Baby feeding and nutrition: Difference between revisions

 
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| '''Age'''||'''Amount of formula^'''||'''Number of feedings per 24 hours'''||'''Development'''||'''Solid foods'''||'''Water'''
| '''Age'''||'''Amount of formula^'''||'''Number of feedings per 24 hours'''||'''Development'''||'''Solid foods'''||'''Water'''
|-
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| 1 month||2 to 4 ounces per feeding||6 to 8 times||||No||No
| '''1 month'''||2 to 4 ounces per feeding||6 to 8 times||||No||No
|-
|-
| 2 months||5 to 6 ounces per feeding||5 to 6 times||||No||No
| '''2 months'''||5 to 6 ounces per feeding||5 to 6 times||||No||No
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|-
| 3 to 5 months||6 to 7 ounces per feeding||5 to 6 times||||No||No
| '''3 to 5 months'''||6 to 7 ounces per feeding||5 to 6 times||||No||No
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|-
| 4 to 6 months||28 to 32 ounces per day||4 to 6 times||Make first cereal feedings very soupy and thicken slowly.||Yes||No
| '''4 to 6 months'''||28 to 32 ounces per day||4 to 6 times||Make first cereal feedings very soupy and thicken slowly.||Yes||No
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| 7 months||30 to 32 ounces per day||3 to 5 times||Start finger foods and cup.||Yes||Yes
| '''7 months'''||30 to 32 ounces per day||3 to 5 times||Start finger foods and cup.||Yes||Yes
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| 8 months||30 to 32 ounces per day||3 to 5 times||Formula intake decreases; solid foods in diet increase.||Yes||Yes
| '''8 months'''||30 to 32 ounces per day||3 to 5 times||Formula intake decreases; solid foods in diet increase.||Yes||Yes
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| 9 months||30 to 32 ounces per day||3 to 5 times||Eating more table foods. Make sure diet has good variety.||Yes||Yes
| '''9 months'''||30 to 32 ounces per day||3 to 5 times||Eating more table foods. Make sure diet has good variety.||Yes||Yes
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| 10 to 12 months||24 to 30 ounces per day||3 to 4 times||Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.||Yes||Yes
| '''10 to 12 months'''||24 to 30 ounces per day||3 to 4 times||Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.||Yes||Yes
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^Breastfeeding highly preferred to formula feeding
^Breastfeeding highly preferred to formula feeding


==Formula Types==
==Formula Types==  
===Enfamil===
Usually all formulas should be mixed 1 scoop to 2 oz of water. Water should be added first and then powder. <ref>DiMaggio, D et al. Ask the Pediatrician: What Are the Best Kinds of Formula?. The Bump. March 5 2018.</ref> <ref>Fleet, Sarah E. et al. Overview of enteral nutrition in infants and children. UpToDate. Nov 19 2021.</ref>
* milk based, for most babies


===Lactose Free===
===Cow's milk protein===
*milk based lactose free for fussy, gas diarrhea due to lactose intolerance
*Milk based, for most babies
*Examples: Enfamil Complete, Similac Advance


===Prosobee===
===Low lactose or lactose free===
* soy based milk free lactose free
*Sometimes used after a diarrheal illness, but these are not needed in the grand majority of patients
*for family hx of allergy or milk sensitivity
*Examples: Similac Sensitive, Enfamily Gentlease


===Nutramigen===
===Soy protein based===
*protein free, hypoallergenic, lactose free
*For infants with IgE mediated cow's milk allergy
*for colic or other sx due to milk protein allergy
*For infants with galactosemia
*Examples: Enfamil Isomil, Gerber Good Start Soy, Similac Isomil
 
===Extensively hydrolyzed===
*Most are lactose free
*For infants with food protein induced proctocolitis or IgE mediated cow's milk allergy
*Examples: Enfamil Nutramigen, Similac Alimentär
 
===Amino acid based===
*Free from amino acids, indicated for patient's with severe cow's milk protein allergy  
*Lactose free
*Examples: Electra, Neocate


==See Also==
==See Also==
Line 41: Line 52:
*[[Colic]]
*[[Colic]]


==Source==
==References==
<references/>


[[Category:Peds]]
[[Category:Pediatrics]]
[[Category:GI]]
[[Category:GI]]
[[Category:FEN]]

Latest revision as of 18:32, 12 May 2022

Feeding

Age Amount of formula^ Number of feedings per 24 hours Development Solid foods Water
1 month 2 to 4 ounces per feeding 6 to 8 times No No
2 months 5 to 6 ounces per feeding 5 to 6 times No No
3 to 5 months 6 to 7 ounces per feeding 5 to 6 times No No
4 to 6 months 28 to 32 ounces per day 4 to 6 times Make first cereal feedings very soupy and thicken slowly. Yes No
7 months 30 to 32 ounces per day 3 to 5 times Start finger foods and cup. Yes Yes
8 months 30 to 32 ounces per day 3 to 5 times Formula intake decreases; solid foods in diet increase. Yes Yes
9 months 30 to 32 ounces per day 3 to 5 times Eating more table foods. Make sure diet has good variety. Yes Yes
10 to 12 months 24 to 30 ounces per day 3 to 4 times Baby may change to table food. Baby will feed himself or herself and use a spoon and cup. Yes Yes

^Breastfeeding highly preferred to formula feeding

Formula Types

Usually all formulas should be mixed 1 scoop to 2 oz of water. Water should be added first and then powder. [1] [2]

Cow's milk protein

  • Milk based, for most babies
  • Examples: Enfamil Complete, Similac Advance

Low lactose or lactose free

  • Sometimes used after a diarrheal illness, but these are not needed in the grand majority of patients
  • Examples: Similac Sensitive, Enfamily Gentlease

Soy protein based

  • For infants with IgE mediated cow's milk allergy
  • For infants with galactosemia
  • Examples: Enfamil Isomil, Gerber Good Start Soy, Similac Isomil

Extensively hydrolyzed

  • Most are lactose free
  • For infants with food protein induced proctocolitis or IgE mediated cow's milk allergy
  • Examples: Enfamil Nutramigen, Similac Alimentär

Amino acid based

  • Free from amino acids, indicated for patient's with severe cow's milk protein allergy
  • Lactose free
  • Examples: Electra, Neocate

See Also

References

  1. DiMaggio, D et al. Ask the Pediatrician: What Are the Best Kinds of Formula?. The Bump. March 5 2018.
  2. Fleet, Sarah E. et al. Overview of enteral nutrition in infants and children. UpToDate. Nov 19 2021.