complimentary feeding and problems with complementary feeding
TRANSCRIPT
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Complimentary Feeding andProblems with
Complementary FeedingDr Nishantha Rubasinghe
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Efects o poor nutrition
Sub-optimal growth,
Poor cognitive development and poor
academic performance in children
Decreased work capacity and productivity inadult life
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Eclusive breast-feeding for ! months,"#$days
%ollowed by complementary feedingtogether with continued breast feeding for&years and beyond'
The National NutritionPolicy
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Strengthening complementary feedingpractices
Strengthening (rowth )onitoring andPromotion
The National NutritionPolicy
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*o meet the increase in nutritional demandwhich can not be met by breast milk alone'
*o train babies to eat food with di+erenttastes and consistencies
*o improve their feeding skills self feed by
the age of &
What is the need to introducecomplementary ood?
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.efore ! months .) provides ade/uatenutrition
Reduced incidence of infections
Enhanced neurodevelopment
Why at 6 months
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0fter "#$days of life'
*he baby is now developmentally ready to eat'
1ntroducing complementary food before "#$days may lead to higher risk of allergies'
1f the babies growth is compromised 2or motheris unable provide enough .) , 3% can beintroduced after"&$ days of life'
Timing
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3ontinue fre/uent .% 1ntroduce as a thick feed to start with " to & tea spoons at a time
4ell mashed rice or potato at 5rst thengradually introduce mashed legumes 5shsprats and yellow vegetables, greens andyolk of an egg, introducing one item at a
time'
6 to months!"##$cal%&ay'
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1ncrease gradually to 6 meals a day
*ry to achieve up to a 7 teacup of food
each meal
6 to months
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3oarsely chopped2mashed food
1ntroduce 5nger foods
6 to 8 meals plus breast feeds
" to & snacks may be o+ered
0mount 9 about : tea cup each meal
( to )) months!*##$cal%day'
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1ntroduce family meals 6 main meals Encourage self feeding 0bout a teacup full at each meal
3an o+er & snacks
)" to "* months
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No added sugar or salt 3lean preparation of food ;eep it covered
Separate set of bawls and spoons No need to sterili
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(ive variety of food Nutritionally balanced dietprotein, iron and
vitamin rich
1ntroduce egg yolk from = months and eggwhite at > months %ats such as " to & tea spoons of coconut
oil, butter or margarine can be added to
make food more energy dense' ?ocally available fruit should be given
mashed or pulped not as @uices
+eneral rules
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Natural locally available foods are preferredto processed foods
1ntroduce yoghurt or curd with no honey orsugar added as snacks
0void foods that can choke the child
+eneral rules
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4ash hands with soap and water beforepreparing food
;eep them well covered
Ase clean utensils Separate cups, bowls and spoons for the
child 0void using feeding bottles
,ae preparation andstorage
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Ap > months care givers should feed thechild
Do not distract the child
1ntroduce 5nger food at # to > months .y & years they should self feed Do not force feed 1dentify the hunger clues and satiety 1f they refuse eperiment di+erent methods
and food
Feeding s$ills
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Bitamin 0 mega doses at ! months andevery ! months until C years
)ulti vitamin supplements are notrecommended routinely
3onsider iron supplementation from !months to " year
,upplements
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+er small energy dense meals (ive a etra feed during recovery to
encourage catch up growth
Feeding during illness