The document discusses infant feeding and nutrition. It covers various topics including the types and definitions of breastfeeding, the physiology of lactation, problems associated with breastfeeding, infant growth phases and their energy requirements, and the importance of proper nutrition. The key components of human milk are discussed, including fat, proteins, carbohydrates, oligosaccharides, prebiotics and probiotics. Guidelines around establishing and maintaining breastfeeding are provided. Common breastfeeding and infant feeding problems are also outlined.
Nutritional Management of Premature InfantsMCH-org-ua
International conference «Actual approaches to the extremely preterm babies: International experience and Ukrainian realities» (Kyiv, Ukraine, March 5-6, 2013)
Dr Somendra Shukla Pediatrician Gurgaon
MBBS, DNB (Pediatrics), MNAMS, MRCPCH (UK), Fellow Neonatology (NNF)
www.drsomendrashukla.com
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist at Gurgaon. He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, ondon (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.
He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs.
He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). He has also been trained in cranial Ultrasonography and Echo studies in neonates.
Management of SEVERE ACUTE MALNUTRITIONRAVI PRAKASH
MANAGEMENT OF SEVERE ACUTE MALNUTRITION :-
DEALT WITH INVESTIGATION AND TREATMENT OF CHILD SUFFERING FROM SEVERE ACUTE MALNUTRITION, ESSENTIAL AND LATEST GUIDELINES FOR MANAGEMENT
Nutritional Management of Premature InfantsMCH-org-ua
International conference «Actual approaches to the extremely preterm babies: International experience and Ukrainian realities» (Kyiv, Ukraine, March 5-6, 2013)
Dr Somendra Shukla Pediatrician Gurgaon
MBBS, DNB (Pediatrics), MNAMS, MRCPCH (UK), Fellow Neonatology (NNF)
www.drsomendrashukla.com
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist at Gurgaon. He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, ondon (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.
He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs.
He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). He has also been trained in cranial Ultrasonography and Echo studies in neonates.
Management of SEVERE ACUTE MALNUTRITIONRAVI PRAKASH
MANAGEMENT OF SEVERE ACUTE MALNUTRITION :-
DEALT WITH INVESTIGATION AND TREATMENT OF CHILD SUFFERING FROM SEVERE ACUTE MALNUTRITION, ESSENTIAL AND LATEST GUIDELINES FOR MANAGEMENT
Right nutrition in early days of life is very important. Nutritional requirements are different for kids and adults in the family. They are in their growing age, they need balanced nutrition but not only high calorie foods, In growing years different age groups have different requirements. Discussion with experts helps in dealing with the situation.
In this Quotation Slide, i wished to summarise one chapter, in doing so i suggest this open source textbook for any medical students; Infant and Young Child Feeding
An overview of milk, the difference between breast and formula milk, the types of milk formulas, and some of the diseases prevent the use of certain formulas in babies
Feeding of Infants- types and growth chartT. Tamilselvan
This presentation deals with classification of infants based on health, types of feeding methods, choice of milk for low birth weight infants, Needs for feeding, nonnutritive sucking, and growth chart. It will give short and crisp materials related to above topic.
COMPLEMENTARY FEEDING, COMPLEMENTARY FOOD, IMPORTANCE OF COMPLEMENTARY FEEDING, TIME TO START COMPLEMENTARY FEEDING, ADVANTAGE AND DISADVANTAGE OF EARLY AND DELAYED FEEDING.
Breastfeeding Vs. Bottle Feeding - Pros And ConsStarlight Baby
When it comes to choosing between breastfeeding or bottle feeding, there are a lot of similarities, but there are also a lot of differences. In this SlideShare, we'll cover the pros and cons of breastfeeding, and the pros and cons of bottle feeding, helping you decide which is better for you.
This presentation is about Malnutrition in Pediatrics; Epidemiology, Risk factors, etiology, Clinical Evaluation, plotting on Growth charts and Management are Covered.
