Moving onto solid foods - NHS Blackburn with …...Moving onto solid foods (December 2017) Aim of presentation:-\爀屲To ensure that parents/carers have research based information
Aim of presentation:- To ensure that parents/carers have research based information to support them when moving their baby onto solid foods .
• The Department of Health (DOH) recommends waiting until babies are around 6 months (26 weeks) before giving any other food or drink
• Babies are not developmentally ready and their guts are not mature enough until around 6 months
• Babies can get all the nutrients they need in the first six months from breast milk or correctly made first stage formula milk or both
• Babies may seem hungrier after 4 months - it is recommended to give them more milk rather than commencing solid foods
• Between 6 and 12 months breast or formula milk will still provide important energy and nutrients for babies and the solid food offered will be complementary to this
December 2017
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Complementary feeding is the term given to the introduction of foods other than breastmilk (or infant formula) to an infant. We also call it ‘moving onto solid foods. In the UK it is recommended that the addition of foods other than milk start at about 6 months of age. In the first six months of life, infants can get all the fluid and nutrients they need from breastmilk (or from correctly made up infant formula), and there is no need to introduce other foods before an infant’s gut and swallow reflexes are fully ready. Before 6 months If a baby is hungrier it is better to give more milk as this is more energy dense than solids. If parents or carers think an infant needs complementary foods before 6 months (26 weeks) of age, they should talk to a health visitor or other qualified health professional.
• Babies will be able to sit up with support and have the ability to hold their head steady
• Babies will be able to coordinate their eyes, hand, and mouth so they can look at food, pick it up and put in their mouth by themselves
• Babies can swallow foods and their tongue stops pushing food out of their mouth
Signs of readiness for moving onto solid food
December 2017
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Outcome- parents will understand the signs that their baby is due to move onto solid foods. Every baby develops at different rates and will be ready for foods other than milk at different times but not before around 6 months. However there are three clear signs which, together, show that a baby is ready for some solid foods alongside breastmilk or infant formula. It is very rare for these signs to appear together before 6 months of age. •Baby can stay in a sitting position with support and hold their head steady. •Baby can co-ordinate their eyes, hand and mouth so that they can look at the food, pick it up and put it in their mouth all by themselves. •Baby can swallow food. Babies who are not ready will push food back out of their mouth- this is called the tongue thrust and is a protective factor and an indication that babies are too young for food. However, if a baby is given a smooth, purée-type food, it is difficult to spit this out once in the mouth, so people may mistake involuntary swallowing of these foods with the ability to swallow food by choice. Research suggests that families often mistake the following as signs of readiness for solids: •baby waking in the night when they have previously slept through •the need for extra milk feeds; or •signs such as chewing on their fist. However, these are just normal infant behaviours as babies grow and develop. Families often perceive baby boys to be ‘hungrier’ earlier than girls and may mistake a baby that is bigger than its peers as needing food at a younger age. Starting solid foods won’t make a baby any more likely to sleep through the night, and extra feeds of milk are usually enough until the baby is developmentally ready for other foods. Talk about commercial jars labelled from 4 months- new legislation from next year will have to change to 6 months . All research shows babies not ready for solid foods till around 6 months.
• Babies waking more frequently in the night
• Babies demanding more milk
• Babies chewing on their fist
• Babies becoming interested in care givers food
• Misconceptions that baby boys are ‘hungrier’ earlier
than girls
• Misconceptions that bigger babies require solid foods
earlier
• Changes in babies behaviour/routine
Misconceptions that babies are ready for solid
foods
December 2017
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Presentation Notes
Outcome- parents will understand the signs that their baby is due to move onto solid foods. Every baby develops at different rates and will be ready for foods other than milk at different times but not before around 6 months. Research suggests that families often mistake the following as signs of readiness for solids: •baby waking in the night when they have previously slept through •the need for extra milk feeds; or •signs such as chewing on their fist. However, these are just normal infant behaviours as babies grow and develop. Families often perceive baby boys to be ‘hungrier’ earlier than girls and may mistake a baby that is bigger than its peers as needing food at a younger age. Starting solid foods won’t make a baby any more likely to sleep through the night, and extra feeds of milk are usually enough until the baby is developmentally ready for other foods. All research shows babies not ready for solid foods till around 6 months.
