Recien nacido hasta 1 año de edad

Presentación del tema: "Recien nacido hasta 1 año de edad"— Transcripción de la presentación:

1 Recien nacido hasta 1 año de edad
Dando Comida a su Bebé Recien nacido hasta 1 año de edad The first year of life is a time of change. Intro: ask client to tell name, how old their baby is, and one way their baby has changed since birth. Today we will discuss developmental and nutritional changes to expect during your infant’s first year of life.

2 Recomendación de la Academia Americana de Pediatría (AAP):
Amamantar exclusivamente por los primeros 6 meses después del nacemiento. Continue por lo menos meses, y después si es deseado mutuamente. In the first 6 months, water, juice , and other foods are generally unnecessary for the breastfed infant. Gradual introduction of solid foods in the second half of the first year should compliment the breast milk diet.

3 AAP recomienda: Los bebes que no reciben leche materna completamente o parcialmente deben recibir una formula fortificada con hierro desde nacimiento hasta los 12 meses de edad. All of the formula offered at WIC is iron-fortified. WIC will provide supplemental formula until the infant is 1 year for those using formula. Milk should not be given until 1 year of age. Avoid putting your baby to bed with a bottle or propping the bottle.

4 Durante los primeros 4-6 meses de vida su bebé necesita solamente:
Mucho amor La leche materna O la formula Your baby will want to breastfeed every 1-3 hours for the first few months, then slowing down to every 2-4 hours. If you are formula feeding only, your baby is probably taking at least 24 ounces/day by 2-3 months of age. Responding to your baby’s hunger cues and feelings of fullness helps your baby to trust you and feel safe and loved. What does your infant do to show he is hungry? Discuss hunger cues and how to know infant is full.

5 Puede ser que su bebé esté listo para comidas sólidas cuando puede:
Sentarse con ayuda Tener buen control de la cabeza y cuello Abrir la boca y se inclina para adelante y mostrar interés en la comida Mover la cabeza para indicar que está lleno Mover la comida hacia atrás de la boca con la lengua para tragar Empezar a masticar Before adding solids watch for these developmental signs of readiness. For most infant these occur around 5 to 6 months of age. If your infant was born premature these may occur later.

6 Empezando con los solidos
Es mejor empezar con los cereales de bebé de un solo grano, como arroz. Siempre use la cuchara para dar las comidas sólidas Espere hasta por lo menos 6 meses antes de empezar otras comidas. You baby’s vouchers will have plain infant cereals on them beginning at about 5 months. Spoon-feeding helps your baby learn how to eat properly, can improve speech development , and helps prevent overfeeding.

7 Después de los cereales:
De puré de frutas y verduras una a la vez. Espere 3-5 días antes de dar otra comida nueva. El jugo se debe ofrecer solamente en taza. Es posible que su bebé necesite empezar a tomar un suplemento de fluoruro. Juice will appear on your infant’s vouchers after 6 months of age. The AAP recommends nothing sweetened ever be offered in a bottle. It is best to start with mild juices, such as apple or white grape. You can begin by offering an ounce or two, gradually increasing to 4-6 ounces by 1 year of age. Avoid citrus juice until 1 year of age. Also avoid any honey until 1 year.

8 ¿Cuál de las tazas debe usar mi bebé?
Use una taza regular en la casa. Evitar usar las tazas con tapa o sippy con pico chiquito. No deje que su bebé lleva la taza con tapa a todos lados. Work with your baby at home to learn to drink from a regular cup. A small clear cup is ideal (like a juice cup). IF you use a sippy cup be sure the spout is wide and take out the spill proof insert so the infant can learn the motions of drinking from a cup rather than sucking from a bottle. A straw cup is Ok also. As we just mentioned the AAP recommends that juice not be given in bottles but they also recommend it not be given in easily transportable covered cups that allow them to consume juice easily throughout the day.

9 Es posible que su bebé esté listo para las primeras comidas con la mano cuando se puede:
Sentarse independiente y mantenerse su equilibrio. Extender la mano y agarra objetos con su mano. Once your infant can grasp with their whole hand you can begin offering some finger foods that are large and will not break into small pieces such as thick dry, infant toast. This usually happens around 6-8 months.

10 Es posible que su bebé esté listo para comidas con la mano que son chiquitas y suaves cuando se puede: Levantar objetos entre su pulgar y dedo You can then offer small pieces of soft cooked fruits and vegetables, pasta, and some dry cereals such as cheerios.

11 Es posible que su bebé esté listo para empezar comidas suaves de la mesa cuando se puede:
Usar un movimiento de masticar como ronzar (arriba y abajo, y diagonal) Manipular en la lengua la comida más facilmente (Atención: Evite comidas que pueden causar que su bebé atore.) Many infants begin eating soft table foods with the family between 8-12 months of age. At first they just chew up and down but gradually add a diagonal movement as they learn to transfer food from the center of their mouth to the sides to chew it (even if they do not have teeth.) Increase foods consistency and texture as tolerated. Watch the baby’s ability to chew or gum foods adequately. Avoid foods which may cause choking: pop corn, nuts, chips, raisins, raw vegetables, whole grapes or hot dogs.

12 Empezando comidas con proteína
Espere para empezar las carnes hasta los 8 o 9 meses. La yema del huevo se puede empezar a los 9 meses. Yogurt y queso también se puede empezar a ésta edad. Egg whites should not be given until 1 year of age. Wait to add whole milk to the diet until 1 year. Avoid giving any peanut butter until 1 year (or later if there is a history of allergies.)

13 Cuando su bebé cumpla un año puede:
Dejar de usar el biberón. Tomar la leche entera en una taza. Comer huevos enteros, las comidas cítricas, la crema de cacahuate y miel de abeja. (Si no tiene historia familiar de alergias a éstas comidas) Empezar a comer comidas con la familia. At one year your baby’s WIC food package will have eggs, juice, regular cereals, cheese, peanut butter alternating with beans and whole milk. Never put cow’s milk in a bottle. If your child is on formula, gradually decrease bottles of formula and increase cups of milk. He will need much less milk than he was taking of formula—only about 16 ounces/day of dairy products. If you are breastfeeding, it is great to continue as long as you both enjoy that time. You can gradually add some dairy to your toddler’s diet. The AAP recommends whole milk for children until age two. Limit juice to 4-6 ounces/day. The transition to eating what the family is eating usually happens anywhere from 1 year to 18 months.

14 Resumen: Se recomienda la lactancia o la formula para el primer año completo de la vida de un bebé. Antes de empezar las comidas sólidas observe las señales que muestran que su bebé está listo (normalmente a los 5-6 meses.) Gradualmente introduzca otras comidas cuando parezca que su bebé esté listo. Evitar la clara del huevo, las comidas cítricas, la crema de cacahuate y el miel de abeja hasta un año de edad.

15 Otros Recursos de la lactancia:
American Academy of Pediatrics describe dar comida y los fases feeding and food readiness by phases: newborn, head up, sitter, crawler, beginning to walk toque “First Finger Food” para buenas ideas de empezar comidas a mano. At the American Academy of Pediatrics website you can search for information and recommendations related to the health and feeding of infants and children. Ignore the commercial aspects of the gerber and cheerios sites. The information is excellent.

16 AAP policy statement on Breastfeeding and the Use of Human Milk
AAP policy statement on Use & Misuse of Fruit juice in Pediatrics AAP policy statement on Iron-fortification of Infant formulas ADA FITS (Jan 2004 supplement 1) Nutrition interventions for CSHCN WIC Infant Feeding Class, November 2003 Infant Feeding Guide Do not show