Dietary Requirements based on weight:
<10kg
10-20kg
>20kg
Weight < 10 kg = 100 kcal/kg/day
Weight 10-20kg = 1,000 cal + 50 kcal/kg/day per kg>10
Weight > 20 kg = 1,500 cal + 20 kcal/kg/day per kg>20
Dietary Recommendations
0-6 months = Exclusively breastmilk unless CI’d
Supplements required: Vit D (400 IU/day), Fluoride (>6 months), Iron (6-12 months if no fortified foods)
> 6 months = Introduce solid food (2-3 per week, wait 2 days between each); lumpy, mashed, pureed
9-24 months = Homo milk (3.25%) 16oz/day to non-breast feeding infant
3 meals + 1-2 smaller snacks
Veggies, fruits, grains and full-fat milk after iron-rich foods
Encourage self-feeding and open cup by 18 months
Avoid honey until >12 months, added sugar/salt, excessive milk, juice
2-6 years = switch to 2% milk (500 ml/day)
Breastfeeding:
Contents
Advantages
Contraindications
Content
- Colostrum (first few days) = clear, high P low F, IgA
- Mature milk = 70:30 whey:casein ratio
Advantages
- Easy digestion, immunologic (IgA, macrophages, lymphocytes, lysozymes, lactoferrin)
- Bonding, economical, convenient
Contraindications
- Chemotherapy or radiation
- HIV/AIDS, untreated TB, Herpes on breast
- Medications that cross (antimetabolites, bromocriptine, chloramphenicol, diazepam, ergots, gold, metronidazole, tetracycline, lithium, cyclphosphamide
Signs of inadequate intake
- <6 wet diapers/day after first week
- <7 feeds/day
- Sleepy/lethargic, sleeping all night <6 weeks old
- Weight loss >10% of birth weight
- Jaundice