• Signs of readiness in a premature baby may come at different stages - all babies are different
• Premature babies may need extra support to keep in the seated position –even when they show all the other signs of readiness
• Premature babies may require spoon feeds or mashed feeds for slightly longer before they are able to bring food to their mouth and feed themselves
• Premature babies may take longer to get used to foods, and meals may be longer and more messy to start with as their feeding skills may be slightly less well developed.
Premature babies
December 2017
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Encourage parents to speak to HV, paediatrician before starting solid foods. www.bliss.org.uk/weaning-your-premature-baby
How to start Never leave a baby unattended with food
• Sit together with baby – make meal times social
• Let babies enjoy touching and holding foods – let them be messy
• Allow babies to lead the way
• Let babies take time to feed themselves
• Finger foods can be given from age 6 months
• If using a spoon wait for babies to open their mouths before offering
food
December 2017
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At around 6 months, babies should be able to sit up with some support and they should be in a sitting position when they are offered food. The aim of first foods is to get infants used to new tastes and textures. Every baby will be different, and some will enjoy food from the beginning, some may help themselves to food straight away and be independent eaters quite quickly, and some may manage several spoons of newly introduced foods, while others will take longer to get used to new tastes. If using a spoon sit opposite baby to encourage eye contact and makes parents more open to babies feeding cues. Offer small amounts of food before milk feeds at mealtimes, and give individual tastes to start with, focusing on savoury foods. •Don’t be surprised if the baby initially spits the food out or appears to dislike it. New tastes take a little getting used to and you may have to offer a food between five and ten times before it becomes a favourite. •Never force babies to eat. Allow them to go at their own pace, to handle food, and to start to feed themselves as soon as they wish. Don’t rush mealtimes – babies should be allowed to go at their own pace and to lead the length of the meal time. Mealtimes are periods of learning and love and should be a relaxed, social and a positive experience. Turn off the TV/ tablets allowing eye contact and communication between family members Eat together Babies enjoy watching you eat, and learn from being a part of family meal times. Help them join in by talking to them and giving them food when you or the rest of the family is eating. Having mealtimes around the same time every day can make it easier for your baby to know when to expect to eat At this age your baby is copying the behaviour of parents and others around them – sitting down for meals together allows parents to model their eating habits. Milk will provide the majority of energy (calories) and nutrients when complementary foods are first introduced. The amount of food can be gradually increased over the first few weeks. Babies will automatically drink less milk as their food intake increases by 10-12 months they will require 400mls of milk. There is no need for second stage or Follow on milks. Some babies will be ready and eager to hold food, feed themselves and enjoy a variety of foods of different textures from around 6 months of age If you’re using a spoon, wait for your baby to open their mouth before you offer the food. Your baby may like to hold a spoon too
• All babies are different - some will be interested in meal times from the start, will finger feed themselves and be keen to try new textures
• Some babies may go at a slower pace and need some help getting food into their mouth by spoon
• Some babies may eat more one day and less on other days - this is normal
December 2017
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Discussion with parents/ carers :- When moving onto solid food from around six months – importance of promoting finger foods and self feeding Remember this is about exploratory behaviour Finger foods are pieces of food that babies can hold and use to feed themselves. Babies will often show their readiness to start having complementary food by showing an interest in holding foods and putting foods to their mouth, and it is important to encourage independence in eating. Babies are able to pick things up with their whole hand after 6 months and the best finger foods to offer are ones that are soft and easy to bite and chew. It can be useful to make the finger foods slightly bigger than a baby’s hand, so that they can grip things in their fist. The size of an adult finger is a good guide However some babies may prefer a spoon and mashed foods- avoiding purees. Every baby will be different, and some will enjoy food from the beginning, some may help themselves to food straight away and be independent eaters quite quickly, and some may manage several spoons of newly introduced foods, while others will take longer to get used to new tastes. Commercially made foods are often lower in nutrients than home-prepared foods and have a very smooth texture that most babies don’t need if they start eating at 6 months. Avoid using pouches of ready-made puréed food, as these are predominantly sweet tastes. If using these foods, never let the baby feed directly from the pouch. Babies do not require snacks or need any drinks other than milk or water in the first year of life. Allowing babies to feed themselves makes them feel in control and may encourage them to eat more Being responsive to babies hunger and fullness cues is important and there are studies that show the best outcomes for encouraging children to develop positive eating habits come from feeding interactions that are responsive. ( Amy brown) .
