Human Milk Fortifiers (HMF) And How to Feed a Newborn
By Funom Makama, 19th Nov 2011 | Follow this author
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Posted in WikinutFamilyBabies
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
- How to feed a Newborn
- Method of estimation of daily volume of food
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.
Comments
20th Nov 2011 (#)
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20th Nov 2011 (#)
A great article really expressing the thoughts of the subject.
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20th Nov 2011 (#)
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22nd Nov 2011 (#)
Thank you for writing about this subject.
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22nd Nov 2011 (#)
You are most welcome.
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22nd Nov 2011 (#)
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22nd Nov 2011 (#)
I just did...
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22nd Nov 2011 (#)
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22nd Nov 2011 (#)
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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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22nd Nov 2011 (#)
I cannot wait.
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22nd Nov 2011 (#)
Nice to know this.
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2nd Mar 2012 (#)
great!
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4th Mar 2012 (#)
Thanks and welcome to wikinut
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