Right nutrition in early days of life is very important. Nutritional requirements are different for kids and adults in the family. They are in their growing age, they need balanced nutrition but not only high calorie foods, In growing years different age groups have different requirements. Discussion with experts helps in dealing with the situation.
In this Quotation Slide, i wished to summarise one chapter, in doing so i suggest this open source textbook for any medical students; Infant and Young Child Feeding
An overview of milk, the difference between breast and formula milk, the types of milk formulas, and some of the diseases prevent the use of certain formulas in babies
Feeding of Infants- types and growth chartT. Tamilselvan
This presentation deals with classification of infants based on health, types of feeding methods, choice of milk for low birth weight infants, Needs for feeding, nonnutritive sucking, and growth chart. It will give short and crisp materials related to above topic.
COMPLEMENTARY FEEDING, COMPLEMENTARY FOOD, IMPORTANCE OF COMPLEMENTARY FEEDING, TIME TO START COMPLEMENTARY FEEDING, ADVANTAGE AND DISADVANTAGE OF EARLY AND DELAYED FEEDING.
Breastfeeding Vs. Bottle Feeding - Pros And ConsStarlight Baby
When it comes to choosing between breastfeeding or bottle feeding, there are a lot of similarities, but there are also a lot of differences. In this SlideShare, we'll cover the pros and cons of breastfeeding, and the pros and cons of bottle feeding, helping you decide which is better for you.
This presentation is about Malnutrition in Pediatrics; Epidemiology, Risk factors, etiology, Clinical Evaluation, plotting on Growth charts and Management are Covered.
When it comes to good positions to use while breastfeeding, your comfort as well as the ease with which your baby will be able to feed is the first and foremost concern. Finding a position that you are most comfortable and happy with will make it easier for your baby to latch on to your breasts and feed with ease. Here are some of the best breast-feeding positions that you might use when you are breastfeeding.
Physiology of lactation and breastfeedingBikashBorah14
Physiology of lactation.
Phases of lactation.
Sucking reflex.
Breastfeeding techniques.
Good attachment
Bad attachment
Merits of breastfeeding
Baby friendly hospital initiative-10 steps
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#ABHIJITBHOYAR1
It includes the meaning of breastfeeding, advantages, steps, contraindication and the problems found while feeding to the baby.
Approach to patient with spinal cord lesions & diseases
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This is a comprehensive approach to a hypertensive patient presenting to the emergency department.
Discussing:-
- Hypertensive emergency
- Hypertensive Urgency
- Hypertensive Crisis
- Hypertensive encephalopathy and retinopathy
- Accelerated Hypertension
- Malignant hypertension
this is a complete discussion and an approach to a child with febrile seizure / convulsion.
It contains:-
Case scenario
Causes of Seizures in the setting of fever
Definition of Febrile Seizure
Age of Occurrence
Types of Febrile Convulsions
Risks of Recurrent Febrile Seizures
Risk For Developing Epilepsy After Febrile Seizures
Workup for Febrile Seizure
Red Flags in Febrile Seizures
Treatment
Prognosis
Approach to Syncope in Children (Pediatric Syncope).pptxJwan AlSofi
Approach to Syncope in Children (Pediatric Syncope), includes:-
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Differential diagnosis of syncope
Syncope vs vertigo vs Presyncope vs light-headedness.
Comparison of Clinical Features of Syncope and Seizures
Neurocardiogenic (Vasovagal) syncope
MECHANISMS and Causes of Syncope
Cardiac causes of syncope
Life-threatening causes of syncope
Red Flags in Evaluation of Patients With Syncope
Non-cardiac causes of loss of consciousness.
Noncardiac Causes of Syncope
Differentiating Features for Causes of Syncope
EVALUATION of syncope:- History, Examination,Treatment.
Summary
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
2. Objectives
• To know the types & definitions of breast feeding.
• To understand the physiology of lactation.
