BASIC PAEDIATRIC

NUTRITION
(COMPLEMENTARY
FEEDING)
By
Dtn. Abe
@General Hospital Ifako Ijaiye
 Importance and impact on nutrition in the first 1000 days

Physiologic and developmental milestone

Challenges and consequences of malnutrition in the first 1000 days

Breastfeeding the right start-Importance of breastfeeding to infant

HIGHLIG
Inappropriate breast milk substitutes and its consequences

Complementary feeding - What & When

HTS Nutrient gap filled by complementary feed

Immunity evolution during infancy & how probiotics can help

Importance of fortified complementary feeds

Steps in introduction of complementary feeds

Safety and Hygiene practices.

IMPORTANCE AND
IMPACT OF NUTRITION
IN THE FIRST 1000 DAYS

• During the first 1,000 days, the brain

grows more quickly than at any other
time in a person's life and a child needs
the right nutrients at the right time to
feed her brain's rapid development.
Optimum nutrition is key to support the
brain development, physical
development and immune system.
 Undefined Good neck
Defined stares Smiling
stares control

PHYSIOLOGIC Recognition of Rolling in both Sitting with

Making a fist
AND parent's voices ways support
DEVELOPMEN
Standing
TAL Sitting without
Crawling
Standing with
without
support support
MILESTONES support

Imitating Learning to
Teething Blabbing
sounds talk
CHALLENGES AND • Malnutrition at this stage results in tissue
CONSEQUENCES OF damage, growth retardation, disorderly
differentiation, reduction in synapses and
MALNUTRITION IN synaptic neurotransmitters, delayed
THE FIRST 1000 myelination and reduced overall
DAYS OF LIFE development of dendritic arborization of
the developing brain.
• It also increases vulnerability to
infections and diseases.
BREASTFEEDING THE
RIGHT START- Benefits
of Exclusive Breastfeeding
Reduces incidence of infection/ Hospital
Visits
Promotes Optimal Brain Development

Involution of Uterus

Natural Contraceptive

It's cheaper
INAPPROPRIATE BREASTMILK
SUBSTITUTES AND ITS CONSEQUENCES

Glucose Herbal Unmodified

Adult's milk
water concortion cow's milk
 What is considered as a complementary Food?
Adequate
Form
Dense

COMPLEMENT Frequency

ARY FEEDING- Variety

WHAT AND Safe

WHEN Sustainable
Timely
Hygiene
When should complimentary food be introduced?
At 6 months
 NUTRIENT GAP FILLED BY
COMPLEMENTARY FOODS

Energy Protein Fat Iron Vitamin A

Vitamin D Calcium Zinc Iodine

IMMUNITY EVOLUTION DURING INFANCY
AND HOW PROBIOTICS CAN HELP

Probiotics are the gut friendly bacteria.

It's Benefits:

• improves the gut flora

• aids digestibility
• prevents infection
IMPORTANCE OF FORTIFIED
COMPLEMENTARY FOODS
Fortified complementary foods met with WHO
characteristics of Complementary foods thereby
curbing malnutrition in infant and young children.

Prevents SAM

Prevents PEM
STEPS IN INTRODUCTION
OF COMPLEMENTARY
FOODS
• Feeding once or twice daily gradually
increase to 3-5 feedings daily

• Little quantity per meal time, about 2

teaspoons initially

• Etc
 • This is important to prevent
SAFETY infection in babies
AND • Sterilization of feeding utensils
HYGIENE • Washing of hands before
preparation of baby's food
PRACTICES • Clean environment and good
storage of baby food items.
• Discarding unfinished foods
• Serving only warm foods
CONCLUSION

As stakeholders in paediatric nutrition we must ensure that

we continue to advocate for adequate Nutrition in
pregnancy, exclusive breastfeeding and adequate
complementary feeding to ensure optimum growth and
development in the first 1000 days of life.
THANKS FOR
LISTENING