Feeding

Question 1

Breastfeeding - recommendations:

• how much?
• how long?

Answer 1

Exclusive breastfeeding for the first 6 months
Start in first hour
Give on demand
Give 150 ml/kg over 4-6 feeds

Question 2

Breastfeeding - Benefits:

• Child
• Breastfeeding

Answer 2

Better immunity
Reduces risk of asthma, diabetes and SIDS

Reduces risk of T2DM, CVD and ovarian cancer

Question 3

Problems in breastfeeding and how they could be managed

Answer 3

Impaired lactation - may be due to medication (hormones, bromocriptine, tamoxifen)

Cracked/sore nipples - changing position or moisturising

Mastitis - resolves with further feeds/express milk

Abscess - Ab’s needed usually staph-aureus and/or drainage

Breast milk is deficient in vit D so consider supplements for mum and baby

Breast engoregment - keep feeds regular

Question 4

Common drugs to avoid

Mneumonic:
QUITS2LACTATE

Answer 4

QUInolones 
Tetracyclines
Sulfonamides
Sulfonylureas
Lithium
Aspirin
Chloramphenicol
Tranquilizers (benzodiazepines)
Amiodarone
Thioamides
Estrogen-containing contraceptive

Question 5

Formula feeding - name of formula used

Answer 5

Cow’s milk formula

Question 6

What happens if there is a cow milks allergy?

Answer 6

The formula can be extensively hydrolysed

Question 7

Why is normal cows milk unsuitable in the first year

Answer 7

High protein and low iron

Question 8

When to start weaning onto solid food?

Answer 8

6 months with finger food

Encourage eating as a finger 0-

Question 9

How much milk for SGA babies and macrosomic babies?

Answer 9

200ml - SGA

<100ml