Module 3. Feeding of children of early age Semantic module 14. Breast feeding of children

Concrete aims:

• To collect anamnesis of feeding of child of breast age and estimate it.

• To expect daily volume of meal to the child, depending on age.

• To expect the necessary amount of meal on one feeding, depending on age of baby.

• To make one-day menu for the child of breast age on the natural feeding.

• To estimate daily ration of feed of child and conduct its correction (at a necessity).

Theme 1. Natural feeding of children.

Theme 2. Natural feeding of children after introduction of weaning.

Theme of practical training:. Breast feeding of children. Quantitative and qualititative composition of maternal milk. Methods of calculation of daily volume of meal and diet. Additional feeding (weaning) and correction of feed. Daily necessity of child in food ingredients and energy.

Place: an educational room in the department for breast children.

Professional orientation of students: Growth of pathology of physical, neuropsychical development and somatic pathology of children’s age is marked in recent years. Feeding of child has the row of features, without taking into account which the indexes of health of children cannot be correctly estimated. The special accent belongs on the problem of support of the breast feeding pursuant to new positions of the WHO Declaration..

Base level of knowledge and abilities:

№	Discipline	To know
1. 2. 3. 4.	Anatomy Normal physiology Histology Pathological physiology	Development and structure of mammary gland of woman. Description of hormones of regulative a lactation in woman. Description of function of lactation and knowledge of principles of action of hormones. Histological features of structure of mammary gland and GIT of child of early age. Description of disorders of lactation.

Plan of conducting of training:

№ п/п	Elements of practical training	Time in min.
1.	Verification of presents.	5
2.	Entrance control and its analysis.	30
3.	Demonstration of collection of food anamnesis, conducting of estimation of efficiency of feed of child.	20
4.	Demonstration of composition menu for a child which is on the breast feeding.	20
5.	Distributing of children for independent work (collection of food anamnesis and composition menu).	20
6.	Registration of protocols with composing menu for a baby, which is on the breast feeding.	20
7.	Analysis of the made menus. Signing of protocols.	20
8.	Final control of knowledge, solving of clinical situation tasks.	20
9.	Final estimation of knowledge and abilities of students, task for independent preparation to a next training.	5
TOTAL		160

List of theoretical questions.

1. Concept about the breast feeding of children, its purpose and task, basic principles;

2. Program of support of the breast feeding;

3. Features of feed of fetus in intrauterine period;

4. Technique and purpose of the first applying of new-born child to the breast;

5. Principles of the successful breast feeding by WHO;

6. Difficulties and contra-indications to breast feeding;

7. Qualitative and quantitative composition of maternal milk, its advantages;

8. Chart of terms and determinations of the breast feeding;

9. Hygiene, features of the mode and feeds of mother wet nurse;

10. Lactation crises in mother wet nurse. Methods of prophylactics of hypogalactia;

11. Signs of insufficiency of breast milk at a child;

12. Methods of calculation of daily volume of meal at the breast feeding;

13. Diet of children of the first year of life, which are on the breast feeding.

Method of conducting of practical training.

1. After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing entrance control of knowledge.

2. Analysis of the executed tests and consideration of errors.

3. In the ward of department a teacher demonstrates the method of collection of food anamnesis and estimation of its efficiency.

4. A teacher demonstrates the rules of composition of menu for a child, which is on the breast feeding.

5. A teacher distributes children for independent work, assigns.

6. Students design protocols with the made menu for a baby.

7. A teacher conducts the analysis of the made menus, signs protocols.

8. A teacher conducts the final control of knowledge on this theme with the use of situation clinical tasks.

9. A teacher works out the resume of training, gives estimation of knowledge and abilities of students. Assigns for independent preparation to a next training.

Forms and methods of self-control

Test tasks.

1. What frequency of feeding of 3 month child, that is on the breast feeding?

1. 7 times, in every 3 hours, with a 6-hours nightly interval

2. 5 times, in every 4 hours, with a 8-hours nightly interval

3. 6 times, in every 4 hours, without a nightly interval

4. 8 times, in every 3 hours, without a nightly interval

E. 6 times, in every 3,5 hours, with a 6,5-hours nightly interval*

2. What time is fruit juice entered to the ration of child, if a kid is on the breast feeding?

1. from 1 month

2. from 2 weeks

3. from 4 months*

4. from 2 months

5. from 3 weeks

1. A necessity in fats of healthy 2 months child makes:

1. 12 g/kg

2. 6,5 g/kg*

3. 5,5 g/kg

4. 3,5 g/kg

5. 4 g/kg

1. What time of II weaning entered to the healthy child?

1. from 6-7 months*

2. from 7-8 months

3. from 8-9 months

4. from 9-10 months

5. from 5-6 months

1. What requirements in proteins of healthy 3 months child, by age, which is on the exclusive breast feeding:

1. 2,0 – 2,5 g/kg *

2. 2,5 – 3,0 g/kg

3. 3,0 – 3,5 g/kg

4. 3,5 – 4,0 g/kg

5. 1,5 – 2,0 g/kg

Situation tasks.

Task 1.

2 months child was born with mass of body 3 kg 450 g, now he is on the breast feeding, mass of body – 5 kg 300 g. What daily necessity in proteins, fats, carbohydrates and calories of the child?

Task 2.

8 months old boy was born with mass of body 3 kg 150 g,he is on the breast feeding. In this time mass of body – 9 kg 500 g. What daily necessity in proteins, fats, carbohydrates and calories of this child?

Task 3.

5 months girl was born with mass of body 3 kg, now she is on the breast feeding. Girl suffers by anemia from 1 month. In this time mass of body – 5 kg 300 g. Does a child need to enter weaning? What kind? At what time of day?

Hardwares and material providing of training.

1. tables: «Quantitative and high-quality composition of breast milk»

2. charts «Method of calculation of daily volume of feed»

3. set of forms of document of permanent establishment and policlinic.

4. set of test tasks for the entrance control (10 copies)

5. set of situation clinical tasks.