A Practical Infant Feeding Guide for Healthcare Professionals

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1 A Practical Infant Feeding Guide for Healthcare Professionals Everyone wants what s best for baby Prof Mary Flynn Chief Specialist Public Health Nutrition, FSAI. 19 th November 2012

2 RECOMMENDATION 4 FSAI should provide information for healthcare professionals outlining practical guidance on best practice in infant feeding

3 The First 1,000 days - a unique opportunity to shape healthier futures

4 Nutrition and Lifestyle before Pregnancy 50% of Pregnancies are Unplanned +

5 Folic Acid & Supplements Iron Calcium Vitamin D Omega-3 Vitamin A

6 Lifestyle Factors during Pregnancy Caffeine intake < 200mg/day Food Safety & Hygiene

7 Breastfeeding - The best way Breast of feeding milk your infant Exclusive Mothers should breastfeeding should be the be sole for the educated drink for and infants first 6 supported months to of 6 months to life of Continue breastfeed breastfeeding their age up to 2 infant for as long as years and possible. beyond with the introduction It is recommended of suitable that all infants from birth to 12 months, whether breastfed or formula complementary fed, be given foods. a daily supplement of 5 μg (200 IU) of vitamin D

8 Expressing Breast Milk Mothers should receive guidance! Preparing to express milk Methods of expressing Hand Hand pump Electric pump Storage & Feeding expressed milk

9 Formula Feeding Breastfeeding is the best and biologically normal way of feeding an infant Where breastfeeding is contraindicated, or an informed choice not to breastfeed has been made a suitable infant formula is required Formula milk does not contain certain health promoting components which breast milk naturally contains

10 Choosing the right milk Choosing the correct equipment Factors that must be considered when formula feeding Washing & Sterilising Storing, transporting & Feeding Preparing the feed correctly Using the right water

11 Weaning TIMING IS KEY! Solid food should be introduced at about 6 months of age Transitioning from milk-only not too early and not too to a mixed diet with foods of late different tastes and textures.

12 Weaning is a process S t a g e 1 From ~ 6 months (not before 17 weeks) First foods are thin purées and increase in thickness Gluten-free cereal Puréed vegetables Puréed fruits Meat, poultry and fish purées S t a g e months Move on to thicker purées and mashed foods with soft finger foods Gradual introduction of gluten-containing foods Pieces of soft cheese Yoghurt Suitable finger foods S t a g e months Move on to minced or chopped family foods and a wider range of finger foods Family meals with babyfriendly modifications (no salts, sauces, gravies etc.)

13 What foods are important during weaning? Energy Protein Fat Omega- 3 Iron Vitamin D

14 What should be avoided during weaning High sugar High salt High fibre

15 How to introduce gluten? Appropriate amounts of glutencontaining foods: Infants ½ weetabix should biscuit be introduced to gluten at 1 about 6 months of age Week one rusk 30 g gluten containing baby rice ½ slice The of gradual white sliced introduction pan of small 8g amounts cooked pasta of gluten 1 are small associated slice of with wholemeal less risk (7g bread or less) Gluten should be introduced at about 6 months of age Gluten-containing One portion of of gluten-containing foods can be foods foods given every every to the day 32 infant days every day on more then one occasion

16 Homemade weaning foods Fruit, vegetables, meat, poultry, fish and pulses are all suitable at each stage of weaning Foods can be liquidised, puréed or mashed to the appropriate texture for the infant

17 Fluids during the first year of life 6 months of age 12 months of age

18 Measuring an Infant s Growth New UK-WHO Growth Charts Feeding method & growth patterns When & How to measure growth?

19 Caring for an infant s teeth

20 THANK YOU!

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