Slide 1

Published on
Scene 1 (0s)

&aé9

Developmental Milestones and the Age – Appropriate Feed

Scene 2 (8s)

Image result for vectors of mother feeding the child

abstract

Feeding young children can be an intense and emotional experience for both, the parent and the child.

It is the ability achieved by a child by a certain age.

What is a Developmental Milestone?

Scene 3 (29s)

Prenatal (Weeks' gestation) Birth Postnatal (months after birth) 15 Chymotrypsin Trypsin 20 25 30 35 40 3 6 9 12 24 Carboxypeptidase B Enterokinase Pancreatic amylase — — Salivary amylase Pancreatic lipase Gastric and lingual lipases Percentages refer to childhood enzyme levels 6000 250/ 170/ 100/

Role of Digestive Enzymes & Saliva on Feeding

Scene 4 (45s)

Role of Oro- facial Development in Feeding

6 10-12 Indicative age (mo) Oral cavity Teeth 18 Oral cavity size increasing 24 Larynx lowering Pharynx elongation Incisors MLSe and bone development First molars 36 Sa20nd molars rmanenth Canines

Vertical movement Backward-forward movement Tongue Vertical movement Mandibule Control of the food bolus in the mouth La teralmovement Diagonal movement Closed for keeping food bolus in the mouth Spoon puree removing Circular rotary movement Lips Feeding skills Propulsion I retropropulsion Streching - Nipple Aspiration: Intense activity Suckling-Swallowing Munching Sucking Grasping-Biting

Scene 5 (1m 3s)

Age-related taste preferences

Image result for new born baby

5 – 6 months – Bitter/ strong tastes when first introduced at this age lead to a refusal as it is considered toxic/ dangerous 18 months – Reject salt water and accept salt in table foods. (Delaney & Arvedson , 2008)

CRITICAL PERIODS FOR TASTE PREFERENCES

Image result for veegetables

Image result for veegetables

Image result for veegetables

Image result for food selectivity in infants vector

Image result for number vectords

to

Image result for number vectords

exposures

Image result for food selectivity in infants vector

Image result for breastfeeding vector

Scene 6 (1m 31s)

Suck reflex integrates Runny purees Rooting reflex integrates Tongue thrust reduces Hard munchables Bite and dissolve Tongue laterilisation Soft finger foods/ solid foods Graded bite Integration of phasic bite and tongue lateralisation Mixed textures Phasic bite pattern and Jaw stability increases Thick purees/ mashed

Role of Oral Motor Readiness in Texture Progression

At around 6 months

At around 12 months

Image result for Runny purees for babies

Image result for Runny purees for babies

Image result for mashed purees for babies

Image result for soft finger foods for babies

Image result for soft finger foods for babies

Image result for mixed textured foods for babies

Image result for dissolving foods for babies

Scene 7 (2m 1s)

Age-related Texture Preferences

Image result for falvours inutero and breastmilk

Image result for falvours inutero and breastmilk

In- utero to Birth

6-7 months

4-6 months

7-10 months

10 -12 months

Image result for runny puree

Image result for mashed potatoes for babies

Image result for bananas and avocado

Image result for chips and cookies

Image result for raw apples and carrots

Image result for tongue protrusion reflex and feeding

Image result for tongue protrusion reflex and feeding

Image result for food textures for child

Image result for Neophobic stage in infants

Image result for Neophobic stage in infants

Image result for Neophobic stage in infants

Image result for Neophobic stage in infants

Image result for Neophobic stage in infants

Image result for Neophobic stage in infants

12 months

Scene 8 (2m 32s)

Age of Infant By Month Age Grouping %quence of Introducing FOMis Texture of Complementary Ws Fæiing Style 5 6 11 12 Birth through 3 months Breast milk or Infant Formula Breastfeeding/ 4 months through 6 months Complementa Strained/ pureed e Feeding c 6 months through 8 months fM)ds thin consistency for c 8 months through 12 months Mas ed Ground/ Finely Chopp„ed n Feeding Feeding Self Feedinv Feeding Finger Foods

Complementary Food Recommendations as per the Texture and Feeding Style Readiness

Scene 9 (2m 49s)

abstract

HUNGER SIGNALS

SATIETY SIGNALS

Appetite Regulation During the Child’s Growth

abstract

BIRTH TO 2 YEARS

abstract

abstract

abstract

abstract

abstract

abstract

abstract

abstract

Scene 10 (3m 6s)

Appropriate Feed Up to 6 Months

Ideally, a baby should receive the first breastfeed within the first hour of birth. No other fluid or food items like honey, ghutti, animal milk, tea, water or glucose water should be given to the newborn.

Infants should be exclusively breastfed for the first six months to achieve optimal growth, development and health. (WHO, 2002)

Image result for vectors of breast feeding

Scene 11 (3m 30s)

Additional complementary feeding should be initiated by 6 months of age.

Image result for vectors of breast feeding

Appropriate Feed For 6-9 Months

abstract

Breastfeeding should be continued.

Scene 12 (3m 48s)

Thick porridge made of maize, cassava, millets, to which milk, soy, groundnuts, sugar, jaggery or ghee can be added Mixtures of pureed foods made from potatoes, cassava, posho (maize or millet), rice, mixed with fish, beans or pounded groundnuts. Addition of green vegetables would allow consumption of nutritious foods. Commercially prepared infant foods/formulae

Appropriate Feed For 6-9 Months

abstract

abstract

abstract

abstract

Scene 13 (4m 11s)

Appropriate Feed for 10-12 Months

Image result for vectors of infant eating

Image result for carbohydrates proteins and fats

abstract

abstract

abstract

Scene 14 (4m 25s)

Image result for cows milk

Image result for fruit juices

Image result for 3-4 meals for 2 year oldkids

APPROPRIATE FEED FOR 12 – 24 MONTHS

1

2

4

3

5

Appropriate Feed For 12-24 Months

Scene 15 (4m 36s)

Practical Guidelines on the Quality, Frequency, and Amount of Food to Offer Children of Age 6–23 Months

Age Energy needed per day in addition to breast milk Texture Frequency Amount of food an average child will usually eat at each meal 6-8 months 200 kcal per day Start with thick porridge, well-mashed foods. Continue with mashed family foods. 2-3 meals per day. Depending on the child’s appetite, 1-2 snacks may be offered. Start with 2-3 tablespoons per feed, increasing gradually to ½ of 250-ml cup 9-11 months 300 kcal per day Finely chopped or mashed foods and foods that baby can pick up 3-4 meals per day. Depending on the child’s appetite, 1-2 snacks may be offered. ½ of a 250-ml cup/ bowl 12-23 months 550 kcal per day Family foods, chopped or mashed if necessary 3-4 meals per day. Depending on the child’s appetite, 1-2 snacks may be offered. ¼ to full 250-ml cup/ bowl

Scene 16 (5m 25s)

Feeding in Special Scenarios Maternal Factors

CONDITIONS IN WHICH BREASTFEEDING CAN BE CONTINUED CONDITIONS THAT WARRANT TEMPORARY CESSATION OF BREAST FEEDING CONDITIONS IN WHICH BREASTFEEDING IS CONTRAINDICATED

(Infant and Young Child Feeding Guidelines, IAP, 2016)

Image result for tuvbercle bacilli

Image result for leprosy bacilli

Image result for hypothyroidism vector

abstract

abstract

abstract