medical notes

Apr 17th, 2015
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COMPOSITION OFBREAST MILKBY:ZIPPORAH BUKANIACLINICAL NUTRITIONISTKENYATTA NATIONAL HOSPITALOBJECTIVEBy the end of this sessionparticipants will have learnedabout the composition ofbreast milk and how it is suitedto meet the nutritionalrequirements of babiesBREAST MILKThe gold standard in earlychildhood nutrition ishuman milkFactors that affectcomposition of human milkGestation at birthPeriod of lactationTime of dayIn-feed variationContent of breast milkWaterProteinCarbohydratesVitaminsMineralsImmune factorsGiving breastfeedingbabies water83% of breastfed babies in Kenyareceive water in the first month of lifeMany health workers wrongly believethat water should be added to a babysdietLikewise mothers wrongly believe thatbabies become thirsty and should begiven water from a very early ageEnergy content of breast milkTotal energy content of breast milkis 65kcal/100 ml (272 kJ/100ml)Carbohydrates provide 55-65% ofthe energy requirementsFat provides 35-45% of the energyFat content of breast milkEssential for growth and developmentProvides 35-55% of the total energyrequirementsProvides essential fatty acidsFat content varies with stage oflactationColostrum 3g/100mlMature milk and preterm milk3.5-4.5g/100mlTypes of lipids in breast milkFatty acids (glycerides) are classified into:short-chain, med

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