Topic - Complementary Feeding or Weaning Subject - Pediatrics Unit - Ii
This document provides guidance on complementary feeding or weaning for infants from 6 months to 18 months. It recommends introducing complementary foods like fruit juices at 6 months in addition to continued breastfeeding. Between 6 to 9 months, soft foods like rice, dal, potatoes and mashed fruits should be introduced. From 9 to 12 months, more variety can be added including fish, meat and whole foods. By 12 to 18 months, infants can eat family foods in half portions while continuing breastfeeding, especially at night. The weaning process is crucial for child development and adopting proper practices is important for pediatric health.
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Topic - Complementary Feeding or Weaning Subject - Pediatrics Unit - Ii
This document provides guidance on complementary feeding or weaning for infants from 6 months to 18 months. It recommends introducing complementary foods like fruit juices at 6 months in addition to continued breastfeeding. Between 6 to 9 months, soft foods like rice, dal, potatoes and mashed fruits should be introduced. From 9 to 12 months, more variety can be added including fish, meat and whole foods. By 12 to 18 months, infants can eat family foods in half portions while continuing breastfeeding, especially at night. The weaning process is crucial for child development and adopting proper practices is important for pediatric health.
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KRISHNA INSTITUTE OF NURSING SCIENCE & RESEARCH
KANPUR
TOPIC – COMPLEMENTARY FEEDING
OR WEANING SUBJECT – PEDIATRICS UNIT – II
PREPARED BY – MR. DINESH KHINCHI
H.O.D PEDIATRICS KINSR KANPUR INTRODUCTION Breast feeding alone is adequate and sufficient to maintain optimum growth and development of an infant up to the age of six months. It is therefore necessary to introduce more concentrated energy rich nutritional supplements by this age. Infants also required iron containing food supplements after this age to prevent iron deficiency anemia. • weaning or complementary feeding – it is the process gradual and progressive transfer of the baby from the breast feeding to the usual family diet. During this process the baby get accustomed to foods other than mother’s milk. Weaning doesn’t mean discontinuity of breast feeding. Weaning foods are given in addition of breastfeed when the amount of breast feeding is inadequate. Qualities of complementary foods
The weaning foods should be -
Liquid at starting then semisolid and solid foods are introduced gradually. Clean, fresh and hygienic, so that no infection can occur. Easy to prepare at the home with the available food items and not costly. Easily digestible, easily acceptable and palatable for the infants. High in energy and low in bulk and contains all nutrients necessary for the baby. Based on cultural practices and traditional beliefs. Well – balanced. Nourishing and suitable for the infants. Principles of introduction of weaning foods Milk is main food of infant, so additional feed should provide extra requirements as per needs of the baby, that must be obtained from good quality food items and should be homemade. A small amount of new feeds should be given in the beginning and gradually the amount of food to be increased during the course of a week. New food to be placed over the tongue of the baby to get the taste of the food and to feel the consistency. Additional food can be given in the day time . Initially it can be given once, then twice or thrice. There should not be any strict rule for serving new foods, it may be modified but the foods to be given regularly. New foods should be given when the infant is hungry but never force the child to take the feeds. Observe and manage the problems related to weaning process e.eg diarrhea, indigestion etc. Complementary feeding at different age
At 6 months – weaning or complementary feeding to be
initiated with fruit juices, especially the grapes juice which is low in sorbitol. Within 0ne or two weeks new foods to be introduced with vegetable soups, mashed banana, mashed and boiled potatoes, etc. each foods should be given with one or two tea spoons at first for 3 to 6 times per day. Within 3 to 4 weeks the amounts to be increased to half a cup. Breast feeding must be continued. 6 to 9 months – food items to be given in this period include soft mixture of rice and daal , khichri, pulses, mashed and boiled potato, bread or roti soaked in milk or daal, mashed fruits like banana, mango, papaya, etc. curd and kheer can be introduced. Infants can have these foods 5 – 6 times per day. Breast feedind should be continued. Conti…
9 to 12 months - more variety of household food can be added .
New food items like fish, meat and chicken can be introduced during this period. The infant can eat everything cooked at home. But spices and condiments to be avoided. Feed needs not to be mashed but to be soft and well cooked. Breast feeding should be continued. 12 to 18 months – the child can take all the foods cooked in the family and needs half amount of mother’s diet. Number of feeds can be 4 to 5 times per day or according to the child’s need. Breast feeding should be continued specially at night. the weaning period is most crucial period in the child development. The appropriate weaning practices are an important aspect of child rearing and significant approach of preventive pediatrics towards healthy children. THANKS
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