Infant Feeding Guidance 0 2 Years For health professionals ...

1 We are committed to making our publications as accessible as possible. If you need this document in an alternative format, for Infant Feeding Guidance example, large print, Braille or a language other than English, please email or speak to a member of the 0-2 Years dietetic department. St Richard's Hospital For health professionals Department: Dietitians Spitalfield Lane Issue date: Review date: January 2017. January 2019. Chichester PO19 6SE. 7th Edition, 2017. Author: Penny Barnard Version: 7 01243 788122. Introduction Notes Welcome to the new edition of the Infant Feeding _____. Guidance _____. _____. It's 20 Years since we wrote the first Infant Feeding Guidance 0-2 _____. Years for health professionals . It continues to provide clear, _____.

2 Concise, evidence based information to health professionals involved in advising parents and carers of infants on all aspects of _____. Infant Feeding across the county. Copies can be downloaded from _____. our website. You will see two new chapters; choking and lactose _____. intolerance, which I hope you find informative. Current advice _____. specific to the treatment of food allergy, gastro oesophageal reflux disease and Feeding the premature Infant is included along with _____. current recommendations for diagnosing coeliac disease. The _____. appropriateness of the many Infant formulas, milks and drinks are _____. discussed to help you advise your patients to make an informed _____. choice. _____. I am delighted to present the 7th edition of the Guidance to you and _____.

3 Hope you continue to find it a valuable resource. I would like to _____. thank Simon Udal (Simon Udal Designs) for the original artwork _____. and to all of you who have sent comments and recommendations for this revised edition. I would welcome any further feedback you _____. may have. _____. _____. Happy reading! _____. _____. Dr Penny Barnard, RD, PhD _____. Advanced Dietitian, Paediatrics _____. Editor _____. _____. _____. 2 103. Notes Introduction _____ Editorial Team _____. _____ Penny Barnard, Advanced Dietitian, Paediatrics, Western Sussex Hospitals NHS Foundation Trust _____. _____ Helen Gane, Advanced Dietitian, Paediatrics, Western Sussex _____ Hospitals NHS Foundation Trust _____. _____. Disclaimer _____. _____ The information given in this document is accurate at the time of _____ going to press.

4 The mentioning of a particular product, support _____ group or website does not constitute an endorsement by Western Sussex Hospitals NHS Foundation Trust or Sussex Community _____ NHS Foundation Trust. _____. _____ The 7th edition is now the recognised Guidance . All prior editions _____ should be destroyed. These guidelines will be reviewed in Jan 2019. _____. _____. _____ Copyright _____. No part of this publication may be reproduced, stored in a retrieval _____. system or transmitted in any form or by any means; electronic, _____ mechanical, photocopying, recording or otherwise, except as _____ permitted by the UK Copyright legislation, without prior permission _____ of the authors. _____. _____. _____. 102 3. Introduction Notes List of reviewers _____.

5 Chapter Reviewer _____. _____. 1 Breastfeeding Dee Bell, Breast Feeding Specialist midwife**, Claire Foyle, _____. Paediatric Pharmacist** , _____. Sue Davies, Advanced Dietitian** _____. Judith Cartwright, Breast Feeding _____. Specialist health Visitor*, Ellie Elkins, Infant Feeding Lead* _____. Penny Barnard, Advanced _____. Dietitian** _____. 2 Bottle Feeding Ailsa McHardy, Specialist _____. Dietitian** _____. 3 Choking Penny Barnard, Advanced _____. Dietitian** _____. 4 Complementary Penny Barnard, Advanced _____. Feeding Dietitian**. _____. 5 Other Infant Formula, Ailsa McHardy, Specialist _____. Milks and Drinks Dietitian**. _____. 6 Healthy Start Julie Warwick Healthy Child _____. Programme Manager*. _____. 7 Growth Helen Gane & Odette Dicke, _____.

