Breast feeding

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Breast feeding working mother 1

• Breast milk physiology
• Composition of Mature Breastmilk
• Equipement
• Breast milk holding
• FORMULA
• Composition

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• Praise the mother for
• breast feeding / economic
• Education
• Difficulty
• Formula
• Breast milk holding
• Equipment for continue breast milk

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Breast is best nothing that money can
buy is as good for a baby as breastfeeding
Breast milk physiology
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BREAST FEEDING

• B est for babyR educes incidence of allergiesE
  conomical - no wasteA ntibodies - greater
  immunity to infectionsS tool inoffensive - never
  constipatedT emperature always correct and
  constant  

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BREAST FEEDING

• F resh milk - never goes sour in the breastE
  motionally bondingE asy once establishedD
  igested easily within two to three hoursI
  mmediately availableN utritionally balancedG
  astroenteritis greatly reduced
• From a publicity leaflet by the TIBS support
  group, Trinidad.
•  

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Breast milk physiology

• Prolactin
• ( night sucking-
• (production milk)
• Oxytocin
• ( nipple contraction- suckling
• (let down milk )

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• Equipement

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• Equipement

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• Equipement

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• Equipement

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• Equipement

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• Equipement

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• Equipement

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• Equipement

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• Equipement

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Induced lactation and relactation
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Composition of Mature Breastmilk
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Composition of Mature Breastmilk
20 calories per ounce

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CALORY

• 60 - 70 KILOCALORY / DL

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• MINERAL
• CA / NA/ FE
• VITAMINE

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HYDROCARBONE

• LACTOSE
• 7 g r / dl

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FAT

• UNSUTURATED
• 3/5 g r / dl

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PROTEINE

• WHEY 60
• CASEINE 40
• 1/1 g r / dl

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Breast milk holding

Normal temperature 4-8 hours Refrigerator
48 hours freeze milk
23 weeks Refreeze milk
24 hours freeze milk in -18 3
mo freeze milk in - 32 6-12 mo
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Breast milk holding

• Normal temperature 4-8 hours
• Refrigerator 48 hours
• freeze milk 23 weeks
• Refreeze milk 24 hours
• freeze milk in -18 3 mo
• freeze milk in - 32 6-12 mo

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FORMULA
Milk protein or soy protein allergy Complicated
gastrointestinal disorders Colic Feeding
intolerance to cow-milk or soy formulas

• COW,S MILK
• MODIFIED COW,S MILK
• SOY FEED
• SPECIFIC MILK

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Cow-Milk Based Composition

• 20 calories/ounce standard dilution
• Protein is ideally whey-predominant
• Carbohydrate is lactose (except in Lacto-Free
  formula)
• Fat is a mixture of vegetables oils (LCT)

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Cow-Milk Based Composition

• Approximately 32 ounces of standard formula per
  day will meet 100 of RDA for vitamins and
  minerals for term infants.
• If infants are only fed ready to feed formula,
  fluoride supplement of 0.25 mg/day is necessary

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Available Brands of Cow-Milk Based Formulas

• Enfamil with Iron (or low-iron)
• Similac with Iron (or low-iron) (Ross)
• Good Start
• Similac PM 60/40 used in renal patients.)
• Lacto-Free (cow-milk protein,) but lactose-free

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Soy-Based Formulas
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Soy-Based Formulas

• Vegetarians
• IgE mediated reaction to cows milk protein
• Lactose Intolerance or Galactosemia
• Refeeding after chronic diarrhea (lactose-free)

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Composition

• 20 calorie/ounce standard dilution
• Protein Soy protein with added methionine
• Carbohydrate Sucrose, corn syrup solids, tapioca
  starch
• Fat Blend of vegetable oils

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Available Brands of Soy Formulas

• Prosobee
• Isomil
• Isoyalac

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Composition

• Protein casein hydrolysate
• (small peptide considered hypoallergenic)
• Carbohydrate modified tapioca starch and glucose
  oligosaccharides.
• Fat approximately 50 of fat is MCT oil

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Casein Hydrolysate Formulas
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Casein Hydrolysate Formulas

• Milk protein or soy protein allergy
• Complicated gastrointestinal disorders
• Colic
• Feeding intolerance to cow-milk or soy formulas

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• Poor taste and expensive
• Not recommended for long-term use in preterm
  infants due to inadequate vitamin
• Alimentum is only available in ready to feed
• Pregestimil is available as a powder for the
  consumer, but is available in some hospitals as
  20 24 calorie/oz ready to feed.
• Nutramigen is available in liquid concentrate and
  powder

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Available Brands

• Nutramigen
• Pregestimil
• Alimentum

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Premature Infant Formulas
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Similac NeoCare

• Designed for premature infants gt1800 grams who
  require increased calories, protein, vitamins and
  minerals.
• 22 calories/ounce standard dilution
• Available in powder commercially.
• Appropriate for the first year of feeding.

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Premature Infant Formulas

• premature infants with birthweight lt1800
• easier digestion
• Vitamin and mineral content is approximately 3
  times that of standard formulas to meet the
  increased needs premature infants.
• 20 or 24 calorie/ounce.

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Composition

• Protein 60 casein and 40 whey
• Carbohydrate 50 lactose and 50 glucose
  polymers
• Fat 50 Medium chain and 50 long chain
  triglycerides

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Human Milk Fortifiers

• Composition of Commercially Available

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Composition of Commercially Available Human Milk
Fortifiers
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