A Practical Infant Feeding Guide for Healthcare Professionals Mary... · © FSAI. The First 1,000...
Transcript of A Practical Infant Feeding Guide for Healthcare Professionals Mary... · © FSAI. The First 1,000...
© FSAI
A Practical Infant Feeding
Guidefor Healthcare Professionals
Prof Mary FlynnChief Specialist Public Health
Nutrition, FSAI.19th November 2012“Everyone wants
what’s best for baby”
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RECOMMENDATION 4“FSAI should provide
information for healthcare professionals outlining
practical guidance on best practice in infant feeding”
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The First 1,000 days - a unique opportunity to
shape healthier futures
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Nutrition and Lifestyle before Pregnancy
+50% of
Pregnanciesare
Unplanned
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Iron
Calcium
Folic Acid & Supplements
Vitamin D
Omega-3 Vitamin A
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Lifestyle Factors during Pregnancy
Caffeine intake < 200mg/day
Food Safety & Hygiene
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Breastfeeding -The best way of feeding your infantExclusive breastfeeding for the
first 6 months of life
Continue breastfeeding up to 2
years and beyond with the
introduction of suitable
complementary foods.
Mothers should be educated and supported to
breastfeed their infant for as long as
possible.
Breast milk should be the soledrink for infants
up to 6 months of age
It is recommended that all infants from birth to 12 months, whether breastfed or formula fed, be given a daily supplement
of 5 μg (200 IU) of vitamin D
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Mothers should receive guidance!• Preparing to express milk • Methods of expressing
• Hand• Hand pump• Electric pump
• Storage & Feeding expressed milk
Expressing Breast Milk
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Formula FeedingBreastfeeding is the best and biologically normal
way of feeding an infant
Formula milk does not contain certain health promoting components which breast milk
naturally contains
Where breastfeeding is contraindicated, or an informed choice not to breastfeed has been made a suitable infant formula is required
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Factors that must be
considered when formula
feeding
Choosing the right milk
Choosing the correct equipment
Washing & Sterilising
Using the right waterPreparing the
feed correctly
Storing, transporting
& Feeding
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Weaning
Transitioning from milk-only to a mixed diet with foods of different tastes and textures.
TIMING IS KEY!
Solid food should be introduced at about 6 months of age
not too early and not too late
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Weaning is a process
S t a g e 1From ~ 6 months (not
before 17 weeks)First foods are thin
purées and increase in thickness
•Gluten-free cereal•Puréed vegetables•Puréed fruits•Meat, poultry and fish purées
S t a g e 26-9 months
Move on to thicker purées and mashed foods with
soft finger foods
•Gradual introduction of gluten-containing foods•Pieces of soft cheese•Yoghurt•Suitable finger foods
S t a g e 39-12 months
Move on to minced or chopped family foods and
a wider range of finger foods
Family meals with baby-friendly modifications (no
salts, sauces, gravies etc.)
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What foods are important during weaning?
Iron
Energy
Protein
Omega-3
Vitamin D
Fat
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What should be avoided during weaning
High fibre
High salt
High sugar
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How to introduce gluten?
Infants should be introduced to gluten at about 6 months of age Week 1
One portion of gluten-containing
foods every 3 days
The gradual introduction of small amounts of gluten are associated with less risk (7g or less)
Appropriate amounts of gluten-containing foods:½ weetabix biscuit1 one rusk30 g gluten containing baby rice½ slice of white sliced pan8g cooked pasta1 small slice of wholemeal bread
Week 4
Gluten-containing foods can be given to the
infant every day on more then one
occasion
Week 2
One portion of gluten-containing
foods every 2 days
Week 3
One portion of gluten-containing foods every day
Gluten should be introduced at about
6 months of age
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Homemade weaning foods• Fruit, vegetables, meat, poultry,
fish and pulses are all suitable at each stage of weaning
• Foods can be liquidised, puréed or mashed to the appropriate texture for the infant
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Fluids during the first year of life
∼ 6 months of age
12 months of age
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Measuring an Infant’s Growth
New UK-WHO Growth Charts
Feeding method & growth patterns
When & How to measure growth ?
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Caring for an infant’s teeth
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THANK YOU!
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