• To know the important problems that are associated with breast
feeding.
3. Infant Feeding & phases of growth
• Proper nutrition is crucial in promoting the normal growth &
development for children.
• Phases of growth
1. Infancy growth period –rapid.
2. Childhood growth period –decelerating growth.
3. Puberty phase –rapid again.
4. Energy Value of food
• Macronutrients :
1. Fat:-
- 1gram of fat = 9 kcal
- Are the main dietary energy source for infants
- account for up to 50% of energy in human milk.
2. Proteins:-
- 1gram of proteins = 4 kcal
- Liver plays a central role in a. a. metabolism.
- Total protein requirement increasing rapidly in the first year of life and then decrease to be
constant at 1.5gm/kg/day until school age.
- Illness & physical stress leads to negative nitrogen balance .
- This should be replaced after illness otherwise clinical malnutrition occurs.
3. Carbohydrates :-
- 1gram of carbohydrates = 4 kcal
• Micronutrients : Vitamins & trace minerals
5. Infants are more vulnerable to poor nutrition because of:
1. Poor stores of fat and protein
2. Extra nutritional demands for growth (the weight of a term
infant doubles by 4 months and triples by one year of age)
3. Periods of reduced food intake and increased nutritional
demands during illnesses or surgery.
8. Breast feeding:-
•Infant has received any breast milk expressed or from
breast.
Exclusive breast feeding:-
•Infant had received only breast milk no other liquids
or solids except vitamins ,minerals & medicines.
•Exclusive breastfeeding for the first 6 months is the
current (WHO) recommendation.
9.
10. Components of Human Milk
• Main dietary energy source for infants fat
• Main dietary component of breast milk Carbs
Main components of human milk include:
1. Proteins
2. Lipids
3. Carbs:- Lactose & HMOS
11. HMO ( Oligosaccharides )
• Human milk oligosaccharides (HMO, also known as human
milk glycans):-
- are sugar molecules, that are part of the oligosaccharides group and
which can be found in high concentrations exclusively in human
breast milk.
- Oligosaccharides (HMO), the complex sugars in milk that are not
digested by the infant.
1. help establish the microbiota
2. Stimulate the maturation of the immune system
3. Protect against pathogenic infections
4. Promote the development of intestine
12. Pre & Probiotics
Prebiotics:-
• are fiber found exclusively in plant material
• are the fiber that feeds the best bacteria in the intestinal tract.
• These all come from plant food, except in mother’s milk.
Probiotics:-
• are live microorganisms that may be able to help prevent and treat some
illnesses.
• Promoting a healthy digestive tract and a healthy immune system are their
most widely studied benefits at this time.
• These are also commonly known as friendly, good, or healthy bacteria.
• Probiotics can be supplied through foods, beverages, and dietary supplements.
17. Establishing breastfeeding
• Colostrum, rather than milk, is produced for the first few days.
• Colostrum differs from mature milk in that the content of protein and
immunoglobulin is much higher.
• Volumes are low, but water or formula supplements are not required
while the supply of breast milk is becoming established.
• The first breastfeed should take place as soon as possible after birth.
• Subsequently, frequent suckling is beneficial as it enhances the
secretion of the hormones initiating and promoting lactation.
18. Colostrum
• The earliest milk to be secreted ,
• low in volume
• is produced for the first few days
• It is yellow-lemon in colour.
• Alkaline
• high specific gravity 1040-1060
• Very rich in protein which rapidly falls.
• Contains more electrolytes .
• Contains less amount of fat & lactose.
• It has unique immunological factors as IgA , lysosomes & lactoferrin.
19. Factors affecting initiation & continuation
of BF
• Happy relaxed mother.
• Good nutritional health of mother.
• Education about BF
• Hospital practices & policies.
• Follow-up care.
• Family & social support
20. Rules of Breast Feeding
• Feeding should be initiated soon after birth.
• At each feeding each breast should be nursed.
