MIXED FEEDING



COMBINED FEEDING

Definition:

Infant`s nutrition during the first 4 months of life with human milk associated with infant formulas.

Complementary methods:

It is used in native hipogalactie.

At each meal infant receives human milk and in addition infant formulas.

The infant will be put to the breast first and then will receive in addition infant formula (preferably a hypoallergenic formula milk - HA).

It is recommended to use the cup / spoon when feeding the infant. If the infant is bottle fed, after a period of time will quit sucking at the breast.

Example: infant III month old

6 x 130-140 ml ± 50 ml fruit or vegetables juice per day

6 x 50 ml human milk + 80 (90) ml Nan HA1 / Humana HA1 / Aptamil HA1 / Lp 10% + mo 3% + 5% sugar

Alternative Method:

Used by mothers returning to work.

The infant receives only human milk at some meals and infant formula at other meals (preferably a hypoallergenic formula milk - HA).

It is recommended to use the cup / spoon when feeding the infant. If the infant is bottle fed, after a period of time will quit sucking at the breast.

Example: infant III month old

6 x 130-140 ml ± 50 ml fruit or vegetables juice per day

4 x 130-140 ml human milk

2 x 130-140 ml Nan HA1 / Humana HA1 / Aptamil HA1 / Lp 10% + mo 3% + 5% sugar

Diversify FEEDING

Rules in adding new foods in infants (weaning food):

1. introducing a new food will be made only when the baby is healthy;

2. first new food is individualized depending on the particularities of infant development: in the eutrophic - starts with soup of vegetables or fruit puree; in the dystrophic - will initially introduce cereals (gluten-free) and soon the diet will be enriched with protein;

3. introduction of new food will be progressive – we start with 20-30g/day at one meal, reducing the same amount of milk; the quantity of new food is slowly increased in following days, until we replace one entire milk-meal with the new food;

4. should be introduced only one new food a week, at the same meal;

5. in case digestive disorders occur (vomiting and / or diarrhea) – stop giving that food and resume a few days after digestive tolerance is recovered;

6. the new food will be given with a teaspoon;

7. calorific value of newly introduced food must be greater than that which is removed from the diet;

8. number of meals per day depend on age, the sensation of hunger-satiety and weight of the child;

9. novel foods will be mashed until the first teeth appear, then crushed;

10. the best criterion of introducing weaning food successfully is tracking infant charts of growth and development.

Weaning food - steps:

After the age of 4 - 4 ½ months:

- cereals (gluten free) – rice, corn

- fruit puree - apples, peaches, pears

- vegetable soup / mashed vegetables (potatoes, carrots, squash)

After the age of 5 - 6 months:

- meat (beef, poultry)

- calcium cheese / cottage cheese

- egg yolk

After 6 months of age:

- cereals with gluten – wheat, barley, oatmeal, rye

After the age of 6 - 7 months:

- liver (alternation with meat and egg yolk)

- yogurt

After 8 months of age:

- white bread

- cream

After the age of 10 (12) months: ]

- fish

Nutrition in an infant 10 months and one week old:

5 meals x 200 ml or 6 meals x 160 (170) ml

• 1x 200 to 250 ml of milk (breast milk / infant formula) with cereal

• 1x fruit puree with cheese / cereal

• 1x mashed vegetables (e.g. potatoes) mixed with meat / egg yolk

(x 2 to 3 per week) / liver

• 1x yogurt / cheese with cereal

• 1x 200 to 250 ml of milk (breast milk / infant formula) with cereal

FEEDING THE CHILD WITH LOW BIRTH WEIGHT (Wb)

Principles:

1. Liquids requirements:

Week 1: 60 ml / kg / day

Week 2: 130 ml / kg / day

From 3 weeks up to a W of 3000 - 3500g: 200 ml / kg / day

2. Calorie requirements:

Week 1: 50 kcal / kg / day

Week 2: 90 - 100 kcal / kg / day

From week 3: 130 kcal / kg / day

3. The need for maximum power principle:

Proteins: 2 - 4.5 g / kg / day

Lipids: 4 - 6 g / kg / day

Carbohydrates: 11 - 14 g / kg / day

4. In the first 10 - 15 days is the period of exploratory digestive tolerance (gradually increase the amount of milk given). Will then be breast fed, bottle fed (special milk formula for children with low Wb) or combined fed with complementary method.

5. If the child's weight is less than the number of meals increases:

if W is closer to 2500g, will receive 8 meals

if W is closer to 2000g, will receive 10 meals

if W is less than 2000g will be fed by gavage (10 gavage / day) (infant does not coordinate sucking with swallowing and breathing)

6. Dilution liquid is boiled water.

Special milk formulas for children with low Wb:

• use up to the weight of 2500g, after being recommended to be fed by the transitional formula or standard formula.

• Examples: PreNan, Nan Premium, Humana 0, Aptamil Prematil, BioPre

In those with G ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download