Formula Feeding Flashcards
Why is it important to monitor growth?
- reinforcing healthy growth patterns
- nutrition and health evaluation tool
- initiate further assessment in case of unusual growth patterns
- “teachable moments” with caregivers
- context for regular contact with primary health care services and public health
What does growth equate to?
Health
What growth charts can be used to monitor growth?
- centre for disease control (CDC)
- World Health Organization (WHO)
What do growth charts for birth to 2 years assess?
- Weight for age
- Length for age
- Head circumference for age
- Weight for length
Assessing growth as a reference
Seen with the CDC
- how infants/children growing within a population
- growth assessed relative to others within the population
Assessing growth as a standard
WHO based off this
- optimal growth in infants/children
- growth assessed relative to optimal
- identify inadequate or excessive growth
How were CDC growth charts developed?
Looked at growth when obegenic already a problem
- reference group is a large number of infants in the USA
- includes breastfed and formula fed
- indicates how infants growing compared to other infants
How where WHO growth standards developed
Standards based on optimal growth
- international growth charts
- longitudinal follow-up of children in six countries: Brazil, Ghana, India, Norway, Oman, USA
- selective in which infants included in dataset
WHO standards between BF and FF
Breastfed infants have a different growth pattern than formula fed infants
- slower rate of gain first year compared to formula fed
What growth chart does Canada use?
Based on WHO - Developed by Dietitians of Canada, Canadian Paediatric Society, others
- WHO 2006 Child Growth Standard birth to 5 years
- WHO Growth Reference 2007 5 to 19 years
What are key growth changes for healthy development of infant?
- 5-95th percentile “normal”
- Double birth weight by 3-6 months
- Triple birthweight by 1 year
History of infant formula
- Mid 1800s: first commercially available infant formula: wheat flour, malt, potassium bicarbonate
- Late 1800s: attempts to make more similar to breastmilk composition (ie use of lactose)
- 1960: use of isolated proteins
- 1962: composition regulated and heavily marketed that woman werent making enough
- 1980s-1990s: emphasis on breastmilk is best; regulations on the marketing of infant formula
What is the International Code of Marketing of Breast-milk Substitutes
From WHO in 1981 Health professionals must provide information about:
* the importance of breastfeeding
* the costs of formula feeding
* the difficulty of reversing the decision
* counsel those who have made a fully informed choice not to breastfeed on the use of breastmilk substitutes
When is formula recommended?
Circumstances where mothers are unable/unwilling to breastfeed
What can breastmilk be replaced with?
- pasteurized breastmilk from screened donors or commercial formulas
- iron-fortified formula until 9-12 months