2 months old child is weighing 3 kg. His birthweight is 2kg. You review her positioning and attachment
Signs of good suckling attachment are: •The baby’s chin touches the breast
•His mouth is wide open
His lower lip is turned outwards
•One can see more of the areola above his or her mouth and less below.
Corrected and baby started gaining weight
9months old child on complimentary feeds. He takes only one or two spoon at a time. He is not accepting vegetable
Wt 5.4 kg
Calories 400
Protein 12gm
Breastfeeds plus
Cows milk 500 ml
Aftertakinghistory,decide:
1.Whether the child isgetting adequate calories or not?
2.Whether thechildis getting adequate protins or not?
3.Whether thechildisgetting all food group items or not(if childis not getting any particular food group,you will have to counselto increase that food item)?
4.Whether the childis getting food items with right consistency?
5.Whether the child’sgrowth parameters(weight forage,heightforage,weightfor height;and bodymass index in children>5years of age)are normalb or abnormal?
Added boiled mashed greengram and oil to complimentary feeds
Slowly picked up weight
What is the calorie and protein requirement @1yr, @4yrs, @8yrs?
National institute of nutrition (ICMR)
Key points
When did breastfeedi g started?
Frequency, night feeds
Weight gain, urination, feels of letti g down
Is it exclusive breastfeeding?
When was complimentary feeding started?
Any formula feeds or cows milk
Weight gain with growth charts
Mashed food, lumpy food finger food
Grams, vegetable fruits, different cereals
Dairy, meat, fish items, egg
Consumed or.not
Get a 3 day recall
Suggest improvements with high density food
Use oil, ghee
Add vegetables fruits if needed