6 Advanced Dietitians**. _____. 8 Oral health Lynette Anear, Oral health _____. Promoter*. _____. 9 Vegetarian / Vegan Lucy Pope, Specialist Dietitian** _____. Diets _____. 10 Allergic Food Penny Barnard, Advanced _____. Hypersensitivity Dietitian**. 4 101. Notes Introduction _____. _____ Chapter Reviewer _____. 11 Lactose Intolerance Penny Barnard, Advanced _____ Dietitian**. _____. _____ 12 Fussy / Selective Lucy Pope, Specialist Dietitian**. Eaters _____. _____ 13 Iron Deficiency Ailsa McHardy, Specialist _____ Dietitian**. _____ 14 Common Gut Wendy Frost, Advanced _____ Problems Dietitian**. _____. 15 Premature Infants Helen Gane, Advanced _____ Dietitian**. _____. 16 Home Enteral Feeding Helen Gane & Odette Dicke, _____. Advanced Dietitians**.

7 _____. _____. _____. _____. * Sussex Community NHS Foundation Trust _____. _____ ** Western Sussex Hospitals NHS Foundation Trust _____. Thankyou to Dr Nick Brennan, Dr Mwape Kabole, Dr Stuart Nicholls &. _____ Dr Asma Shah, Consultant Paediatricians at Western Sussex _____ Hospitals NHS Foundation Trust for their contribution to the medical _____ review of this Guidance . _____. _____. 100 5. Contents Notes Chapter Page _____. No. No. _____. 1 Breastfeeding 8 _____. 2 Bottle Feeding 16 _____. 3 Choking 20 _____. _____. 4 Complementary Feeding 22. _____. 5 Other Infant Formulas, Milks and Drinks 29. _____. 6 Healthy Start 33 _____. 7 Growth 34 _____. 8 Oral health 41 _____. 9 Vegetarian / Vegan Diets 44 _____. _____. 10 Allergic Food Hypersensitivity 53.

8 _____. 11 Lactose Intolerance 61. _____. 12 Fussy / Selective Eaters 63 _____. 13 Iron Deficiency 65 _____. 14 Common Gut Problems 68 _____. (i) Infantile Colic 68 _____. (ii) Vomiting and Regurgitation 70 _____. _____. (iii) Diarrhoea 72. _____. (iv) Constipation 74 _____. (v) Coeliac Disease 76 _____. 15 Premature Infants 78 _____. _____. _____. 6 99. Notes Contents _____ Chapter Page No. _____ No. _____ 16 Home Enteral Feeding 85. _____. 17 Useful Contacts 90. _____. 18. Useful Resources 91. _____. _____ 19 References 92. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. _____. 98 7. 1. Breastfeeding 18. References Breastfeeding 63. Agostoni C et al. Enteral Nutrient Supply for Preterm Infants: Commentary From the European Society for Paediatric Breastfeeding is the healthiest way for a woman to feed her baby Gastroenterology, Hepatology, and Nutrition Committee on and recognises the important health benefits now known to exist for Nutrition.

9 JPGN 2010 50; 1. both the mother and her child1, 2. 64. Tsang RC et al (Eds) (2005) Nutrition of the preterm Infant : Scientific Basis and Practical Guidelines, 2nd Edition Digital The Unicef UK Baby Friendly Initiative3 (BFI) is a best practice' Educational Publishing. framework for health services which ensures support is provided to 65. Klein CJ. Nutrient Requirements for Preterm Infant Formulas. parents to make informed decisions about Feeding their babies. J. Nutr 2002;132:1395S-1577S. Research has shown that mothers giving birth in hospitals where 66. King C, Aloysis A. A Joint consensus statement on weaning baby friendly policies are implemented are more likely to preterm babies. BAPM. London 2011. breastfeed than mothers who give birth in other hospitals4.

10 67. National patient Safety Agency (2011) Alert NPSA/2011/. Therefore this Guidance is based on both BFI3 and NICE PSA002 10 March 2011 Reducing the harm caused by guidance5. misplaced nasogastric Feeding tubes in adults, children and infants. All mothers have the right to receive clear and impartial information 68. British Dietetic Association (BDA) Practice Toolkit. Liquidised to enable them to make a fully informed choice as to how they feed Food via Gastrostomy Tube, 2015 (Access 15 September and care for their baby. Staff will not discriminate against any 2016). woman in her chosen method of Feeding and will fully support her when she has made a choice. However, it is essential that the health benefits of breastfeeding and the potential health risks of formula Feeding are discussed with all women so that they can make informed choices.