Philippine Society of Pediatric Gastroenterology and Nutrition

Dietary Prescription(2008)

PPS Bldg., 52 Kalayaan Ave., Diliman, Quezon City Telephone No. 526-9167, 521-8450 local 2108Email: pspgn@skydsl.com.ph

PresidentVice-PresidentSecretary Assistant SecretaryTreasurerAuditorBoard Members

Immediate Past President Founding President

Grace L. Uy, MDFelizardo N. Gatcheco, MD, MScMary Jean Villa-Real Guno, MDMa. Lourdes G. Genuino, MDPortia D. Monreal, MDJosie Grace C. Castillo, MDGermana V. Gregorio, MDMa. Estela R. Nolasco, MD

Juliet O. Sio-Aguilar, MD, MScPerla D. Santos Ocampo, MD

Offi cers

Dietary Prescription Food Guide Pyramid

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Complementary Food

Must be:• Timely - introduced at 6 months of age.• Adequate - provides sufficient energy, protein and

micronutrients to sustain growth; use PSPGN Dietary Prescription Food Guide Pyramid as a tool.

• Safe - hyginically prepared and stored; feed using clean utensils, NOT bottles and nipples.

• Properly fed - meal frequency and feeding methods suitable for age (guided or self-feeding using clean hands, spoon and fork, cups and bowls; using locally available fresh and natural foods).

How to introduce:• Begin with one new food at a time to be given for 3

days.• Start with lugaw or cereals, fruits or vegetables in any

order, giving 1-2 teaspoons a day.• Start with pureed foods at 6 months of age; introduce

“finger foods” around 8 months of age; lumpy or chopped foods at 10 months of age; table foods at 12 months of age.

• Feed 6-8 month old infants 2-3 times a day; 9-24 month old infants 3-4 times a day. Give additional nutritious snacks once or twice a day.

• Offer a variety of foods to improve the quality of food intake; avoid drinks with low nutrient value (sweet beverages).

• Do not add salt to the infant's diet before one year of age.

• Give supplements of iron, zinc, calcium and vitamin B12, if diet is primarily plant-based.

• Practice responsive feeding; feed infants directly and assist older children; feed slowly and patiently; DO NOT force-feed; make feeding a pleasurable experience.

Diet of Lactating Mothers• Rice 6 cups• Fruits (vitamin C-rich; 4 pieces different varieties) • Vegetables 1½ cups (green leafy and yellow) • Meat, fish, poultry, 5 pieces seafoods (matchbox size for meat)

or 2 cups cut into small pieces Egg 4 pieces a week Monggo, beans or taho 1½ cups 3 times a week Milk 2 glasses• Fats (vegetable oil) 7 teaspoons• Fluids 7 glasses water 1 glass fresh fruit juice

ReFeReNCeS:

Nutritional Guidelines for Filipinos, Food Nutrition Research Institute (FNRI), 2000

Dietary Prescription, Nutrition Center of the PhilippinesRecommended Energy and Nutrient, FNRI-DOST (Department of Science and Technology), 2002WHO Global Strategy for Infant and Young Child Feeding, 2003Wellstart Lactation Management Education Program, 1996DOH Administrative Order No. 2005-0014DOH Administrative Order No. 2006-0012

For more information on this guide, please contact:

Your pediatrician or write us at pspgn@skydsl.com.ph

Benefits of Breastmilk and Breastfeeding for Mothers and Infants

Breastmilk• Safe, sterile and always available• With perfect nutrients to fully sustain the growth

and development of the baby from birth up to 6 months of age; after 6 months, still a good source of nutrients when given with adequate complementary foods

• Easily digested and absorbed; efficiently used by the baby's immature system

• Contains antibodies and substances which protect the babies against infection

• Contains fats (DHA) which enhance brain develop-ment and intelligence of the baby

Breastfeeding• Promotes emotional bonding between the baby and

mother• Protects the mother's health against cancer (breast,

uterus, ovaries), obesity and post-partum hemorrhage• Promotes early return to pre-pregnancy weight• Gives the family big financial savings.

Correct Breastfeeding Techniques

Helpful Tips for the Mother:• Support the baby's head and entire body throughout

the feeding; the head, back and hips should be facing the breast and aligned in a straight manner.

• Maintain the position of the baby in such a way he is 'face to face', 'chest to chest', 'tummy to tummy' with the mother.

• Support the breast with the hand of the opposite arm in a C-hold position: thumb above, 4 fingers under the breast.

• Stimulate the infant to open the mouth wide by stroking the corner of the baby's lips; check that the chin touches the breast and the lower lip is turned outward.

• Ensure that the baby grasps the entire nipple plus one inch of the surrounding areola.

• Allow the baby to suck 15-30 minutes per breast to extract both foremilk and hindmilk.

• Empty the breast around 8-10 times or more a day to ensure adequate milk supply.

Breastmilk Expression and Storage• Express breastmilk by hand or by using a breast pump

when breastmilk supply is abundant and when the mother is planning to go back to work.

