Rourke Baby Record - Nutrition 0-6 months

Question 1

How does c-section vs vaginal delivery impact time to regard birth weight

Answer 1

c-section- infants may take slightly longer to regain birth weight compared to vag deliveries

Chat GPT:

Possible reasons:

Higher fluid retention at birth may exaggerate the initial weight loss.
Delayed initiation of breastfeeding due to maternal recovery or difficulties in positioning and latching.

Vaginal Delivery: Infants born vaginally often experience less fluid retention and may have breastfeeding initiated sooner, aiding faster weight gain.

Question 2

When do infants typically start to lose their birth weight

Answer 2

First few days - day 2-4

Question 3

What is the red flag cut off for losing “too much” birth weight

Answer 3

> 7% by day 3

Question 4

How does breast fed vs formula fed impact time to regain birth weight

Answer 4

Breastfed- may take longer to regain weight due to:

• Colostrum (the first milk) is produced in small quantities in the first few days
• Breast milk is digested quickly, and feeding sessions may initially be shorter and less frequent until milk supply is established.

Formula Fed- often regain faster:
due to:
* Consistent availability of larger volumes of formula
* Formula’s slower digestion compared to breast milk, leading to longer intervals between feeds

Question 5

When should infants start regaining birth weight and how much per day

Answer 5

day 5- gain 20g per day for first 3-4 months of life

Question 6

When is it expected that a baby will regain birth weight

Answer 6

By day 10

Question 7

What is the recommended feeding for the first 6 months of life

Answer 7

breastfeeding if possible

can continue for up to 2 years and beyond with introduction of complementary foods when appropriate

Question 8

What strategies increase breast feeding rates

4

Answer 8

• maternal support
• early and frequent skin to skin
• rooming in
• hanning handouts of free infant formula

Question 9

How long should uninterrupted skin to skin be after birth

Answer 9

at least 1 hour

which is the time needed for the infant to transition through innate behavioural stages that result in a first feed at the breast

Question 10

Which infants need supplemental Vit D

Answer 10

All breastfed infants
liquid Vit D 400IU daily

FOR ALL INFANTS WHO ARE PARTIALLY OR FULLY breastfed

exclusively formula fed dont need supplementation because formula already contains it

Question 11

Milestones

What are typical feeding milestones for 1 month of age

Answer 11

1 month- sucks nipple well

Question 12

Milestones

How many times should an infant be feeding by 2 months of age

Answer 12

q2-4 hours during the day- may need to feed during night

Question 13

Milestones

By 4 months old how should the infants head position be when supported in a sitting position

Answer 13

able to hold head steady

Question 14

Milestones

What are the milestones seen at 6 months old that indicate the infant is ready for the introduction of complementary foods

4

Answer 14

• better head control
• can sit up and lean forward
• can turn head away when full
• can pick up food and try to put it in their mouth

Question 15

Guidelines

What is the ideal way of feeding infants for first 6 months

Answer 15

breastfed

if not able/willing then offer safely prepared infant formula- not homemade formula

Question 16

Guidelines

What should guide how often to feed an infant

Answer 16

infant feeding cues

called “infant led” “on cue feeding” “feeding on demand”

Question 17

Guidelines

Should water be given to this age group

Answer 17

no

also no juice or sweetened beverages or other beverages like tea

Question 18

Guidelines

When should complementary foods be introduced to infants

Answer 18

around 6 months when showing signs of readiness

• Has better head control3
• Can sit up and lean forward3
• Can let parent know when they are full (turns head away)3
• Can pick up food and try to put it in their mouth

Question 19

Guidelines

When introducing complementary foods the first foods should be rich in what?

Answer 19

iron rich

animal-based protein, plant-
based protein, iron-fortified infant cereals

Question 20

Guidelines

Which infants are at high risk of a food allergy

2

Answer 20

• have a personal history of atopy, including eczema
  or
• have a first-degree relative with atopy (i.e., eczema, food allergy, allergic rhinitis, asthma).

Question 21

Guidelines

How should commonly allergenic foods be introduced to high risk infants

Answer 21

• introduce around 6 months (not before 4 months)
• if tolerated continue to offer weekly to maintain tolerance

commonly allergenic = eggs, peanuts

Question 22

Guidelines

When should honey be introduced

Answer 22

not until 12 months

not pasturized or cooked
risk of infant botulism

Question 23

Red Flags

What are red flags for infant birth weight regaining

3

Answer 23

• Losing >7% birth weight by day 3
• Starting at day 5, does not gain an average of 20 g per day for the first 3–4
  months of age
• Does not regain their birth weight by day 10

Question 24

Red flags

How many wet diapers shoudl an infant have per day

Answer 24

minimum 6/day

urine should be pale yellow with almost no odour

Question 25

Should infant formula be diluted

Answer 25

no

Question 26

Can you prop up a bottle while feeding a baby

Answer 26

no

Question 27

Should infant feedings be forced or restricted

Answer 27

no use feeding cues

Question 28

Should feedings be skipped to facilitate longer sleeping periods

Answer 28

no