Feeding Fundamentals
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FEEDING FUNDAMENTALS Hand Book on Infant & Young Child Nutrition by IYCF Subspecialty Chapter of Indian Academy of Pediatrics Editors Dr. Ketan Bharadva Dr. Satish Tiwari Dr. Pushpa Chaturvedi Dr. Akash Bang Dr. R K Agarwal “Feeding Fundamentals” A Hand Book on Infant & Young Child Nutrition First Edition, 2011 Published by: PEDICON 2011, Jaipur. The National Conference of Indian Academy of Pediatrics for Infant & Young Child Feeding Subspecialty Chapter of Indian Academy of Pediatrics For Private Circulation only Disclaimer: The views expressed in various articles/chapters are of individual writers. Publishers or editors may not necessarily agree with the same. Important Information: All possible care has been taken to ensure accuracy of the material, but the editors, printers or publishers shall not be responsible for any inadvertent error(s) and consequences arising out of it. All Rights Reserved: But any part of this publication can be reproduced, stored, or transmitted in any form, by any means or otherwise for the benefit of the children, with due acknowledgement of the editors & publisher. Printed by: Aristo Pharmaceuticals Address for correspondence: Dr. Satish TiwariYashoda Nagar No. 2, Amravati-444606. Maharashtra, INDIA E-mail: [email protected], [email protected] Phone no.: 0721-2541252, 9422857204 Office Bearers of IYCF Chapter Dr. R K Agarwal : President Dr. C R Banapurmath : Vice President Dr. Shripad Jahagirdar : Secretary Dr. Sanjio Borade : Treasurer Dr. Satinder Aneja : Executive member (North Zone) Dr. Narayanappa : Executive member (South Zone) Dr. M L Agnihotri : Executive member (Central Zone) Dr. Pradeep Kar : Executive member (East Zone) Dr. Ketan Bharadva : Executive member (West Zone) ACKNOWLEDGEMENTS Dr. Tarun Patni and the PEDICON 2011 Team for publishing the book Aristo Pharma for printing the book Dr. Rajinder Gulati for design of logo of IYCF CHAPTER Dr. Swati Vinchurkar for the title name Addresses of some of the organizations working for Breastfeeding Promotion & IYCF related activities: 1. IYCF Chapter of Indian Academy of Pediatrics, Yashodanagar no. 2 Amravati, 444606 India. 2. Breastfeeding Promotion Network of India, Post box No.10551, Delhi 110034 3. ACASH, P.O. Box 2498, Bombay 400 002 4. La Leche League International, P.O. Box 1209, Franklin Park, IL 60131-8209 USA 5. World Alliance for Breastfeeding Action (WABA), Box 1200, 10850 Penang, Malaysia. 6. Suraj Bhan Health and Education Society. A-3 Saraswati Nagar. Jodhpur. 34200 CONTRIBUTORS Dr. Anurag Agrawal MD Dr. Rajiv Bansal MD, FIAP National Trainer-IYCF Consultant Pediatrician, Jaipur. Head of Dept Ped. & Neonatology Maharishi [email protected] Valmiki Hospital Govt of NCT. Delhi. [email protected] Dr. Sriparna Basu MD, DCH, FRCPCH, FRCPI Dr. Nagmani Agarwal DNB, DCH Asst. Prof. of Ped., Institute of Medical Sciences, Asso. Prof. of Ped., Banaras Hindu University, Varanasi. J.J.M. Medical College, Davangere. [email protected] [email protected] Dr. Roopa Bellad MD, DCH Dr. R K Agarwal MD, FIAP Prof. of Ped., President IAP, 2009 J N Medical College, Belgaum. Consultant Pediatrician, Udaipur. [email protected] [email protected] Dr. Ketan Bharadva MD, DCH Dr. Satinder Aneja MD Consultant Pediatrician, Director, Prof. of Ped. Masoom Children’s Hospital, Surat. Lady Harding Medical College, New Delhi. [email protected] [email protected] Dr. B D Bhatia MD, FNNF, FIAP, FAMS Dr. Kunal Bagchi Prof. of Ped., Institute of Medical Sciences, Regional Advisior, Nutrition & Food Saftey, Banaras Hindu University, Varanasi WHO - SEARO [email protected] [email protected] Dr. Manju Biswas MD Dr. C R Banapurmath MD, DCH, Consulting Pediatrician, Indore. MNAMS, FIAP Prof. of Ped., J. J. M. Medical College, Dr. Pushpa Chaturvedi MD, FIAP Prof. & Consultant, Bapuji Child Health Institute, Prof. Emeritus & Senior Consultant of Ped., Davangere. MG Inst of Medical Sciences, Sewagram. National VC, IYCF Chapter of IAP. [email protected] [email protected] Dr. Nidhi Choudhary MBBS, DCH Dr. Shobha Banapurmath MD, DCH NP - Officer, Nutrition & Food Saftey, Consultant Pediatrician, WHO - INDIA National Trainer IYCF, Davangere. [email protected] [email protected] Dr. Urmila Deshmukh DCH, MD Dr. Akash Bang MD, DNB, PGDMLS, Research Associate, KEM Hospital & Research Fellow Pediatric Critical Care Centre, Pune. Consultant Pediatrician & Asso. Prof. of Ped., MG Inst of Medical Sciences, Sewagram. Neonatologist. [email protected] Dr. Pooja Dewan MD Dr. Salim Hirani MD, DCH Asst. Prof. of Ped., Uni. College of Medical Consultant Pediatrician, Sciences GTB Hospital, Delhi. Hirani