December 2017
The importance of mess
• Mess is inevitable and an important part of babies development
• Food is not just about nutrition
• Allowing babies to explore foods before eating them is reported to support the development of fine motor skills and hand-eye coordination
• Wiping babies hands and face in between mouthfuls can cause reluctance to eat and food aversions
December 2017
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Reference Nice faulting growth- re messy feeding. Meal time can be messy with babies but letting them get involved with eating is important. Babies are attracted to different coloured foods and like to feel different textures. Handling food is an important part of learning and is good for their hand eye coordination. research shows that wiping babies faces and hands through out the meal can cause reluctance to eat and food aversions. Discuss it is normal for food to be thrown on floor, rubbed into face and mouth Top tips:- Using a plastic mat on the floor to protect carpets Using appropriate bibs or changing clothes after mealtimes Keep relaxed and calm Leaving all the mess till babies have finished and then cleaning up in one go.
December 2017
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Babies enjoying mess.
What to give
From 6 months: • Mashed or soft, sticks of fruit and softly cooked sticks of
vegetables • Soft cooked strips of meat • Well cooked fish • Pasta, noodles, lentils • Strips of toast and chapatti • Eggs (white and yolk should be firm but no need to hard boil) • Full fat yoghurt • Oats, wheat, rice, pearl barley, peas, beans
December 2017
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The aim of first foods is to get infants used to new tastes and textures. Offer small amounts of food before milk feeds at mealtimes, and give individual tastes to start with, focusing on savoury foods. First foods for babies over 6 months of age can include a wide range of unprocessed foods: vegetables, potatoes, cereal foods (such as rice, oats, polenta, semolina, pearl barley), pulses (peas, beans and lentils), meat, fish, eggs, tofu, ground nuts and seeds, and fruits. Eggs- Eggs that are produced under the British Lion standard of practice have low risk of salmonella and therefore do not need to be hard boiled. It can be useful to start new tastes with savoury vegetable flavours, as evidence suggests that babies introduced to single vegetable flavours over the first few days of complementary feeding are more accepting of vegetables in meals later on. Naturally sweet fruits (such as apples or bananas) or vegetables (such as carrots, sweet potatoes or butternut squash) should be used to sweeten foods rather than adding sugar. Next foods: soft cooked meat such as chicken, mashed fish (check very carefully for any bones), pasta, noodles, toast, pieces of chapati, lentils, rice and mashed hard boiled eggs. Also, full fat dairy products such as yoghurt, fromage frais (choose products with no added sugar). Important to encourage home cooked and finger foods. The best baby food is homemade from simple ingredients with no added sugar or salt. Any unused food can be kept in the fridge or frozen. Then all you have to do is reheat the amount you need. Quick and easy – and it’s a lot cheaper than jars if using commercial foods, follow the manufacturer’s instructions carefully. However, these foods are usually expensive, less nutritious, sweet and bland in taste and too smooth compared to foods that can be made at home. Avoid using pouches of ready-made puréed food, as these often mix up flavours and offer predominantly sweet tastes and never allow babies to suck directly from the pouch The amount of food can be gradually increased over the first few weeks until babies are managing to eat 3 meals a day by 12 months of age. . •Don’t be surprised if the baby initially spits the food out or appears to dislike it. New tastes take a little getting used to and you may have to offer a food between five and ten times before it becomes a favourite. •Never force babies to eat. Allow them to go at their own pace, to handle food, and to start to feed themselves as soon as they wish. Finger food is food that’s cut up into pieces big enough for your baby to hold in their fist and stick out of the top of it - pieces about the size of your own finger work well. Your baby learns to chew this way.
