formula feeding Flashcards
what is the caloric content of standard infant formula ?
66-69 kcal per 100 mls
how should infant formula be prepared ?
- hands should be cleaned with water and soap
- all feeding equipment should be cleaned with soapy water
- rinse thoroughly
- then sterilization through the boiling of the feeding equipment
- clean surface on which formula will be prepared
- add boiling water and correct amount of formula
how long should a newborn be exclusively fed on breast milk ?
first 6 months of life exclusively breast milk , not even water
what are the indications for use of the formula feeding ?
upon mothers refusal to breastfeed even after counseling
mother produces inadequate amounts of milk even after supplementation
breastfeeding when medically contraindicated
when is breast feeding medically contraindicated involving the mother ?
mothers who have HIV if AFAAS dont apply
mothers on any drug abuse ( neonatal abstinence syndrome ) - recreational
mother on chemotherapy
mother using topical iodine
radioactive iodine 113
psychotherapeutic drugs
critically ill mothers
mothers who have HSV type 1 on their breasts
what is galactosemia ?
inability to digest galactose in food galactose build up occurs causing liver damage , kidney damage c/p : jaundice cataract enlarged liver
what type of formula should be given to an infant with galactosemia ?
galactose free formula
soy protein based formula
what is maple syrup urine disease ?
inability to digest certain amino acids
must have no leucine , isoleucine and valine
give formula with no leucine ; supplement isoleucine and valine
what is the presentation of maple syrup urine disease ?
sweet smell in urine and ear wax
FTT
developmental delay
seizures
what conditions are NOT contraindicated for breastfeeding ?
mother who has : hepatitis C Hep B CMV jaundiced baby mother who is febrile
what type of formula should be given for infants suffering from PKU ?
phenylalanine free formula , some breastfeeding is possible if mother undergoes an elimination diet
what conditions must be fulfilled for a mother who has HIV to avoid breastfeeding ?
Acceptable Feasible Affordable Sustainable Safe
what is the frequency and total amount of milk formula that should be given to a newborn in the age of 0-1 month ?
8-12 feedings
total of 24 oz
what is the frequency and total amount of milk formula that should be given to a newborn in the age of 1-3 month ?
6-8 feedings daily
a total of 24-32 oz
what is the frequency and total amount of milk formula that should be given to a newborn in the age of 3-6 month ?
4-6 feedings daily
a total of 32 oz
what is the frequency and total amount of milk formula that should be given to a newborn in the age of 9-12 month ?
3-5 feedings daily
24 oz
what are the different forms of infant formulas ?
powdered formula 4gm of powder 3ala 30 or 60 ml water
concentrated liquid formula - equal amounts water
ready-to-use formula - most convenient but most expensive
what are the broad different types of formula ?
standard growth formula
special medical purpose
what are the more specific types of formulas ?
- cow-milk protein based formula
- milk with reduced allergenicity:
partially hydrolyzed milk
extensively hydrolysed milk
amino acid
soy protein based
lactose free
3.high energy formula
4.anti-reflux formula
5.preterm formula
6.infant comfort formula
what is the content of casein in cow milk protein based formula ?
first 6 months : casein- 40 whey-60
follow on milks : casein-80 whey-20
what are the indications for the use of extensively hydrolyzed milk ?
CMPA
Malabsorption
Atopic dermatitis
Short bowel syndrome
what are the indications for the use of amino acid formulas ?
severe CMPA with GOR
multiple food intolerance
short bowel syndrome
protracted intractable diarrhea
what are the indications for soy protein- based formula ?
galactosemia
strict vegans
IgE mediated CMPA
what are the indications for lactose free infant formula ?
congenital lactase deficiency post gastroenteritis after a course of antibiotics premature celiac disease after colectomy
