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Transcript LECTURE №9

Dr.Nagayeva S
Balanced diet of children of the
first year of a life ("feeding", on
the terminology accepted in
our country) is one of the
major conditions, providing
both their adequate growth
and development, and
steadiness against the
influence of infections and
other negative external factors.
Character of feeding on the
first year of baby's life
substantially defines a state of
health, not only at early age,
but also during the subsequent
periods of his life.
There is no doubts, that the mother's milk
is the optimum kind of nutrition for the
baby of the first year of life. Its structure
is adequate to the feature of the
metabolism of the baby ,at early stages of
 Thus mother's milk is not only a source of
all nutrients, which are necessary for child,
but contains a plenty of biologically active
connections and protective factors
(enzymes, hormones, antibodies,
lactoferrin, etc.) also, influencing on
growth and formation of the immune
status of children.
Breast milk contains all necessary for the
baby nutrients , at that it is in the
optimum ratio and a kind , adapted for
features of digestive system of the
newborn, it is develops by mother's
organism by the individual order.
The structure of mother's
milk change in process of
the baby's growth , in
accordance with his needs.
Colostrum is produced at
first time after childbirth ,
then mammary gland
produce transitional milk
and from second-third
week mother's milk
becomes mature.
Female milk is specific. It contains the substances
promoting development of baby's brain , while
cow's or goat's milk are direct to increase the
weight of a body, mainly. The colostrum is very
important. It is produced by the mammary gland
at the first hours after childbirth, it is rich of
vitamins , enzymes, mineral substances and
creates necessary conditions for microbic
biocenose of the intestines (useful biobacteria).
Just the colostrum in its pure state will help to
avoid a disbacteriosis from your baby .
 Besides the colostrum is ideally for a sterile
stomach of the newborn. Milk , on its own
structure ,is very close to tissue of the newborn,
therefore it's assimilate easily.
Mother's milk contains on average : albumen 1,15g in 100ml, but the quantity of food protein
is even less - 0,8g, the other part is "functional"
proteins: antibodies, hormones, enzymes. None
of the proteins of mother's milk is identical to
any of cow's protein.
 The proteins of the human's serum consist from
human alpha-lactoglobulin, the basic protein of
the cow's serum is - beta-lactogobulin (casein).
 Proteins of the mother's milk are forming more
gentle and fine-dyspersated clot in a stomach
under the influence of a hydrochloric acid, than
casein. That promotes easier splitting by
digestive enzymes and thereof the higher
degree of digestion and assimilation.
There are a lot of fatty acids in mother's milk,
which are necessary for construction and
adequate functioning of biomembranes,
formations of a brain and an eye's retina. Unlike
the cow milk, there is elevated quantity of
cysteine and taurine (amino acids) and less
quantity of methionine in the breast milk.
Taurine is necessary for bile's salt connection
and it's serves as neurotransmitter and
neuromodulator of the development of the
central nervous system. Children are not
capable to synthesize taurine, but this is
irreplaceable substance, and its absence or
inadequate quantity cause irreparable damage
to development of a brain and immune system,
to the eye's retina, to the adrenal glands.
Whatever balanced the widely
advertised artificial feeding is, it
cannot meet individual needs of each
 Thus, at the artificial feeding
superfluous receipt of proteins, the
inadequate qualitative structure,
smaller quantity of free amino acids,
essentially raise loading on immature
digestive system of the baby.
You should feed your baby just after childbirth. It is
desirable, that mom constantly was in contact with her
baby also. You should feed him by the first request. It
may be tired for you to feed every hour, but you can't
make a schedule for the work of a little stomach.
Hunger is new sensations for the baby, he hasn't felt it
before. The digestive system of the baby’s only starts to
develop. When intervals between feedings are greater,
the baby sucks very greedy, swallows the air, overeats
.It's difficultly to digest a plenty food at one sitting. And
the baby get a problems with a tummy, he becomes
restless. Feed your child gradually, but more often.
Mother's milk assimilates well, infants can't to overeat
it. It's quite another matter the artificial feeding, there
are more problem with it , than you can imagine.
The breast feeding is the simple,
convenient and efficient procedure.
The meal for the child is always at
hand, with the necessary quality, with
the necessary temperature and a
consistence always.
But the small bottle? it is necessary to
sterilize it. It delivers more efforts at
the night.
The breast feeding requires a
minimum efforts: to unhook a bra, to
put mamilla into the hungry mouth,
after some time to take it out and to
plunge into a dream again . You
needn't to express out the breast
Women complains about morbidity of
the mammilas, at times even about
the chaps. Besides it leads to
decrease of lactation and
galactostasia. Therefore, even, if you
get a problems with feeding before
you have ended it , please consult
with experts. There can be a special
reasons. Do not lose such invaluable
gift of the nature - mother's milk.
he shape of the breast will never be the same ,as
it were before. Even if you did not feed your kid
by the breast, it can't get back all the elasticity of
the maiden breast any more, pregnancy will bring
the corrective any way. The breast becomes softer.
And strias appears at the time of pregnancy. To
prevent the flabby breast , just don’t torture it by
means of expression of breast milk. Milk will come
exactly so much, how many it is required to the
 Simply feed him ,when he is hungry and your
breast, will return to the previous sizes soon.
This main rules must to every nursing
You should keep your breast clean. You should wash it
with the warm boiled water and the children’s soap
wipe it with rough towel.
If your breast is ”tight”, that milk is ooze out hardly,
then the stroking from periphery to the centre will
make easier milk release.
You should squeeze out the drop of milk and spread it
on over the mammila after every breast feeding. It has
an expressed antibacterial and wound healing
properties. You will not find the better remedy for
healing of the chaps.
For preservation of the
breast's shape , is better
to wear a soft bra , special
for feeding mothers.
Except for that ,it
prevents from
galactostasia in the raised
breast. All actions listed
above are preventive
measures of a mastitis.