Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Iodine
Carol Williams
Carol Williams
Carol Williams
Carol Williams
Aug-11
Aug-11
3
3
Aug-11
Carol Williams
Carol Williams
Carol Williams
Carol Williams
5
5
Aug-11
Carol Williams
10
Aug-11
Hb (g/dl)
14 weeks
6 months
Serum ferritin ng/ml
14 weeks
6 months
Non anaemic
mums
Anaemic
mums
Aug-11
Carol Williams
Aug-11
Vitamin B12
Cobalamin
Synthesised by bacteria and algae.
Main food source - animal products.
In some communities, contamination of food stuffs by
micro-organisms is also a significant source.
Answer:
If do not eat meat, milk, eggs, cheese or
other dairy products, need B12
supplements.
Vegans in hygienic households at
particular risk
Aug-11
16
ExBF fine : Vit A content of Breastmilk from Vit Adeficient mother is sufficient to meet infants
basal needs for 6 months.
Will need Vit A-rich complementary foods after
6m.
Questions:
Did mothers have Vit A supplement pre-pregnancy?
Suggestions:
Supplementing mother can raise Vit A content of
BM. Can be through diet or supplements.
Infant supplementation programme
14
Aug-11
17
Carol Williams
Energy.
Babys demands will drive breastmilk
production.
Fat content may be lower, but if demand
fed, baby will get all the energy needed.
Mean energy content milk can vary from
62-80kcal/100ml due to variations in fat
content.
No evidence protein concentration affected
by maternal nutrition.
Aug-11
19
Aug-11
21
ExBf? Depends.
Questions: Supplements/diet during pregnancy?
If received Fe, Zn and folic supplements during
pregnancy or good diet, breastmilk OK
If not youngest infant may need micronutrient
supplements <6m
Suggestions:
Child needs nutrient rich complementary foods
after 6m.
Mother needs to eat sufficient calories and continue
supplements to build up reserves for future health
or pregnancies.
Aug-11
22
Aug-11
20
Aug-11
23
Aug-11
24
Carol Williams
25
Aug-11
27
Aug-11
In populations with
deficiency of these
Vitamin D
Vitamin K
Vitamin A
Vitamin B6
Vitamin C
Iodine
In Vegans
Vitamin B12
Aug-11
26
28
Deficient populations
In adequately nourished
populations.
Independent of
maternal diet
Protein
Iron
Zinc
Calcium
Folic Acid
Copper
Suggestions
Baby needs some exposure to sunshine
If this not feasible:
High dose supplement to mother, can elevate
breastmilk content and lead to normal infant status
Or Supplement baby with Vitamin D drops
Aug-11
Thiamin (B1)
Beri-beri occurs in
breastfed infants of
deficient mothers.
Food sources: animal
foods, whole grains &
legumes
Occurs when diet =
mainly polished rice
B6 - rare
Low vit B6 status in
breastfed infants of
mothers with low Vit
B6.
Leads to compromised
growth, reversible
through appropriate
complementary
feeding.
Sources meat, fish,
potatoes, bananas, pulses
29
Aug-11
30
Carol Williams
Aug-11
32