• Empty the 1st breast before offering the 2nd .
• Breast should be washed at least once a day.
• Instructions to the mother about: Infant hunger cues , correct nipple
latch , feeding frequency
• Neither breastfed nor formula –fed infants require additional water
unless dictated by high environmental temperature.
• Begin vitamin D drops ( 400 IU/ day ) at hospital discharge.
• Do not give glucose water, water, or formula unless indicated.
• Avoid pacifiers.
• Infant appetite varies from 1 feeding to another.
• Rooming in.
21. • Breast milk should be refrigerated & used within 48hours.
• Expressed breast milk can be frozen & used for up to 6 months.
• Milk should be thawed rapidly by holding under running tepid water & used
completely within 24 hours after thawing.
• Milk should never be microwaved.
23. Breast Feeding Technique
First step :
• Baby should be hungry, dry
• neither cold nor warm.
Second step :
• Baby should be in semi-sitting position,
• using arm-rested moderate low chair ,
• raising her knee.
• Baby face is held close to the mother breast by 1 arm & hand.
• The other hand supports the breast to avoid nasal obstruction.
Third step :
• Burping
26. • All breast fed infants should be seen by a pediatrician within 48-72hours
1. Evaluate hydration status
2. Evaluate body weight
3. Observe feeding
32. Problems Related to Infant
1. Inadequate milk intake:
• Infant: lethargic/might cry
• Dehydrated
• Delayed stooling
• Decreased urine output
• Weight loss > 7%
• Increased hunger
2. Jaundice:
• Breast feeding jaundice: It is due to insufficient fluid intake.
• Breast milk jaundice: It is due to
• Breast milk contains inhibitors of glucoronyl transferase.
• Breast milk enhance bilirubin absorption from gut.
36. Disadvantages of breastfeeding
• Unknown intake
• Nutrient inadequacies
• Deficient in vitamin K & D ,iron & florid
• Transmission of drugs
• Transmission of infection
• Less flexible
• Emotional upset
37. Contraindications of Breast Feeding
- Hepatitis B virus , Hepatitis C virus , CMV infections
are not contraindications.
- Smoking & alcohol drinking should be discouraged.
38.
39.
40.
41. Summary
• Breast feeding is the preferred feeding for all infants.
• Breast feeding is not a choice , it’s a responsibility”
• Breast milk is the best source of nutrition for the first 6 months
of life.
• All the nursing mothers should have information about
technique, frequency ,advantages ,problems of breast feeding.
43. •Infants who are not breastfed require a formula feed.
•Most formulas are based on cow’s milk.
•Unmodified cow’s milk is unsuitable for feeding in infancy as
1. it contains too much protein and electrolytes
2. inadequate iron and vitamins.
• Whole cow’s milk should not be introduced until 12 months of age.
• Pasteurized cow’s milk given before 12 months of age is associated with
increased risk of iron deficiency, but may be given from 1 year of age.
• It is deficient in vitamins A, C, and D and in iron, and supplementation
will be required unless the infant is having a good diet of mixed solids.
44. FORMULA FEEDING
• It produces
• 20 kcal /30 cc
• 1 oz=30 cc = 20 kcal
• 67kcal/dl
• Feeding interval ranging 3-5 hrs during 1st year of life (average 4hrs).
• Lactose is the major CHO in formula as well as in breast milk.
• Cow’s milk -based formulas contain a protein concentration varying from
1.45 to 1.6 g/dL.
• The predominant whey protein is B-globulin.
• The whey : casein ratio varies from 18 : 82 to 60 : 40 ratio.
47. Sterilization of Bottles
1. Separate bottle parts.
2. Wash bottle & teet with soap & hot water.
3. Submerge the bottle & all parts into a pot of boiling water
4. Bottle ---10 min , teet------5min.
5. Remove bottle & its parts from boiling water.
49. Therapeutic
Formulas
Soy based formulas :
• free of cow milk protein & lactose.
