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Formula feeding (Types (Hydrolysed
Per standard but protein hydrolised to…
Formula feeding
Types
Hydrolysed
Per standard but protein hydrolised to short peptides
Good for cows milk allergy or soya allergy
Soya
NOT recommended
Contains phyto-oestrogens which can affect immunity, thyroid and hormone function (boys)
Follow on
Per standard but protein is caesin based,
which delays stomach emptying so less freq feeds
Good for pre-weaning to satisfy hungry babies (6-24m)
Specialist milks
From paediatric dietician for e.g. GORD, malabsorption
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Preparing
feeds
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Correct measurement of powder
Underfeeding: poor growth
Overfeeding: hyper-Na, constipation, obesity
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Advantages
Baby
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No environmental contaminants
Caffeine, alcohol etc.
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Pathophysiology
Modified cows milk
Contains corrected levels of proteins, electrolytes, Fe, vits
Does not contain immunological factors
Unmodified cows milk
Unsuitable due to too much proteins, electrolytes,
inadequate vits and Fe
Feeding
Requirement
150mL/kg/24h over 4-6 feeds
If small, may need 200, if large, 100
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Epidemiology
Many mothers change to bottle feeding
by 6 weeks (lack of knowledge, discouragement)