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Breast Feeding



Breast-feeding should be initialed as soon as possible after birth within half an hour after normal delivery and 2 hours of cesarean section.



  1. Lower risk of infection, high concentration of secretory IgA, IgM, Lysozyme, anti-staphylococcal factor. Lactoferrin present in breast milk is less than 50% saturated with iron and this does not make breast milk. suitable medium for the growth of enterobacteria. High level of bifidus factor protects the baby from infection like E.coli. Para - ammo benzoic acid (PABA) provides protection against malaria.
  2. Protect from allergy
  3. Specific protection: Lower risk of developing diabetes mellitus, childhood lymphoma, liver diseases and bronchial asthma.
  4. Emotional bonding.
  5. Effective contraceptive, lower risk of ovarian cancer and breast cancer. 

Contra indications:


True contraindications

  1. Galactosemia and Phenylketonuria Q
  2. Mother on anticancer drugs or antipsychotics
  3. Others:

Mother on antithyroid drugs or sulphonylureas. Q




Weaning refers to accustoming the infants to nourishment other than the mother's milk.


It should be

  1. Culturally acceptable, adequate to provide all the nutritional requirements.
  2. Easily prepared at home. Clean and hygienic
  3. At least 8 to 10 % of the energy should be obtained from protein of good quality.
  4. A single weaning food is added at a time in small quantities followed by the second weaning food after some time
Evening colic
  1. Evening colic can occur even in breast fed babies (cause is physiologically increased gut motility between 2 wks to 3 mo of age), but it is more common with cow’s milk (cow milk is more likely to cause constipation, thereby increasing incidence of colic)
  2. Colic - more commonly in overactive infants, it could be a manifestation of hunger, improper feeding, aerophagy, Cow's milk allergy -lactose intolerance, low progesterone level, congenital hypertonicity of the infant or physiological immaturity of the intestines during early infancy

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