Human Milk Fortifiers (HMF) And How to Feed a Newborn

Funom Makama By Funom Makama, 19th Nov 2011 | Follow this author | RSS Feed | Short URL http://nut.bz/29tn1uv7/
Posted in Wikinut>Family>Babies

Human milk fortifiers are milk supplements and not actually meant to substitute for the breast milk itself. They are meant for gradual inclusion to the child's nutrition as it grows older and start having the need to advance in feeding.

Indications for use and characteristics

• Nutrient supplement designed to supply additional calories, protein, calcium, phosphorus, zinc and other vitamins and minerals to premature breastmilk.
• Designed for infants less than 34 weeks gestation or those less than 1500g at birth once feeding has reached at least 75% full volume feeding with expressed breast milk.
• Enfamil Human Milk Fortifier (HMF) is mixed to 24 calories per ounce by adding 1 packet (3.8g) to 25 cc expressed breast milk. Adding HMF to breast milk will increase the osmolality. Adding HMF to breast milk will increase the osmolality to greater than 350 mOsm/L, which may cause gastrointestinal disturbances or feeding intolerance.
• Similac Natural Care is a liquid fortifier that can be mixed in any desired proportion with breastmilk. (typically 1:1 with breast milk) or fed alternatively with breast milk feedings. Due to the reason that this fortifier is a liquid, adding it to breast milk is ideal if the mother's milk production is low. Similac Natural Care has an osmolality of 280 mOsm/L

How to feed a Newborn

Position- football hold, supported by pillow, mother's back and arm supported by pillow. Baby should be able to see mother's face in this position. Length of feeding- 10-15 minutes on each breast, longer amounts of time will lead to sore nipples, tired baby and frustration for mom and baby.

Number of daily feedings- the number of feedings required per day decrease throughout the first year.

First 2 months of Life: 7 feedings per day every 3 hours with night break in 6 hours (schedule: 6:00, 9:00, 12:0, 15:00, 18:00, 21:00, 24:00).
3-4 months of life: 6 feedings per day every 3.5 hours, with night break in 6.5 hours (schedule: 6:00, 9:30, 13:00, 16:30, 20:00, and 23:30).
5 months- 1 year: 5 feedings per day every 4 hours, with night break in 8 hours (schedule: 6:00, 10:00, 14:00, 18:00, and 22:00).
These are just examples on very good timing on breast feeding.

Method of estimation of daily volume of food

Volume of milk (in ml per day) is equal:

• 2-8 weeks: 1/5 of baby's weight (in grammes)
• 8weeks to 4 months: 1/6 of baby's weight (in grammes)
• 5-6 months: 1/7 of baby's weight (in grammes)
• 6 months to 1 year: 1L/day.

Daily volume of food must not be more than 1000ml!

Caloric method

• 1-3 months: 125kcal/kg/day
• 4-6 months: 120kcal/kg/day
• 7-9 months: 115kcal/kg/day
• 10-12 months: 110-105kcal/kg/day

1 liter of human milk has 700kcal.

Estimation of daily volume of food for child of the first 10 days of life

Formula by Finkelshtein:

Volume of milk (in ml per day) = days of life X 70; if the baby's birth weight was 3200g and less.
Volume of milk (in ml per day) = days of life X 80; if the baby's birth weight was 3300g and more.
Another formula suggests the estimation of the volume of needed breast milk of a newborn within this period as: 2% of baby's birth weight X n: where n is the number of days of baby's Life.

Tags

Breast Milk, Daily Volume, Enfamil, Human Milk Fortifiers, Milk Fortifiers, Similac

Meet the author

author avatar Funom Makama
A medical Practitioner and a passionate writer. A proud published Author of 2 books, more than 2,000 articles online and 100 Poems!
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Comments

author avatar Egbes
20th Nov 2011 (#)

This article is very nice, I love it so much and indeed you are very good.

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author avatar Lambasted
20th Nov 2011 (#)

A great article really expressing the thoughts of the subject.

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author avatar pretty_writer
20th Nov 2011 (#)

A great Piece and a raw Talent. Keep it up Dr. Funom Makama

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author avatar Ivyevelyn, R.S.A.
22nd Nov 2011 (#)

Thank you for writing about this subject.

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author avatar Funom Makama
22nd Nov 2011 (#)

You are most welcome.

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author avatar Lambasted
22nd Nov 2011 (#)

I want to follow you Ivy.

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author avatar pretty_writer
22nd Nov 2011 (#)

I just did...

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author avatar Lambasted
22nd Nov 2011 (#)

Come on pretty_writer, can you stop this.. I feel as if you are following me.

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author avatar pretty_writer
22nd Nov 2011 (#)

Okay, follow me, then I will stop following you. Follow my profile.

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author avatar Lambasted
22nd Nov 2011 (#)

But your profile is empty... Anyway, I will follow you.

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author avatar pretty_writer
22nd Nov 2011 (#)

Yeah, very soon, I will start loading in some stuffss. I have loads of articles in ezinearticles, just waiting for the right time cos I am so busy. I will soon be on a 3 months leave, and I want to use that time to re-post as many articles as I can from my ezinearticles. Thanks for following me.

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author avatar Funom Makama
22nd Nov 2011 (#)

I cannot wait.

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author avatar pretty_writer
22nd Nov 2011 (#)

Nice to know this.

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author avatar Barine Nakwaasah
2nd Mar 2012 (#)

great!

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author avatar Funom Makama
4th Mar 2012 (#)

Thanks and welcome to wikinut

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