Class 5 Flashcards
Constipation
what’s normal
0-6 months: exclusively breastfeeding babies range from 5x/day to 1 every 3 days+
as long as baby seems comfortable, still isn’t hard/ dense or dry, continues to gain weight, and has regular wet diapers it’s not a cause for concern
there should not be a strain: be really mindful of urination. When there is less wet diapers then need for intervention…Babies become dehydrated very easily
constipation 6 months +
Once babies start to consume solids, daily bowel movements should start becoming the norm (potentially missing a day here or there)
colours of stools
everything is going in mouth can change the enzymes in the saliva changing as the teething comes in.
Defining constipation
- classified by dry hard pebble/ pellet- shaped still that can also be I=difficult to pass
You may also see:
- less that 3 BMs/ week (ideally 1+/ day)
- smears on diaper from still that isn’t fully release
- passing excessively foul-smelling gas
- a hard & or distended belly (they are suppose to be soft)
- loss of appetite
addressing constipation:
introduce new foods slowly
avoid/ reduce constipation foods
- BRAT foods (banana, rice, (cooked) apples, & toast (all wheat flour)—if diarrhoea use the to help bind
- pasteurized dairy, esp. cheese (cow’s milk formula may be contipating)
- iron supplementation or iron fortified foods (cereals, breads, crackers)
foods to include:
hydration
addressing constipation
“P” fruits: plu, peach, pear, esp. prune
- nectarines, mango, cherries, lychee
- infant probiotics & fermented foods
- water
- healthy fats (grass-fed butter, ghee, coconut, avocado oil, avocado, buts & seeds (chia, demos flax), coconut cream, salmon, sardines)
Addressing constipation
hands on support
belly massage, tui nai & bicycle legs—physical contact of st & intestines allows for the BM to come
beverages for baby-
breast milk or formula keeps a baby hydrated during the first year of life. However, complimentary liquids can be slowly introduce with the introduction of solids
offer:
water
bone broth
herbal tes
homage Nut milks
sparingly:
coconut water
water kefir
fresh juice
avoid:
pasteurized milk pasteurized juices soda & energy drinks vitamin water caffeinated tea coffee alcohol
food allergy:
definition
a food allergy occurs when the immune system recognizes proteins of a particular food as a pathogen (harmful invader)& responds with an immune attack, which is known as an IgE response (5 different response but it is the true response= IgE)
food sensitivity:
definition
food sensitivities are non-IgE reactions that trigger an immune response I which antibodies are coated. Food sensitivities do no use the threat of causing anaphylaxis
Allergies on the rise:
Centers for disease control & prevention reported that from 1997-2011
- food allergies in U.S children went up 50%
- now estimated that 1 in 12 have food allergies
- those with peanut or tree nut allergies more than tripled
- children admitted to hospital for food-related anaphylaxis has rise by 700% since 1990
why? food is changing but what else
There are many factors that may be contributing to this rise and commonly disused culprit is the hygiene hypothesis. it states that modern obsession with cleanliness and anti-bacterial products suppresses the development of the immune system. This increases susceptibility to allergies because it doesn’t expose children to the germs that do not reside in the gut.
Research suggests:
Food allergy occurrences increase with:
stress literally thins the mucosal lining of the GI tract..
- early antibiotic use
- C-section delivery
- early exposure to cow’s milk formula
- a mother’s own compromised immune system
- genetics
- pollution
- exposure to tobacco smoke
- limited/ lack of breastfeeding
- xu of beneficial microbes
- mothers nutrition & stress levels during pregnancy
Allergies on the decrease when children:
- are raised on a farm
- have exposure to a reasonable level of dirt
- live with a family dog
- having multiple siblings
high risk children include:
- family Hx of allergies
- pre-exisiting hay fever (allergic rhinitis) or asthma
- moderate- to -severe eczema (atopic dermatitis)
a doula is a social support not medical..what does that show of our culture?
you can introduce in the parking lot of the hospital if that will allow parents to feel fully comfortable —any stress response increases the reaction of inflammatory gut r responses
previously it was recommenced to delay food introduction of statically common food allergens (12+)
new research suggests that easier introduction (6-12 months) of potential allergenic foods may actually reduce the likelihood of developing allergies in high risk children
- dairy
- eggs
- wheat/ gluten
- peanuts, nuts
- sesame
- seafood (spec. shellfish)
- soy
Allergies:
introduce high risk allergen foods one at a time, at least 3 days apart
- if noticeable reaction occurs, discontinue consumption, allow symptoms to subside before introducing the next food
- if no reaction occurs continue with next food as planned
Allergies:
if no reaction occurs continue with next food as planned
Allergies: on the rise
other common
strawberry & kiwi: most common fruit allergies
Sesame seeds: seed allergy (you can Waterdown tahini)
Mustard: most common spice allergy
legumes: other than peanuts & soy, other common legume allergies are lentils and peas
FOOD SENSITIVITIES:
citrus fruit: the acidity of citrus fruit may cause a diaper rash & a rash around baby’s mouth While some babies can eat a citrus at a younger age without a reaction, many don’t tolerate
corn:
it is also one of the top genetically modified foods, so always opt for organic when possible
preservatives & food dyes:
these are allergies are more rare, many children are sensitive these additives: such as sulphites, benzoate’s, MSG, tartrazine, artificial colourings red, blue & yellow
orange is the only fruit that is allowed to have a dye injected into it- to be more applying: OJ has dye too