December 2017
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Vegetables Vegetables are good first tastes to introduce to infants. Try vegetables one at a time to start with, to introduce new flavours, and then try combinations. Make sure a wide variety of vegetable foods is offered and that foods from across the rainbow of vegetable colours are introduced into babies’ diets. Brightly coloured foods will be attractive to infants, but there is no need to use expensive vegetables. Using vegetables in season and from local sources will be most cost-effective. Never add salt or sugar to foods served to babies.
December 2017
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Fruits Once infants have accepted other savoury tastes, fruit can be introduced. Fruit will be accepted more readily than vegetables by most babies as it has a sweet taste. Cook fruits to soften them, or mash soft fruits. If making a smooth version, make sure the fruit is free of pips and skin. Any type of fruit can be used – canned in juice, frozen or fresh. If using canned fruit, avoid fruit canned in syrup. If fruits are naturally sour, add a sweeter fruit such as apple or banana to make it more palatable. When serving fruit as finger foods, make sure the pieces are soft and manageable, and avoid chunks of apple or harder fruits. Never add sugar or salt to foods served to babies.
December 2017
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Protein foods Infants can be offered a good variety of protein foods such as meat, fish, eggs, beans, lentils and tofu. Many of these foods are rich in iron and zinc, which are important nutrients for babies. Well cooked eggs are an excellent first food as they are easy to prepare Tofu can be mixed with other foods as it mashes easily and has a smooth texture. Fish and meat can be introduced as first foods. Cook them well, check there are no bones or pieces of gristle, chop finely and then mix with breastmilk or infant formula – or with full-fat cows’ milk (if baby is over 6 months old). Make them smooth through a sieve or in a mouli or mixer, or mash well. Pieces of well cooked meat and fish can also be offered as finger foods. Never add salt or sugar to food served to babies. Starchy foods A range of starchy foods can be offered as first foods. These can be: starchy root vegetables such as potato, sweet potato, yam or manioc; rice; porridge made from oats; cereals such as pearl barley, semolina (ground wheat), or polenta (corn meal); or other cereals such as quinoa or millet. You can cook rice, porridge and other cereals rather than buy expensive infant versions, and ground rice and semolina are smooth cereals when made up. Cereals can be mixed with breastmilk or infant formula – or with full-fat cows’ milk if baby is over 6 months old. Never add salt or sugar to food served to babies.
December 2017
Portion sizes
December 2017
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Discuss that most of us eat bigger portions than is recommended even as adults. As parents we also offer a children too much food- remember tummy size is similar to the child's clenched fist. Also between 6 and 12 months the food we offer is complementary to either breast or formula milk. A portion size is roughly the size a the persons palm. Information from first steps nutrition:- The aim of first foods is to get infants used to new tastes and textures. Every baby will be different, and some will enjoy food from the beginning, some may help themselves to food straight away and be independent eaters quite quickly, and some may manage several spoons of newly introduced foods, while others will take longer to get used to new tastes. Milk will provide the majority of energy (calories) and nutrients when complementary foods are first introduced. The amount of food can be gradually increased over the first few weeks It is important to be guided by the baby. First steps nutrition state that it is important not to worry about portion size at 7-9 months- there will be days when babies eat lot and days when they eat not as much. By 10-12 months of age, a baby should be able to manage a range of minced and chopped foods, and be offered three meals a day, as well as having breastfeeds or about three drinks of milk. Again not to worry about portion sizes. Offering a variety of family and finger foods alongside breastmilk or infant formula, will provide an average 10-12 month old baby with the energy and nutrients they need for growth and activity.