Children’s Hospital, Surat. [email protected] [email protected] Dr. MMA Faridi MD, DCH, MNAMS, Dr. Charu Kalra DNB FIAP Santoka Durlabhji Hospital, Jaipur. Prof. & Head Ped., University College of Medical Sciences, Delhi University. GTB Hospital, Delhi. Dr. Shama Kulkarni DCH, IBCLC [email protected] National Trainer for Breast Feeding Counselling Director, Jagadisha Child Guidance Clinic & Dr. Paul Francis MD Research Centre, Nasik. National Professional Officer [email protected] Cluster Focal Point (Family Health & Research). WHO Country Office for India. Dr. Kishor Kumar MD, DCH, MRCP, [email protected] MRCPCH, FRCPCH, FRCPI, FRACP Consultant Neonatologist & Pediatrician, Dr. Prashant Gangal MD, IBCLC The Cradle Bangalore. Consultant Pediatrician, Mumbai. [email protected] In-charge Mother Support Group BPNI, Maharashtra. Dr. Neeraj Kumar MBBS [email protected] Dept. of Ped., Patna Medical College, Patna. Dr. Ajay Gaur MD, PhD [email protected] Asso. Prof. of Ped., GR Medical College, Gwalior. Dr. Alka Kuthe DGO, LLB, IBCLC [email protected] Member, Ethics & Medico-legal Committee, FOGSI & ALARM International Committee, India. Past Dr. V P Goswami MD, DCH, PhD President, BPNI Maharashtra. Lecturer, Regional Health & Family welfare Training [email protected] Centre, Indore. [email protected] Dr. Shyamkumar Laishram MD National trainer IYCF Dr. Rajinder Gulati MD, FIAP Senior Consultant & Pediatrician, Imphal. Medical Officer, Civil Hospital, Raikot. [email protected] [email protected] Dr. R K Maheshwari MD, FIAP Dr. P K Gupta MD, DCH, FIAP Principal Medical Officer, Barmer. HOD Ped., Tata Main Hospital & Hon. Prof. of Ped., MGM Medical College, Dr. Nirali Mehta MD Jamshedpur. Consultant Pediatrician, Surat. [email protected] [email protected] Dr. Subodh Gupta MD, DNB Dr. Rajesh Mehta National Professional Officer (Child Health & Medical Officer - Child & Adolescent Health, WHO Development) WHO Country Office for India - Regional Office for South-East Asia. [email protected] [email protected] Dr. S Mruthyunjaya Dr. Anupam Sachdev Prof. of Ped., Incharge Pediatric Hemato-Oncology & Bone Medical advisor, PPTCT Programme, JJM Medical Marrow Transplantation, College, Davanagere. Chairman Department of Academics, [email protected] Sir Ganga Ram Hospital, New Delhi. [email protected] Dr. Nigam Prakash Narayan Asso. Prof. of Ped., Patna Medical College, Patna. Dr. Gadadhar Sarangi MD [email protected] Consultant Pediatrician, Cuttack. [email protected] Dr. Smiti Narain MBBS Jr Resident, GTB Hospital, New Delhi. Dr. Abhay Shah MD Consultant Pediatrician, Ahmadabad. Dr. Kamlesh Parekh MD [email protected] Consultant Pediatrician, Amruta Hospital, Surat. Dr. Jayant Shah MD, DCH, IBCLC [email protected] Practicing Pediatrician & Lactation Consultant Nandurbar. Dr. Vaishali Patil MD, DGO [email protected] Asst. Prof. of Obstetrics & Gynecology, Seth G.S. Medical College & K.E.M. Hospital, Dr. P K Shah MD, FCPS, DGO, DFP Mumbai. Prof. & Unit head, Dept of Obstetrics & Gynecology, Seth G.S. Medical College & K.E.M. Dr. AK Patwari MD Hospital, Mumbai. Research Professor, School of Public Health, Boston University. Dr. Digant Shastri MD Consultant Pediatrician, Dr. Arun Phatak Killol Children’s Hospital, Surat. Prof. & Head, Dept of Ped., [email protected] KGP Children Hospital, Vadodara. Dr. Shitanshu Shrivastava MD Dr. Sanjay Prabhu MD, DCH, IBCLC National Trainer of IYCF Secretary Maharashtra BPNI Asso. Prof. of Ped., National Trainer in IYCN Era Medical College, Lucknow. [email protected] [email protected] Dr. Nita Radhakrishnan FNBE Dr. Shyam Sidana MD Pediatric Hematology Oncology, Practicing Pediatrician. Ranchi. Sir Ganga Ram Hospital, New Delhi. State Coordinator for IYCF [email protected] Dr. Neena Raina Regional Adviser-Child & Adolescent Health, Dr. Anurag Singh WHO-Regional Office for South-East Asia. Asso. Prof. of Ped., Umed Hospital, [email protected] Regional Institute of Maternal & Child Care, S N Medical College, Jodhpur. [email protected] Dr. P S Suresh Babu MD, DCH Dr. Swati Vinchurkar MD Prof. of Ped., J.J.M. Medical College, Davangere. Consultant Pediatrician [email protected] Urja Child Health & Developmental Rehabilitation Center, Dr. Suresh Thaker MD Surat. Consulting Pediatrician, Jamnagar. [email protected] [email protected] Dr. Mangala Wani MD, DGO, DObs, Dr Gayatr S Thaker FRCOG, IBCLC Consulting OBGYN, Obst Gynae & Lactation Consultant, Infertility Specialist, Jamnagar. Hirkani Gynae & Breastfeeding [email protected] Medicine Clinic, Pune. Dr. Sharad Thora MD, FIAP [email protected] Prof. & Head, Dept of Ped., MGM Medical College, Indore. Dr. Balraj Yadav MD, LLB [email protected] Secretary