Kamis, 10 Januari 2019

Important Information About Giving Milk to a Baby

Important Information About Giving Milk to a Baby

Giving Milk to a Baby - Providing complementary food ASI (formula) or formula milk is one of the crucial periods in the first 1000 days of a child's life. Research shows that during this transition period, many babies experience failure to thrive due to poor quality MPASI. This period is also a critical moment for the Little One to learn to eat. Moreover, the provision of appropriate MPASI can support the optimal growth and development of the Little One.

Therefore, the proper method of providing MPASI and other questions about MPASI will be discussed thoroughly in the following article.

Basic Principles of Giving MPASI

MPASI recommend to given following the following four principles:

  • On time

MPASI is given at the right age, i.e. when breast milk alone does not meet the nutritional needs of the baby. IDAI and WHO recommend the provision of complementary feeding no later than six months of age. However, in certain conditions, such as an increase in body weight (BB) that is not good, the Little One can begin to be given MPASI after being evaluated for the cause, and after the food, readiness assessed by the doctor.

Signs of readiness to start MPASI that must assess with the doctor, namely:

  • The little one shows interest in food.
  • Upright neck and the little one can lift their head without help.
  • 'Melting' reflex (removing food from the mouth) decreases.
ESPGHAN (Association of Pediatricians for Nutrition and Digestion in Europe) recommends the provision of complementary feeding at the earliest at 12 weeks, and not later than 26 weeks (6 months). Provision of additional food is too early at risk of causing gastrointestinal infections, allergies, and obesity. Whereas if it is too slow, it will create a lack of nutritional intake. Therefore, consult your paediatrician to assess whether your child can start breastfeeding complementary foods.

  • Enough (adequate)

The MPASI menu provided is suggested to contain nutritional needs that cannot be fulfilled by breast milk, especially the amount of energy, protein, iron, and zinc. No one type of food can achieve everything. Therefore, give solids that are varied and sufficient sources of carbohydrates, animal and vegetable proteins, fats, and micronutrients, namely vitamins and minerals. A menu like this is known as a 4-star menu. 

Introduce small quantities of fruits and vegetables by observing the intake and composition of carbohydrates, proteins, and fats in MPASI. Give food from food that is usually used by families. Moreover, the iron and DHA content of mackerel is higher than the salmon which is quite a favourite to become the MPASI menu.

Giving Milk to a Baby - MPASI give with the amount and texture improved according to the stages. Delay in the introduction of composition at the age of 6-9 months is at risk of causing problems with eating in children later on. Use a 250 ml bowl to ensure the intake of the little one. Following are guidelines for providing MPASI:

  • Age of Texture Frequency MPASI
  • Six months 2-3 tablespoons 2-3 times a day Thick porridge (puree), strain, until pulverised.
  • Eight months (6-9 months) Increase gradually to ½ bowl 250 ml (200 kcal/day or 30% of the target calorie needs) 2-3 times a day + snacks 1-2 times a day Coarse filter food, can start finger food.
  • 9-12 months ½- ¾ bowl 250 ml (300 kcal/day or 50% of the target caloric needs) 3-4 times a day + snack 1-2 times a day Team rice, finely chopped or rough food.
  • 12-23 months ¾ bowl 250 ml (550 kcal/day or 70% of the target calorie needs) 3-4 times a day + snack 1-2 times a day Same with food eaten by the family.
  • Safe and hygienic (safe)

Pay attention to hand hygiene, materials, and equipment during the process of preparing, manufacturing, storing and serving MPASI. Separate cutting boards to cut raw food ingredients and cooked food ingredients. Wash hands before preparing solids, and before feeding the little one.

Contaminating bacteria can grow in food, store solids in the refrigerator with temperatures less than 5 degrees Celsius (bottom freezer). Store meat and fish in plastic, and put them apart from cooked food. Food stored in room temperature (5-60 degrees Celsius), can only last for 2 hours.

Ripe solids can store in the refrigerator (with temperatures less than 5 degrees Celsius), for feeding for a day after being stored in a closed container. Storage duration depends on the type of food used. Frozen storage can be heated by soaking water with a plastic food wrap, and make sure to replace the water every 30 minutes. MPASI can also be warmed using a microwave, but it should note that the heat produced is not evenly distributed. Keep in mind, frozen foods that have Cooke are not suitable for freezing again.