Ideas for 7-12 months
December 2017
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For information and a better understanding of how much The size of the bowls are:- 8cm wide 3 cm depth The aim of first foods is to get infants used to new tastes and textures. Every baby will be different, and some will enjoy food from the beginning, some may help themselves to food straight away and be independent eaters quite quickly, and some may manage several spoons of newly introduced foods, while others will take longer to get used to new tastes. Milk will provide the majority of energy (calories) and nutrients when complementary foods are first introduced. The amount of food can be gradually increased over the first few weeks It is important to be guided by the baby. First steps nutrition state that it is important not to worry about portion size at this age- there will be days when babies eat lot and days when they eat not as much. Babies will automatically drink less milk as their food intake increases.
Top tips
• Avoid distractions at meal times e.g. not sitting in front of the TV or having the phone or laptop out
• Offer small amounts of colourful fruit and vegetables that will catch their attention
• Give lots of praise
• Focus on savoury foods and give foods they have eaten before alongside new foods
• Expect babies to initially spit out as new tastes can take time to get used to
• Never force babies to eat if they are reluctant
• Ensure eye contact between care giver and baby
• Enjoy mealtimes together- babies will watch and copy care givers eating
December 2017
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Let your baby enjoy touching and holding the food Always stay with your baby when they’re eating in case they choke Don’t force your baby – wait until the next time if they are not interested this time • Your baby can feed themselves using their own fingers, as soon as they show an interest If you’re using a spoon, wait for your baby to open their mouth before you offer the food. Your baby may like to hold a spoon too Start by offering just a few pieces, once a day If the food is hot, allow it to cool and test it before giving it to your baby Don’t add salt, sugar or stock cubes to your baby’s food or cooking water. Make mealtimes family occasions – babies learn by watching people around them Avoid distractions at mealtimes, such as sitting a baby in front of a television, phone or tablet. Mealtimes are an ideal opportunity for interacting with baby and making conversation Take time – allow babies to go at there own pace Allowing babies to feed themselves means that they can control how much they eat- they may eat more one mealtime than the next-don’t be surprised if they don’t eat as much as you expect. Remember that between 6-12 months food should be complimentary to breast or formula.
Drinks
• The only drinks that are recommended for the first year of life are
breastmilk, correctly made first stage formula and water
• Introduce a cup from around 6 months
• Tap water can be given from 6 months
• Full fat cows milk can be used to mix with food from six months but
breastmilk or first stage formula should be the main drink until one
year
December 2017
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•The only drinks that are recommended for infants in the first year are breastmilk or a first stage infant formula, and water As baby eats more solid food, they may want less milk at each feed,. Babies should have breast milk (or infant formula) for at least the first year. Until this time food is complementary. It is important to reiterate that breastfeeding can continue for as long as mother and baby wants. – both mother and baby will continue to benefit from breastfeeding beyond the 2nd year of life. Cows’ milk as a drink shouldn’t be given before 1 year as it doesn’t have the right balance of nutrients. Also iron from cows’ milk is not absorbed as well as it is from breast milk Whole animal milk or calcium-fortified unsweetened milk alternatives (but not rice milk) can be used in cooking for children from 6 months, but should not be used as the main drink until after 1 year of age From 6 months of age, infants who use a bottle should be introduced to drinking from a cup or beaker, and from the age of 12 months they should be discouraged from drinking from a bottle. It is best to use cups that are open-topped or which have a spout that is free-running, so that there is no need to ‘suck’. Sucking drinks from a bottle teat or spout means the drink spends more time in contact with the teeth and this can lead to dental problems. Water given to children under 6 months should be boiled and cooled first, but tap water is fine for all infants over 6 months of age. There is no need for drinks other than milk or water in the first year. Baby juices or baby herbal drinks are not necessary and they contain sugar so can damage baby teeth.
