Natural infant feeding.

Quantitative and qualitative

composition of breast milk.
Methods for calculating daily food volume and diet
Methods of calculating the daily volume of food of the child for the first 7-8 days life

• 1. Finkilstein's method: a coefficient that depends on body weight at

birth, multiply by n - age in days.
• If the body weight is at birth 3200 g or more, the coefficient is 80, if less,
the coefficient-70.
• Example:
• 1) The child is 8 days old, the body weight at birth is 3300 g. V daily =
80×8 =640 ml.
• 2) The child is 7 days old, the body weight at birth is 3000 g. V daily =
70×7= 490 ml.
• This method is used up to 2 weeks of life, in the future use other methods
Methods of calculating the daily volume of
food of the child for the first 7-8 days life
• 2. Zaitseva's method (formula): 2% of body weight at birth multiply by
n - the child's age in days.
• Example:
• 1) The child is 8 days old, the body weight at birth is 3900 g. V daily =
39×2×8= 624 ml.
• 2) The child is 7 days old, the body weight at birth is 3100 g. V daily
=31×2×7= 434 ml.
• Zaitseva's formula is more indicated for children with high body
weight birth. In other cases, it is optimal to use the formula
Finkelstein.
Methods of calculating the daily volume of
food of the child for the first 7-8 days life
• 3. Tour's method (formula).
• This method does not take into account body weight birth V daily =
10×7×n, where 10 is the coefficient, 7 is the frequency feedings, n –
age in days.
• Example:
• 1) The child is 8 days old. V daily = 10×7×8 = 560 ml.
• 2) The child is 7 days old, the body weight at birth is 3100 g. V daily
=10×7×7= 490 ml.
Methods of calculating the daily amount of food for
children older than 2 weeks life.

• In advance, it is necessary to determine the appropriate body weight of

the child, respectively age
• Basic concepts.
• 1. Body weight at birth - mass mo
• 2. Proper body weight (mn), which should be at this age – mo +
supplement in body weight
• 3. Actual body weight - body weight at the moment after weighing
• 4. Approximate proper body weight - actual body weight + 20% of the
actual, approximately appropriate body weight is calculated in the
group hypotrophy patients.
Methods of calculating the daily amount of
food for children older than 2 weeks life.
• 1. Volumetric (volumetric-weight) method.
• The essence of the method is to take a certain part of the appropriate
body weight in certain areas age groups.
• The method is used up to 9 months.
• 2 weeks - 2 months - 1/5 of the proper body weight;
• 2 months - 4 months - 1/6 of the proper body weight;
• 4 months - 6 months - 1/7 of the proper body weight;
• 6 months - 9 months - 1/8 of the proper body weight.
 Methods of calculating the daily amount of food for children older than 2 weeks life.

• 2. Energy (calorie) method.

• The essence of the method: is determined proper body weight and daily
energy requirement, the next step is determined the volume of milk that is
needed to replenish the daily energy requirement.
• Example: The child is 3.5 months old. mo - 3300 g
• a) appropriate body weight mn = mo + 800×3.5mn = 3300 + 2800 = 6100 g
• b) daily energy requirement Ed = 115 × 6.1 = 701.5 kcal
• c) 1000 ml of human milk - 650 kcal X = (1000×701) : 650 = 1078 ml
• V daily: 1078 ml ≈ 1000 ml For a child of the first year of life, the daily amount
of food should not be more than 1000 ml.
• The energetic method is used before the introduction of supplementary food.
 Algorithm for creating a menu

1. Appropriate body weight

2. Methods of calculating the daily amount of food:
a) volumetric method
b) caloric (energy)
c) average daily amount of food
3. We determine the frequency of feeding
4. Volume of food per feeding (one time)
5. We make a menu
6. We justify the conclusion
Example
• The child is 4.5 months old, body weight at birth 3400 g. Natural feeding.
• 1. We calculate the proper body weight mn = mo + 800×4.5 = 3400 + 800×4.5 =
7000 g
• 2. We calculate the daily volume of food using the volumetric method Vd. = 7000 ×
1/7 = 1000 ml
• 3. We calculate the daily amount of food using the energy (calorie) method
• a) daily energy requirement Ed = 115×7.0 = 805 kcal
• b) 1000 ml of human milk - 650 kcal x = 805 kcal x › 1000 ml ≈ 1000 ml Vd = 1000
ml
• Note: Both methods determined the same volume of food. In this case, we do not
determine the average daily volume (illogically).
• 4. Frequency (multiplicity) of feedings – 6-5. Food volume of one feeding = 1000 /
6 = 166.6 ml ≈ 165 ml
 TASK I
Age of the child – 3 days.
Type of feeding – breastfeeding
Body weight at birth – 3200 gr.
Body length at birth – 51 cm.
Head circumference at birth – 35 cm.
1. Compose feeding ration according
to the child’s age and type of feeding.
 TASK 2
Age of the child – 10 days
Type of feeding – artificial
Body weight at birth – 3000 gr.
Body length at birth – 50 cm.
Chest circumference at birth – 32 cm.
1. Compose feeding ration according to the
child’s age and type of feeding.
 TASK 3
Age of the child – 12 days
Type of feeding – mixed (mother has
hypogalactia II degree)
Body weight at birth – 3100 gr.
Body length at birth – 51 cm.
Chest circumference at birth – 32 cm.
1. Compose feeding ration according to
the child’s age and type of feeding.
 TASK 4
Age of the child – 5 mon.
Type of feeding – mixed (mother
has hypogalactia III degree)
mn = mo + 800×n
Body weight at birth – 3000 gr.
Body length at birth – 50 cm.
Chest circumference at birth – 32
cm.
1. Compose feeding ration
according to the child’s age and
type of feeding..

TASK 5
Age of the child – 3 mon.
Type of feeding – breast feeding
Body weight at present – 6 000 g.
Body weight at birth – 3300 gr.
1. Compose feeding ration according to
the child’s age and type of feeding.
1. Volumetric (volumetric-weight) method.
The essence of the method is to take a certain part of the
appropriate body weight in certain areas age groups.
The method is used up to 9 months.
2 weeks - 2 months - 1/5 of the proper body weight;
2 months - 4 months - 1/6 of the proper body weight;
4 months - 6 months - 1/7 of the proper body weight;
6 months - 9 months - 1/8 of the proper body weight.
Energy (calorie) method.
The essence of the method: is determined proper body weight
and daily energy requirement, the next step is determined the
volume of milk that is needed to replenish the daily energy
requirement.
Example: The child is 3.5 months old. mo - 3300 g
a) appropriate body weight mn = mo + 800×n = 3300 + 2400 =
5700 g
b) daily energy requirement Ed = 115 × 5.7 = 655.5 kcal
c) 1000 ml of human milk - 700 kcal X = (1000×655.5) : 700 = ml
V daily: 936 ml ≈ 1000 ml For a child of the first year of life, the
daily amount of food should not be more than 1000 ml.
 TASK 6
Age of the child – 11 mon.
Type of feeding – breast feeding
Body weight at present – 7 kg.
Body weight at birth – 3500 gr.
1. Compose feeding ration according to the
child’s age and type of feeding.
 Home tasks
1. Make a menu for a 2-month-old child (birth weight - 3200). Specify the
need for the main food ingredients (proteins, fats, carbohydrates) and
energy.

2. Make a menu for a 3-month-old child (birth weight - 3400). Specify the
need for the main food ingredients (proteins, fats, carbohydrates) and
energy.

3. Make a menu for a 4-month-old child (birth weight - 3200). Specify the
need for the main food ingredients (proteins, fats, carbohydrates) and
energy.