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o Maintenance of homeostatic metabolism documented and signed options for other methods of
o Protection from infection <>MA feeding shall be outline and appropriate support for her
• Involves all deliveries (NSVD or C-section) decision should be provided
• inform of repercussions and try your best to convince
FOUR (4) CORE ACTIONS *(visual image on page 5) the mother to breastfeed
• Immediate and thorough drying of the newborn (30-60 • Written waiver should be made by the patient herself in
st
seconds) – drying for the 1 minute of life her own words and with her signature
o Prevent loss of heat via evaporation
o Normal spontaneous deliveries
o Prevent hypothermia
▪ mother’s breast immediately afterbirth and
o Initiate first cry
2
roomed in within 30 mins o Organic acid disorders
o Caesarean section o Fatty acid oxidation disorders
▪ Roomed in and breastfed within 3-4 hours after o Disorders of amino acid metabolism
birth • Cost 1500 (available in our setting)
INFANCY
• 2nd month of life up to 2 years old
• In order to ensure optimum health, monthly health
visits are recommended during the first year of life and
every other month during the second year
• History and thorough physical examination to assess
the following:
o Care and feeding of infant
o Developmental milestones (at par with age)
o Occurrence of symptoms during the interval
between visits
o Immunizations
o Anthropometric measurements
COMPLEMENTARY FEEDING
• Timely: introduced at 6 months of age
• Breast feeding until 2-3 years old (WHO)
• Adequate: provides sufficient energy, proteins and
micronutrients to sustain growth
• Safe: hygienically prepared and stored
• Properly fed: meal frequency and feeding methods
suitable for age (guide or self-feeding using clean hands,
spoon and fork, cups and bowls) use local fresh and
5M PEDIATRICS: Preventive Pediatrics
natural foods
• Teach self feeding but know developmental milestone
suitable/appropriate for age