Cups
December 2017
• From around 6 months of age, babies
should be introduced to drinking from a cup
or beaker
• It is best to use cups that are open-topped or
which have a spout that is free-running
• From the age of around12 months they
should be discouraged from drinking from a
bottle
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Baby cups should be free flowing introduced from around 6 months Baby cups can be useful for introducing drinking from a cup as they can be held easily and offer a small volume of liquid. Water given to children under 6 months should be boiled and cooled first, but tap water is fine for all infants over 6 months of age. There is no need for drinks other than milk or water in the first year. Baby juices or baby herbal drinks are not necessary and they contain sugar so can damage baby teeth. Avoid Soft drinks, squashes, fruit juices or cordials, either with or without added sugar •Drinks with added caffeine or stimulants •Artificially sweetened drinks •Drinks with the additives E102, E110, E122, E124 and E211 •Rice milk or rice drinks under 5years has been shown to contain traces of arsenic. •Any types of tea or coffee •Alcohol
Protecting teeth • Never offer anything but milk or water in a bottle
• Introduce a cup as soon as possible and wean off the bottle by 12
months
• Avoid foods or drinks that are high in sugar
• Never dip a dummy in anything sweet
• Brush teeth twice a day as soon as they appear with a smear of fluoride
toothpaste
• It is important to register babies with a dentist as soon as possible-
contact your own dentist
December 2017
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Encourage discontinuation of bottle by 12 months. Cup use from 6 months. Breast fed babies can continue to have just breastmilk but if mums wish to introduce water they should go straight to cup and avoid bottle. Importance of avoiding sugar Tooth brushing and attendance at the dentist.
Other things to consider
• If introducing solids before six months- stick to pureed fruit and
• vegetables and speak to your Health Visitor
• Avoid sweet, tea, coffee, diet and caffeine drinks
• Avoid cows milk as a drink under one
• Never add anything to a bottle other than milk/water
• Avoid sweet foods- do not add sugar to foods
• Avoid salty foods- do not add salt to foods
• Avoid honey under one year
• Avoid raw meat and fish
December 2017
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If after checking with your health visitor or doctor, you decide to introduce solid foods before 6 months, you should avoid giving your baby certain foods. These include foods that contain wheat, gluten, nuts, peanuts, peanut products, seeds, liver, eggs, fish, shellfish, cows’ milk and soft or unpasteurised cheese. Sweet drinks like squash, fizzy drinks, milkshakes and some fruit juices can have lots of added sugar so avoid these if you can and protect your baby’s teeth. Other drinks to avoid include tea, coffee, diet drinks, low-calorie drinks and no-added-sugar drinks. They will fill up your baby so they’re not hungry for healthier food. Instead, offer sips of water from a cup with meals. Cows’ milk as a drink shouldn’t be given before 1 year as it doesn’t have the right balance of nutrients. Also iron from cows’ milk is not absorbed as well as it is from mum’s milk. Sweet foods like chocolate, sweets, Indian sweets (mishit or mithai), rusks, biscuits, cakes and pastries have lots of added sugar and fat. Babies don’t need them. Salt and salty food like cheese, bacon, sausages, chips with added salt, crisps, convenience food, takeaways, gravy, stock cubes and soy sauce are bad for babies, so limit these. Choking can happen with hard foods, bones, small round foods like grapes and cherry tomatoes, and food with skin, like sausages. Peel the skin off fruit, vegetables and sausages and remove all bones from meat or fish. Avoid whole nuts – these shouldn’t be given until your child is 5 years old. Honey occasionally contains bacteria which can make babies ill, so should not be given before they are 1 year old. Never add any foods to a baby’s bottle (such as cereal or rusks) as this can cause choking and confuse a baby’s appetite.
