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(202191RKECMYK75c"$    ? : P   N h: h| + A ? n. (http://store.llli.org/themes/lalecheleague/images/template/lll_logo6.gif?1176441683logoLll_logo6yK yK Bhttp://www.llli.org/yX;H,]ą'cS`TS`Tc"$    ? : P  + N 6: h54 ,  `"#"l@@@@@@B?@B: P   GN `: h:  " - 0A ??#" @@:  h  ;.: h~ . S lA ?.`h201539RKECMYK75s$UU$UUsss"X    ? .s$UU$UUss: " @ B : h / s ,A ??"0 ?   ? : ޏ ޏ 0 : hCHNKINK xvTEXTTEXTBSTSHSTSHDSTSHSTSHESTSHSTSHpWDFDPPFDPPZFDPPFDPP\FDPPFDPP^FDPPFDPP`FDPCFDPCbFDPCFDPCdFDPCFDPCfFDPCFDPChSYIDSYIDj(SGP SGP (jINK INK ,jBTEPPLC 0j0BTECPLC `j0FONTFONTjTOKNPLC fmxNutrient needs are high for children the first two years of life. * 0-6 months practice breastfeeding exclusively. * 6-12 months breastfeeding first then offer complementary food. *12-24 months breastfeed as often as the infant likes. *Breastfeeding at night is important for most infants the first year, so they get all the nutrients they need. Breastfeeding at age of 3 years. The breastmilk is still providing important amount of energy and nutrients. Support groups meetings Grensskirkja Haleitisbraut Infant with a family history of allergies or food sensitivities should not receive: *Cow milk until 1 year of age. *Egg until 2 years. *Peanuts, nuts and fish until 3 years, Fat is very important in the diet of infants and young children because it provides essential fatty acids, facilitates absorption of fat-soluble vitamins and enhances dietary energy density and sensory qualities. To grow and remain healthy the young infant needs the right amount of energy and nutrients. Giving a mixture of complementary foods from plants, poultry, meat and fish is the best way to fill this gap and make certain that children get enough energy, protein and micronutrients for healthy growth and development. Breastmilk has little vitamin D and is usually inadequate in satisfying the infant need. The best way is to add vitamin D to the mother diet, use the sunlight and give extra vitamin D to the child. Continue frequent on-demand breast-feeding until 2 years of age or beyond. 12-23 month-old children get about 35-40% of total energy need from breastmilk and it is better absorbed than any other drink offered to the baby. Use all the opportunities you have to get best nutrition to the child. Remember to breastfeed the child over the day. Give breast at night when the child wakes up hungry or thirsty. Over the day the child is tired and needs you, use the opportunity and give the breast. Sign of malnourishment in children * Frequent infection * Growth failure * Slower recovery * More sever illness * More often and longer ill than a well nourished child *Lack of antibodies and other substance that fight disease *When children are often ill and recover slowly it is important to look at the food the child is eating. When the child is ill It is important to increase the number of breastfeeds during illness. Offer food more often and give the child smaller amounts. Give soft food when mouth or throat is sore. Offer the breast more often or give extra fluid if the child has diarrhea or fever. And remember to clean a stuffy nose. Evidence on the long-term effects of breastfeeding * Breastfeeding has clear short-term benefits i.e. it reduces morbidity and mortality because of infectious diseases * Possibly lower blood pressure, but small impact * Lower cholesterol in blood * Lower incidence of overweight or obesity * Possibly lowers the incidence of type II diabetes, further studies needed * Increased cognitive development childhood The breast is best.  WHO and UNICEF now recommend that every infant should be exclusively breastfed for the first six months of life, with continued breastfeeding for up to two years or longer (WHO 2007). Reference Lindsay, A., Benoist, B, d., Dary, O., Hurrell, R., (2006). Guidelines on f food foritication with micronutrients. World Health Organization and Food and Agricultural Organization of the United Nations. Mohrbacher. N. and Stock, J. (2003). Breastfeeding Answer Book. Third Resived Editions La Lech League Usa. Riordan, J.,and Auerback, K. (1998). Breastfeeding and Human Lactation. Second Edition. Jones and Bartlett Publisher Marsachussetts. World Health Organization (2001) Guidling priciples For Complementary Feedings of The Breastfed Child. Pan American Health Organization. World Health rganization (2001). Complementary Feeding. Family food for breastfed children. www. who.int/anglais/ detart1.jsp. World Health Organization (2007). Evidence on the long- term effect of Breastfeeding, Systemic revews and metaanalyses. Http://who.int/child-adolescent- health/publication/Nutrition/ Arnheiur Sigurardttir Nurse, MPH; BCLC and LLL leader. April 2007 Iceland. Breastfeeding continues to make an important nutritional contribution well beyond the first year and is still important at the age of 12-23 months when the child is receiving 35-40% of total energy needs from breastmilk. How to start at 6 months. 