• Store in sterile polypropylene (cloudy hard plastic) or polycarbonate (clear hard plastic) containers, properly labeled with the date and time of breastmilk collec-tion.

Recommended Breastmilk Storage Period

• Room temperature (<25oC); 4 hours• Room temperature (>25oC); 1 hour• Refrigerator (4oC); 5 days• Freezer compartment of a 2 weeks 1-door refrigerator; • Freezer compartment of a 3 months 2-door refrigerator; • Deep freezer with constant 6 months temperature (-20oC);

Dietary Prescription Food Guide Pyramid

53Learn to access drug info on your cellphone. Send PPD to 2600 for Globe/Smart/Sun users.

DIeTARYInfant NutritionMilk Supplements

Alactagrow Growing-up Milk Powder with FibercalAnchor 1+ Growing-up Milk Powder-Chocolate Flavour Powder (Reformulated)Anchor 1+ Growing-Up Milk Powder-Vanilla Flavour Anchor 3+ Growing-Up Milk Powder-Chocolate Flavour (Reformulated) Anchor 3+ Growing-Up Milk Powder-Vanilla Flavour Anchor Full Cream Milk Powder Anchor Full Cream Milk Powder

Chocolate Flavour Bonakid Bonakid Pre-School Enervon Bright Enfagrow A+ Enfakid A+ Enfakid Tummy Friendly Frisogrow Frisokid Grow Advance Neslac Honey Nestle Premium Growing Up Milk Nido Calci-N (6+) Nido Fortified (1+) Nido Full Cream Nido Prebio Plus (3+) Progress Progress Gold Promil Kid Promil Pre-School Sustagen Junior Sustagen Kid Sustagen School Ucare 1-2-3 Growing-up Milk Powder Vanilla Flavour Ucare Powdered Milk Drink Ucare Powdered Milk Drink Chocolate Flavor

Vitaminized Lactum 1+ Vitaminized Lactum 3+ with Inulin Vitaminized Lactum 6+ Vitaminized Lactum RD

Solid Food Supplements Nestle Baby Cereal Brown Rice

with Prebio1 Nestle Baby Cereal Mixed Fruits Nestle Baby Cereal Mixed Vegetables Nestle Baby Cereal Rice Nestle Baby Cereal Wheat Banana

with Prebio1 Nestle Baby Cereal Wheat with

Prebio1 Nestle Baby Rice Meals - Beef Pochero Nestle Baby Rice Meals - Beef Stew Nestle Baby Rice Meals - Chicken Delight Nestle Baby Rice Meals - Chicken Tinola

Vitamins & MineralsPediatric Vitamins & Minerals Bio-Termin Plus with Lecithin Bomvital Forte Multivitamins for Kids Celermin Cherifer Drops with Taurine and

CGF Cherifer Forte Syrup with Taurine

and CGF Plus Zinc Cherifer Forte Syrup with Taurine

and Double CGF Cherifer PGM 10-22 with High

CGF Cherifer PGM 10-22 with Zinc Cherifer Syrup with Taurine and

CGF Cherifer Syrup with Zinc

Children's Bio-Fit Children's Clusivol Chlorvytol Clusivol Drops Drugmaker's Biotech Multivitamins

+ Taurine + Lysine + CGF Eneraplus Eneraplus Syrup Enervon Drops Enervon-C Plus Syrup Enouvim Ferlin Flintstones Complete Flintstones My First' Flintstones Plus Iron Growee Macrobee with Lysine Medgivit Syrup Memorx IQ Plus Children's Formula Syrup Molvite with Iron Nutrilin Drops Nutrilin Syrup Nutroplex with Iron and Lysine

Syrup Optigrow Plus Pharex Vitamin Syrup for Kids Pharmaton Kiddi Poly-Vi-Flor Poly-Vi-Sol Propan TLC Regeron Vita w/ Chlorella Restor Big Supplemin-C Supplemin-C Drops Taurex United American Tiki-Tiki Plus

Vitamin Drops United American Tiki-Tiki Star

Syrup Viteron Z-Vita Zeeplus Zimuvite Zinbee

Recommended Therapeutics

The following index lists therapeutic classifications as recommended by the treatment guideline. For the prescriber's reference, available drugs are listed under each therapeutic class. For drug information, please refer to the Philippine Drug Directory System (PPD, PPDr, PPD Text, PPD Tabs).

Dietary Prescription Food Guide Pyramid

54

Pregnancy/Lactation Vitamins Clusivol OB Completia Prenatal Vitamin Elevit Pronatal Enhansid Enouvim OB Fenamil-OB Folacid Folart Folicard Genalin-OD Hemarate Iberet-Folic-500 Leginsol OB Martham Molvite-OB Morelac Natalac Natalie Prenatal Multivitamins Natalins M Natalins-M with Fluoride Natalwiz Neuromins Omega 3 DHA OB Max Capsule OB Smart SG OB-Mom Pregnamin Pro-Lacta Purifol