UW-Madison NUTRSCI 132 - Feeding infants (4 pages)

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Feeding infants

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Feeding infants


Lecture number:
Lecture Note
University of Wisconsin, Madison
Nutrsci 132 - Nutrition Today
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NUTR SCI 132 Lecture 34 Outline of Last Lecture I Breast feeding a Benefits b Recommendations c Rates d Physiology e Breastfeeding f Nutrition g Breastfeeding support Outline of Current Lecture Current Lecture I Breastfeeding and Nutrition a Nutrition for Mom i General guidelines 1 Eats 330 kcal day more on normal balanced diet a 170 kcal deficit 2 Vegetarian pay attention to protein calcium Iron zinc 3 Drink water every time breast feed ii Who can breastfeed 1 Multiple births 2 Preemies 3 Vegetarians 4 Nutrition not optimal 5 Any size breasts nipples 6 Some breast surgeries 7 Women who want to exercise or lose weight 8 Smokers 9 Women who would like an occasional dink iii Contraindications Do not breast feed 1 Maternal HIV at least in developed countries 2 Active untreated TB 3 Alcohol and drug abuse 4 Chemotherapy These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute 5 6 7 8 II III Radiation therapies Infant galactosemia Selected medications Cystic fibrosis a Research underway Breastfeeding support a Breastfeeding education i WIC b La Leche League c Lactation consultants d Hospital policies and staf e Doctor midwife doula Feeding Babies 6 12 months a Dietary Guidance i Nothing official now 1 In 2020 guidelines will include dietary guidance for pregnant women and birth 24 months 2 Research in progress b Growth and needs i Infants grow in spurts seasonally ii Weight loss after birth 1 5 7 2 Regained by 2 weeks iii By 12 months 2 4 3x birth weight 1 1 5x birth length iv Breastfed vs formula fed babies grow diferently v As babies get older need less fat and more carbohydrate vi Iron 1 Runs out around 0 6 months a Eat Iron in complementary foods i Iron fortified cereals c Transition in infant feeding i Big picture 1 Breast milk formula 2 Baby food solids weaning complementary 3 Family foods ii Complementary Food 1 Developmental readiness for food 4 6 moths a Exclusive breastfeeding for 6 months 2 Newer research on allergies a Window of tolerance i 4 7 moths ii Solids introduced while still breastfeeding 3 Need increases in types texture mode of feeding 4 5 6 7 8 9 a Food promotes continued development including mouth and tongue language Cues of developmental readiness a Sitting with support b Head and neck control c Tongue thrust gag reflex d Opening mouth for spoon e Gumming chewing f Also gut maturation Foods a Meet iron zinc needs i Meat poultry fish ii Fortified cereals any grain with formula breast milk iii Fruit vegetable dairy b Any order any rate c Attention to portions Textures a Pureed mashed lumpy minced chopped i Less than inch pieces b Foods risky for choking i Round and firm foods large chunks of food sticky foods foods hard to chew or gum nuts seeds popcorn raisins Juice a AAP guidelines i Babies don t need juice 1 Limited juice a No benefit vs whole fruit less fiver and other nutrients 2 Hydration a Fluids in breast milk formula foods b Water after 6 months Feeding Implements a Bottles i For breast milk and formula only 1 No cereal ii Hold baby 1 Don t prop 2 No bottles for sleeping b Training Cups i Age 6 months up Feeding Cues a Hunger i Fussing and then crying ii Squirming and stretching b Satiety i Stops sucking lets go of breast or bottle nipple ii Falling asleep 10 Division of responsibility a Parent provides child decides i Transition form on demand breastfeeding to schedule eating with family 11 Feeding environment a Early i Seated ii TV of iii Caregiver sits with baby interacts b Later i Family meals at table ii Social interaction iii Utensils sharing manners d Hot Topics i Protein 1 Cow s milk formula feeding a Protein greater to meet human amino acid requirements i Breastfed babies leaner at one year vs FF infants ii Allergies 1 Rethinking of prevention a Exposure in window vs avoidance b See above mention in lecture

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