[tri-med] Re: Infant Diets

Thanks Karen--I needed this for Corey.  Every doc or magazine says something
different . . .

Nanci, Mom to Alicia (18 and in college now!), Shani (12 and my BIG
helper ), Soleah (Trisomy 18 m and almost 8!), Corey (the new baby in the
house--born 9/5/01) and Wife to Mike, my kind and loving husband!

This is the day that the Lord has made; I will rejoice and be glad in it.
Psalm 118:24

My church home:  www.yourwcc.org

Trisomy websites:
http://www.trisomyonline.org/
http://www.chromosome18.org/
http://www.trisomy.org/

----- Original Message -----
From: "Karen Schuler" <karens@xxxxxxxxxxxxxxxx>
To: "Tri-med" <Tri-Med@xxxxxxxxxxxxx>
Sent: Thursday, January 31, 2002 7:36 AM
Subject: [tri-med] Infant Diets


>
> This is from the NIH (The US Department of Health and Human Services -
> National Institute of Health) website. Its pretty ,uch the same as what is
> recommended here. Just remember that this is for typical developing
children
> and aspects will need to be modified for our triers. As always be guided
by
> your own doctor as he knows you and your child best.
>
> http://medlineplus.nlm.nih.gov/medlineplus/ency/article/002455.htm
>
> Recommendations
> BIRTH TO FOUR MONTHS OF AGE
> During the first four to six months of life, infants need only breast milk
> or formula to meet all their nutritional needs. Breast milk is the
> recommended feeding method for the first 6 months of life although a
> fortified formula can adequately meet an infant's needs. If breastfeeding,
a
> newborn may need to nurse eight to twelve times per day (every 2 to 4
hours)
> or on demand. By four months, the baby is likely to cut back to four to
six
> times per day, however the quantity breast milk consumed at each feeding
> will increase. Formula fed babies may need to eat about six to eight times
> per day, starting with 2 to 5 oz formula per feeding (for a total of 16-35
> oz per day). As with breastfeeding, the number of feedings will decrease
as
> the baby gets older, but the amount of formula will increase to
> approximately six to eight ounces per feeding.
>
> *Never give honey to an infant as it may contain the spores that cause
> botulism. An infant's immune system is not fully developed to fight off
this
> disease.
>
> *Although an infant may sleep through the night, waking to feed may be
> necessary if the infant is not eating enough during the day or if they are
> underweight. Routine check-ups with your physician to monitor your child's
> growth will ensure they are adequately eating during the day. Your doctor
or
> dietitian will inform you if waking to feed is indicated.
>
> FOUR TO SIX MONTHS OF AGE
> At four to six months of age an infant should be consuming 28 to 45 ounces
> of formula and is often ready to start the transition to solid foods.
> Starting solids too soon may cause the infant to choke if they are not
> physically ready. There are several developmental milestones to indicate
an
> infant is ready eat solid foods: when birth weight has doubled; the baby
has
> good control of head and neck; can sit up with some support; can show
> fullness by turning the head away or by not opening the mouth; and the
baby
> begins showing interest in food when others are eating.
>
> Start solid feedings with iron-fortified baby rice cereal mixed with
breast
> milk or formula to a thin consistency. The cereal may be mixed to a
thicker
> consistency as the baby learns to control it in his mouth. Initially offer
> cereal two times per day in servings of 1 or 2 tablespoons (dry amount,
> before mixing with formula or breast milk). Gradually increase to 3 or 4
> tablespoons of cereal. Cereal should not be given in a bottle unless a
> physician or dietitian may recommend it for reflux. Once the baby is
eating
> rice cereal routinely, you may introduce other iron-fortified instant
> cereals. Only introduce one new cereal per week so you can watch for an
> intolerance.
>
> *Never put a child to bed with a bottle as it can develop "bottle mouth",
> resulting in tooth decay. Use plain water if a bottle is necessary.
Discuss
> use of plain water with your physician as in some cases use of excess
water
> can lead to seizures in children.
>
> SIX TO EIGHT MONTHS
> Continue to offer breast milk or formula three to five times per day. The
> consumption of formula or breast milk will begin to level off as solid
foods
> become a source of nutrition. After a baby has tried a variety of
different
> baby cereals, try fruit juices and strained fruits and vegetables. For
> juices, use infant-pack juices or unsweetened Vitamin C rich juices such
as
> apple, grape, orange. Do not give juices in a bottle at bedtime as this
may
> lead to tooth decay. Delay orange juice until 9 months of age if your
family
> has a history of allergy to orange juice.
>
> For strained fruits and vegetables, introduce one at a time waiting two to
> three days in between to check for any allergic reaction. Start with plain
> vegetables and plain fruits such as green peas, potatoes, carrots, sweet
