Lecture 02 Newborn Nutrition Flashcards
Newborn Nutrition: What are gastric muscles & GI motility like at birth?
Gastric muscles are weak at birth GI motility is pretty slow, and empties in 2~3 hours
What’s the stomach capacity at birth?
30 ml
What are the caloric needs of a full term new born from 1~3 months?
110/kcal/kg/day
What are the caloric needs of a full term newborn at 3~12 months
100/kcal/kg/day
How many calories/oz does human milk provide?
20 kcal/oz
What are the carbohydrate needs of newborns?
They have small hepatic glycogen stores. Nutritional source should supply 40% to 45% of total calories
What are the primary source of carbs for babies?
Human milk-lactose Slow in breakdown and absorption Formula: corn syrup solids or glucose polymers Need to supplement the lactose in cow’s milk
What is the ideal source of protein for newborn infants? Why is that?
Human milk protein is the ideal source of newborn. Human milk also contains more lactalbumin (whey) and this is more easily and rapidly digested than casein*. Casein is in cow’s milk
Why is EFAs (essential fatty acids) required for term babies?
EFAs are required for growth and tissue maintenance. Fat in human milk is easier to digest and absorb
What special supplement must be done for newborns being fed cow’s milk?
Since newborns can’t digest cow’s milk fat, it needs to have another fat source, i.e corn oil
Why can’t newborns be fed whole milk/evaporated milk?
They don’t have digestible fat
Why can’t skim/low fat milk be fed to newborns?
They don’t have EFAs
Why is breast feeding better than formula?
It has live cells, and helps enhance cognitive development
What are fluid requirements for babies a day?
Requirement: 80~100 ml/kg/day Human milk is 87% water
What’s a caution with feeding water to newborns?
It decreases overall caloric consumption by filling them up with empty calories
What causes would require some breast fed infants to have vitamin D supplementation?
decreased sun exposure, dark skinned, preterm, vegan maternal diet