (age 2 to 5 years only). 6 Months - 95 th percentile head circumference is around 46 centimeters. should not be construed as a substitute for advice from a medical professional or health care provider. Color [PDF 58 KB] Modified 10/16/00 Color [PDF 53 KB] Modified 10/16/00 Color [PDF 41 KB] Modified 10/16/00 https://www.who.int/toolkits/child-growth-standards/standards, Child Height Predictor - Predict Adult Height, Head Circumference-Age (23-41 Gestational). Use OR to account for alternate terms French Version, Color [PDF 67 KB] Modified 10/16/00 https://medlineplus.gov/ency/article/002379.htmOpens a new window [Accessed April 2022], Nemours. ',-]6mRsr N4*!yvd.bvf Tf@f>Y$fhL/F+tPQ!kPZ,O:G]g^fzP)LA If your baby's head circumference is much larger than average, it may be a sign of hydrocephalus, which is a buildup of fluid in and around the brain. 2019. Diagnosis is suggested by physical anomalies and read more . Normal head circumference for 2 month old, Normal head circumference for 9 month old, Normal head circumference for 12 month old, Normal head circumference for 6 month old. i am worried. At birth, the brain is 25% of adult size, and head circumference averages 35 cm. All information these cookies collect is aggregated and therefore anonymous. This measurement is important because the size of the head reflects the size of the brain, and this measurement lets doctors know whether the child's brain is growing at a normal rate. In general, length in full-term infants increases about 30% by 5 months and > 50% by 12 months. Centers for Disease Control and Prevention. Cookies used to make website functionality more relevant to you. Clinical charts are available for boys and for girls. Data table of Weight-for-age charts, B&W [PDF 61 KB] Modified 10/16/00 The doctor will enter this number on your baby's growth chart, along with their length and weight. Checking that your child fits into this range can reassure you that he is within the normal range of height, weight and head circumference measurements for his age. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. her head circumference is 21 inches. Girls chart- Arm circumference-for-age: 3 months to 5 years (percentiles) Percentiles: boys Boys chart- Arm circumference-for-age: 3 months to 5 years (percentiles) Tables z-scores: girls Girls table- Arm circumference-for-age: 3 months to 5 years (z-scores) Download : PDF Excel z-scores: boys For ages 2 to 3 years, doctors use charts developed by the Centers for Disease Control and Prevention (CDC). French Version, Color [PDF 64 KB] Modified 10/16/00 Enter Head Circumference - distance around the child's head. The skull is the largest part of their body, with the average newborn's head circumference measuring about 13.75 inches, or 35 cm if you prefer the metric system.. By the time a human is one month old, their head has grown to about 15 inches (38 cm). The measurement obtained will then be measured against a growth chart. is that normal for her age? B&W Press-Ready [PDF 186 KB] Modified 9/15/05 Data table of Weight-for-length charts, B&W [PDF 41 KB] Modified 4/20/01 But this measurement is done only a few days after birth. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5909a1.htmOpens a new window [Accessed April 2022], Graber EG. 6 20 Data table of BMI-for-age charts, B&W [PDF 40 KB] Modified 10/16/00 21-23: 22-24 (cm.) 0000012762 00000 n The numbering system shown is the one most commonly used in the United States. Supernumerary teeth and congenital absence of teeth are probably normal variants. For children 2-5 years, the methods used to create the CDC growth charts and the WHO growth charts are similar. Sexual Differentiation, Adrenarche, and Puberty, growth charts from the World health Organization (WHO), growth charts from the Centers for Disease Control and Prevention (CDC), Grummer-Strawn LM, Reinold C, Krebs NF, Centers for Disease Control and Prevention (CDC), Growth charts from the WHO (birth until age 2 years), Growth charts from the CDC (after age 2 years). French Version, Color [PDF 45 KB] Modified 4/20/01 Every baby is different, and there are bound to be variations in the way they grow and develop. Head circumference increases an average 1 cm/month during the first year; growth is more rapid in the first 8 months, and by 12 months, the brain has completed half its postnatal growth and is 75% of adult size. The prevalence of childhood and adolescent obesity remains high today (1 Weight reference Physical growth includes attainment of full height and appropriate weight and an increase in size of all organs (except lymphatic tissue, which decreases in size). Just enjoy playing and talking to your new. After this, from six months to two years, the chest and head measurements will be the same. The WHO Growth Charts After two years, it is recommended to return to the CDC charts. Saving Lives, Protecting People, Centers for Disease Control and Prevention, Data Table of Infant Length-for-age Charts, Data Table of Infant Weight-for-age Charts, Data Table of Infant Head Circumference-for-age Charts, Data Table of Infant Weight-for-length Charts, Case Study: Comparison of 1977 and 2000 Growth Charts, Data Table for Boys Weight-for-Length and Head Circumference-for-age Charts, Data Table for Boys Length-for-age and Weight-for-age Charts, Data Table for Girls Weight-for-length and Head Circumference-for-age Charts, Data Table for Girls Length-for-age and Weight-for-age Charts, U.S. Department of Health & Human Services.

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normal head circumference for 2 year old boy

normal head circumference for 2 year old boy

normal head circumference for 2 year old boy