Choking
• Choking can happen with hard foods, bones, small round foods like
grapes and cherry tomatoes, and food with skins like sausages and
processed meats and pastries
• Avoid whole nuts until children are 5 years of age
• NHS VIDEOS | My young child is choking - what should I do? (0-12
months) - Health videos - NHS Choices
Never leave a baby unattended with food
December 2017
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Choking can happen with hard foods, bones, small round foods like grapes and cherry tomatoes, and food with skin, like sausages. Peel the skin off fruit, vegetables and sausages and remove all bones from meat or fish. Avoid whole nuts – these shouldn’t be given until your child is 5 years old. Click on the NHS video link to play video if internet is available- if not please give link to parents to watch at home.
• Many babies gag when they are learning to manage solid food
• Choking is not the same as gagging
• Gagging is a safety mechanism activated in the baby’s mouth to help
them learn to eat safely
• When food is not ready to be swallowed (overfull mouth, food not
chewed) some babies will gag
• When a baby gags food is pushed forward in the mouth in a retching
movement to prevent it getting to the back of the throat
December 2017
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In a baby the gag reflex is very sensitive it is activated more easily than an adult Although gagging can be unsettling to watch most babies do not seem to bother by it They either spit the offending piece of food forward or chew it and carrying on eating happily To help the gag reflex work make sure baby is sitting up right so that any food that is not ready for swallowing falls forward out of his / her mouth
The Gag Reflex • It is important that nobody but the baby puts food into his/her mouth
• Babies need to be allowed time when they feed so that they can
control each mouthful
• If using a spoon – wait for babies to open their mouths and stop
when they have had enough, never force feed a baby
December 2017
Vitamins In July 2016, the scientific advisory committee on nutrition (SCAN) updated recommendations on Vitamin D supplementation for the whole population including new-born babies. • Everyone over the age of one year should take 10 micrograms of
vitamin D daily • As a precaution breastfeed babies from birth to one year of age
should also be given a supplementation of 8.5 to 10 micrograms of vitamin daily
• Babies who are formula feeding do not require any Vitamin D as
long as they are having more than 500mls of formula daily as infant formula contains Vitamin D
December 2017
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Antenatal/ Breastfeeding mothers should also be encouraged to have health start vitamins. Healthy Start vitamins containing vitamins A, C and D are those recommended. These are available in pharmacies at a very reasonable cost, or free of charge through the Healthy Start scheme for eligible families. In some areas they are free to all./ In BWD all babies under 6 are entitled to free health start vitamins.
Vitamins- BWD Only • In BWD all pregnant mothers, postnatal mothers up to one year and
babies from 4 weeks until their 6th birthday receive the Vitamin D supplementation
• From 2018 the dosage of Vitamin D will increase from 7.5micrograms to 8.5-10 micrograms daily
• From 2018 the time an infant receives Vitamin changes from 4 weeks until birth
• Vitamin D supplementation is now recommended for everyone.
December 2017
Presenter
Presentation Notes
Antenatal/ Breastfeeding mothers should also be encouraged to have health start vitamins. Healthy Start vitamins containing vitamins A, C and D are those recommended. These are available in pharmacies at a very reasonable cost, or free of charge through the Healthy Start scheme for eligible families. In some areas they are free to all./ In BWD all babies under 6 are entitled to free health start vitamins. BWD INFORMATION ONLY In BWD all pregnant mothers, postnatal mothers up to one year, babies from 4 weeks until their 6th birthday receive the VIT D supplementation From 2018 the dosage of Vit D will increase from 7.5ug to 8.5-10ug daily From 2018 the time an infant receives Vit changes from 4 weeks until birth Vit D supplementation is now recommended for everyone.
More information • Contact the health Visiting service
• Healthy start- www.healthystart.nhs.uk
• Start4life- www.nhs.uk/start4life
• First steps nutrition- www.firststepsnutrition.org
• IHV Parents Tips- www.ihv.org.uk
• www.bliss.org.uk/weaning-your-premature-baby
• www.nhs.uk
• Nice Faltering growth: recognition and management of faltering
growth in children - www.nice.org.uk/guidance/ng75