> potatoes, squash, beans, beets; bananas, applesauce, apricots, pears,
> peaches, and melon. Some dietitians recommend introduction of a few
> vegetables before fruits as the fruit's sweetness may make a less-sweet
food
> such as vegetables less appealing. Give fruits and vegetables in 2 to 3
> tablespoon servings and offer about four servings per day. Amounts of
fruits
> and vegetables consumed per day will vary between 2 tablespoons and 2 cups
> depending on the size of your child and how well the child eats fruits and
> vegetables. The consistency of foods offered may be gradually increased as
> your child tolerates.
>
> Finger foods may be offered in small amounts but avoid foods such as apple
> chunks or slices, grapes, hot dogs, sausages, peanut butter, popcorn,
nuts,
> seeds, round candies, and hard chunks of uncooked vegetables that may
cause
> choking. Soft cooked vegetables, washed and peeled fruits, graham
crackers,
> melba toast, noodles are good finger foods, but salted and/or sugared
foods
> are not recommended. Teething foods, such as toast strips, unsalted
> crackers, bagels, and teething biscuits may also be introduced at this
time.
>
> EIGHT TO TWELVE MONTHS OF AGE
> Breast milk or formula should be offered three to four times per day at
this
> age. At eight to twelve months of age, a baby will be ready to try
strained
> or finely chopped meats. For breastfed infants, start meats at eight
months
> of age (breast milk is not a rich source of iron, but infants have
adequate
> iron stores to last until 8 months of age when iron-rich foods such as
meats
> can be given). As with other foods, offer only one new meat per week in 3
to
> 4 tablespoon servings and use strained and finely ground meats,
> frankfurters, or meat sticks. Serving sizes for fruits and vegetables
> increases to three to four tablespoons, four times per day. Eggs may be
> given 3 to 4 times per week but only the yolk until the baby is one year
old
> as some babies are sensitive to egg whites.
>
> By the age of one, most children are off the bottle. If the child still
uses
> a bottle, it should contain water only.
>
> ONE YEAR OF AGE
> After a baby is one-year old, whole milk ("Vitamin D" or 4%) may replace
> breast milk or formula. Children under the age of two should not be given
> low-fat milk (2% or skim) as they need the additional calories from fat to
> ensure proper growth a development. Children under the age of one should
not
> be given any dairy product. Cheese, cottage cheese, and yogurt may also be
> given in small amounts. While milk is not as nutrient dense as breast milk
> or formula, the one-year old child should be getting much their nutrition
> from meats, fruits and vegetables, breads and grains, and the diary group.
>
> Providing a variety of foods will help to ensure adequate intake of
vitamins
> and minerals. Toddlers do not grow as rapidly as babies do so their
> nutritional needs relative to their size decrease during the second year
of
> life (although they continue to gain weight, they no longer "double their
> weight" as infants do). Keep in mind, however, that toddlers are becoming
> more and more active as they learn to crawl and walk. Toddlers and small
> children will usually eat only small amounts at one time, but will eat
> frequently (four to six times) throughout the day so snacking is strongly
> encouraged.
>
> Feeding Tips:
> Feeding solids too early is not recommended and can result in overfeeding.
> Offer only one new food at a time. Offer the new foods for a few days.
Watch
> for allergic reactions (hives, vomiting, diarrhea).
> Do not feed solids in a bottle.
> If your child dislikes the new food, try giving it again later.
> SAFETY FIRST
> Feed the baby directly from the jar only if you use the entire jar
contents,
> otherwise use a dish to prevent contamination with food borne illness.
> Opened containers of baby's food should be covered and stored in a
> refrigerator for no longer than two days.
> Use a small spoon to feed the baby.
> A baby put to bed with a bottle (milk, fruit juice or sweetened beverage)
> can develop nursing bottle mouth, resulting in tooth decay. Use plain
water
> if a bottle is necessary.
> Avoid foods that may cause the baby to choke (popcorn, nuts, potato chips,
> whole kernel corn, berries, grapes, hot dogs, raw vegetables, raisins, dry
> flake cereals).
> OTHER TIPS
> Water can be offered between feedings.
> Feeding sweets or sweetened beverages is not recommended because they will
> spoil the appetite and contribute to tooth decay.
> Salt, sugar, and strong spices are not recommended.
> Caffeine products are not recommended (soft drinks, coffee, tea,
chocolate).
> A fussy baby may need attention, not always food.
>
>                   Building ___ooOOoo__ Rainbows
>                        www.trisomyonline.org
>                   Families Helping Families On-line
>

                  Building ___ooOOoo__ Rainbows
                       www.trisomyonline.org
                  Families Helping Families On-line

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