Nutrition Flashcards
Breastmilk at the START of feeding
watery
HIGH lactose and protein
FOREMILK
Breastmilk as feeding progresses until towards the end of feeding
creamy
HIGH fat
HINDMILK
Stages of Lactation
Colostrum (first 0-7 days)
- PROTEIN rich
- rich in IgA
- high in IgG/protective factors - lactoferrin, lysozyme
Transitional milk
- b/w colostrum and mature milk
- rising levels of macronutrients
Mature milk
- D10-14 of life
- colostrum content + high fat and lactose
Involutionary milk
*produced when breastfeeding frequency decreases
Whey to casein ratio in mature human milk
3:2
Breastmilk has MORE compared to formula milk EXCEPTIONS
Iron
Vitamin D
Vitamin K
Infants condition PEAK at 4 mos and resolve mostly at 12 mos and nearly all at 24 mos
(+) postprandial regurgitation, signs of esophagitis (irritability, arching, choking, gagging, feeding aversion), failure to thrive
GERD
Definitive test for GERD
Esophageal pH probe
Diagnosis for GERD
Barium study of esophagus and upper GIT (poor sensitivity and specificity)
Contraindications to Breastfeeding
Galactosemia Septicemia Active TB Breast cancer Malaria Substance abuse Severe neurosis or psychosis HIV
Vesiculobulbous, ECZEMATOUS, dry scaly or PSORIAFORM lesions, symmetric PERIORAL, SACRAL and PERIANAL areas
Zinc Deficiency
Chronic diarrhea, Stomatitis Glossitis Irritability superinfection
Generalized scaly
dermatitis
Alopecia
Thrombocytopenia,
Failure to thrive
Essential Fatty Acids
Edema, erythema and
burning of sun exposed skin on the face neck hands on butterfly distribution dermatitis around the neck
Niacin (Pellagra)/Vitamin B3
Diarrhea
Dementia
Niacin
Alopecia w/ neurological symptoms
Biotin/Vitamin B7
Follicular hyperkeratosis
Xerosis, Night blindness
Vitamin A
Follicular hyperkeratosis
Perifollicular erythema and hemorrhage
Bleeding swollen gums
Vitamin C