• It is indicated in :
• Galactosemia
• Lactase deficiency
CHO free formula : (lactose free milk) , used in:
• Galactosemia
• Lactase deficiency
Protein hydrolysated formula : used in :
• Cow milk intolerance
• Soya protein intolerance
• Preventing atopic diseases
Phenylalanine free formula : used in
• PKU
Amino acid formula.
51. Complementary Feeding
• Definition :
• Introduction of complementary foods(all solid &liquid foods)
other than breast milk or formula starting at 6 months of age.
52. Rules of Weaning
• Introduce 1 food at time.
• Energy density should exceed that of breast milk.
• Iron containing food (meat, iron-supplemented cereals) are required.
• Zinc intake should be encouraged.
• Breast milk should be continued to 12 months.
• Not >4-6 oz of fruit juice.
• No soda.
• Give not more than 24 oz/day of cow milk.
• Foods high in salt& sugar should be avoided.
• Honey should not be given until one year of age .
• Use of cup at proper age.
53. Feeding Problems During the 1st Year of Life
• 1. Under feeding:
• Suggested by crying ,restlessness ,failure to gain weight ,faluire to sleep,
constipation & irritability.
• It may result from insufficient food intake.
• 2. Overfeeding:
• Is manifested as discomfort after feeding with nausea & vomiting.
• 3 .Regurgitation:
• Return of small amounts of swallowed food during or shortly after feeding.
• 4 .Loose stool:
• Stool of breast fed infants is softer than that of formula fed infants.
• 5.Constipation
• 6.Colic
• It is a complex of paroxysmal abdominal pain (of intestinal origin)&severe crying.
58. 1. Vitamin D mandatory 400 IU till one year if only breastfeeding
2. Vitamin k prophylactic 1mg IM at birth
3. Iron maybe given depend on nutrition 6mg/kg/day in two doses
4. Floride from 6 month to 3 year
All THESE FOUR ARE DEFECIENT IN breast-MILK
59.
60.
61.
62. • has full, firm& painfull right breast. O/E: the breast is firm ,overfilled
but neither tender nor erythematous.
What is the problem that facing that mother??
e. Right sided breast carcinoma
c. Right sided mastitis.
a. Breast engorgement.
d. Simple nipple pain.
b. Breast abscess
a. Breast engorgement.
Response:
correct
63. • lWhole cow’s milk can be introduced at age of :
• a.12-month.
• b. 9-month.
• D. At 6-month when breast feeding should be stopped.
• C. With starting of weaning.
• e. When teething started, cow’s milk can be introduced.
a.12-month.
Response:
correct
64. • Exclusive breast feeding can be defined as :
d. Infant had received only breast milk with water.
b.Feeding directly from the breast for the first 6- month of age.
a. Infant had received only breast milk no other liquids or solids except vitamins
,minerals & medicines.
c. Infant had received only breast milk.
e. In exclusive breast feeding baby should receive formula feeding as
complementary feeding.
Your answer : a. Infant had received only breast milk n
other liquids or solids except vitamins ,minerals &
medicines.
Response:
correct
Editor's Notes
breastmilk has prebiotic
sucking of milk is the best signal for increase in the production of milk → ↑ 10 fold
sucking of milk is the best signal for increase in the production of milk → ↑ 10 fold
If breastfed → vitamin D drops since birth up until l year of age but we don't give immediately. we give at discharge so that we know whether baby is being breastfed or given formula .
look for fungal Infection exclude it (look for child mouth ) use tongue depressant milk can be removed
Look for crack
Then
And reassure
Bowel motion = no of breast milk Only if there is no fever and thriving vomiting
No of bottle according demand +/- 1
100 kcal per kg per day
how many bottles should a baby with formula feeding should have ?
According to baby demand
7 feeding → 7 bottles
8 feeding → 8 bottles
Infant colic?
No vomiting ,No fever , Thriving well & ↑ weight → Normal ever in loose stool