breast feeding

Question 1

why is nutrition important

Answer 1

growth not just increasing size but change in body structure, composition and function
Disease prevention (breast feeding)

Question 2

average term infant

Answer 2

3.3kg

Question 3

average weight gain

Answer 3

0-3months 200g
3-6 months 150g
6-9 months 100g
9-12 months 75-50g

Double weight by 6 months and triple by 1 year
after 1 year approx 2 kg and 5 cm/year until puberty

4kg baby with 4 weeks of static weight, 20% underweight, like an adult losing 20kg

Question 4

nutritionally best for full ter babies

Answer 4

well tolerated
less allergenic
low renal solute load

improve cognitive development
reduces infection
-macrophages and lymphocytes
-interferon, lactoferrin, lysozyme
-Bifidus factor??

Question 5

breast milk vs formula

Answer 5

suckling/ bonding
perfect nutrition for 6 months for most infants
tailor made passive immunity
increased develpment of infants active immunity
failure to establishing successfully
development of gut mucuso
antigen load minimal
vs
near perfect nutrition for up to a year
no anti infection properties
risk of contamination
no transition of BBVs
high antgen load
expensvive
doesnt need mum

Question 6

UNICEF baby friendly

Answer 6

skin to skin contact
discourage unnessary bottle feed
on going support for mother

Question 7

breast feeding is not possible?

Answer 7

formula  feeding
all are cows milk based
various brands avaialable
no significant diffrence
use first milks for 0-6 months
powder or ready to feed
various compositions based on age

Question 8

cows milk allergy?

Answer 8

first line weeks vs second line weeks

lactose intolerance uncommon
not allergy
reduced levels of enzyme (lactase)
post gastro enteritis

Question 9

soya milks

Answer 9

phytoestrogens
cross reactivity with cows milks
organic versions are not calcium fortified

Question 10

toddlers and pre school

Answer 10

self feed and find food
picky eaters
dependent on carer