1-2 teaspoon 2 per day Gradually increase the amount and variety At 9 months the child should be able to eat a variety of family food. The best time to start is between 10 in the morning and before 3 oclock in the afternoon when everybody in the family are awake. If the food has some side effects, it is better to handle at daytime than at night. Begin with soft food, then mash or cut into small pieces as the child grows older. Scraping meat with knife makes it easier for the child to eat. In view of their small stomach capacities, most young children need to be fed more often than adults with small meals. A babys stomach can only hold about 200 ml. When porridge is to thin the child does not have space in his stomach for it, and can not eat as much as needed to fulfill his need for nutrients and energy. Give a soft, thick porridge made from the staple, or a cooked staple mashed until it is smooth. The food should be thick enough to stay easily on the spoon. The best type of food that will fill the gap of energy and nutrition is pulses as peas, beans and oil seeds. Food from animals as meat and poultry, dark green leaves and orange-colored fruits and vegetables, then add oils or fat to it. Avoid giving drinks with low nutrient value, and limit the amount to 240 ml a day to avoid displacing more nutrient rich foods. What do we need to think about when preparing food for infants. Frequencies of meals at age 6-8 months should be 2 per day and 3 thereafter. Infants with low intake of breastmilk need higher meal frequencies: 3 at 6-8 months and 4 thereafter. Snacks 2 per day. Favorable snacks provide both energy and nutrients. Banana, Avocado, mango and other fruits, bean cakes, potatoes or bread. The breastfeeding child does not need extra milk. When you think you are short of breastmilk use kangaroo care and give breast more often. A variety of foods need to be fed to ensure that nutrient needs are met for different micronutrients. The micronutrients in breastmilk are highly absorbed but the extra needs to come from quality food. We have to fill the gap between what is in breastmilk and the need. The most difficult gap to fill is the iron and zinc gap. Plant-based complementary foods alone are not sufficient to meet the needs for all micronutrients. Therefore it is advised to include meat, poultry, fish, eggs in complementary food diets as often as possible. The fish is high in healthful omega-3 fatty acids. The food is boiled, not fried and a minimum of water is used and mixed with the food, then add plants and oil in it. Energy required and the amount from breastmilk at age 6-23 months. When should complementary food be offered to the infant? When the child has reached the age about 6 months it is time to start complementary feeding. Now is a nutrient gap between what the baby needs and what he gets from breastmilk alone. This gap needs to be filled with good quality food with all nutrients needed. Complementary food has to provide energy and protein, and be rich in micronutrients (vitamins and minerals). Breastmilk contains the exact amount of water that the baby needs. Fluid in the breastmilk is better absorbed by the baby than any other that might be given. Extra water takes space and gives no nutrition. Complementary foods given before six months tend to displace breastmilk and it will be more difficult to meet the infants need for nutrition. Gives less protective factors against infection disease and has influence on immune system development. There are potential health benefits of waiting until six months of age to introduce other foods outweigh any potential risk. If started earlier, the child is getting less, instead of getting more. The child does not have the necessary stomach acids and digestive enzymes to metabolize all food and therefore it is best that the child is fed only breastmilk for the first 6 months and then added complementary foods and carried on breastfeeding. 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