complimentary feeding and problems with complementary feeding

7/23/2019 Complimentary Feeding and Problems With Complementary Feeding

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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

complimentary feeding and problems with complementary feeding

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