Birthweight || prefered method of feeding.
<1250 g :- Baby may need i v fluids initiate orgastric feedings gradually.
1250-1500g :- Most would need spoon / paladai while some need orogastric feeding.
1501- 2000g :- Most babies would accepts breast feeding while some might need paladai feeding.
>2000g :- Breastfeed in normal birthweight baby but with monitoring.
BREASTFEEDING:-
Frequency of feed :-
- First few weeks:- 8-12 times a day during first few weeks.
- Demand feeding:- 1-4 hours as per demand
- By 9-12 months:- 3-5 meals.
Composition of breast milk:-
Types of breast milk || time || Appearance
Colostrum:- 3 - 4 day after birth , yellowish and thick.
Transitional milk :- 4 days to 10-14 days , thinner lighter in color.
Mature milk:- 2 weeks after baby is delivered , thiner.
Preterm milk:- when a preterm baby is delivered
Fore milk :- at the starts of the feed, watery.
Hind milk:- at the end of the feed,thick.
Nutrients in breast milk:-
Component. || contents /100 ml
Calories:- 71 kcal
Carbohydrate:- 7g
Proteins:- 1.1 g
Fat:- 3.8-4.2 g
Lactose :- 7.0 g
Sodium:- 0.9 meq/L
Potassium:- 1.4 meq/L
Calcium:- 34mg
Phosphorus:- 15mg
Iron :- 0.05 - 0.1 mg/L
Zinc:- 120 microgram
Vitamin A :- 170-670 IU
Vitamin C :- 5.2-10 IU
Vitamin D :- 0.5-10mg
Vitamin E :- 0.56 microgram
Vitamin K :- 1.5 microgram
Water :- 88%
Protective factors:- IgG IgM bifidiousfactor lactoferrin lysozyme paraamino benzoic acid..
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