2.  Breast milk is always an important nutritional
source,even during the second year of life and
later.
 Solid foods do not replace breast milk,but
supplement it.

3.  The Committee on Nutrition of the American
Academy of Pediatrics recognized two
feedind periods during the first year of life:
 The breast-feeding period.
 The transition phase.

4.  Infants are not
physiologically mature yet
to progress from exclusive
breastfeeding to family
foods directly.
 Therefore,transitional foods
are necessary to carry out
this gradual process.

5.  Thesefoods also promote the development of
most of the body systems and skills which will
enable adequate qualitative and quantitative
growth during the first year of life.

6.  Infant needs a wide variety of foods to
meet his nutritional needs.
 But when he's too busy to eat or picky
about fruits, vegetables, and other
solid foods, he may be coming up short
on some important vitamins and
minerals, especially iron.

7.  But most infants don't eat enough
iron-rich foods.
 In fact, iron deficiency is the most
common nutritional deficiency
affecting mainly older infants,
according to the American
Academy of Pediatrics (AAP).

8.  For breastfed babies, the nutrition in
the breast milk changes throughout the
nursing experience.
 Breastmilk is quite different when the
baby is 6 days old, 6 months old, and
18 months old. These changes happen
gradually over time.
 The iron in breast milk is absorbed
three times better than iron in
formulas.

9.  Formulas come in a few different
stages to try to address children's
changing nutritional needs as they
grow.

10.  Toddler formula( or transitional formula) is a
dairy product suitable for use during the
weaning process, as a transitional between
breast milk or follow-on formulas and cow`s
milk.
 Toddler formula is indicated for children
between the age of 1and 3 years.
 Toddler formulas have many of the same
vitamins and minerals found in infant formulas.

12. Nutritional Value per 100 mL
Cow’s milk Transitional
Energy 60 kcal
250 KJ
67 kcal
290 kcal
Carbohydrates 5.2 g
Lactose 5.2 g
8.96 g
Mainly lactose
Fat 3.25 g 2.86 g
Protein 3.2 g 1.68 g
Vitamin Vit A: 284 g
Vit B1: 0.048 mg
81 µg
0.4 mg
Vit B2: 0.1 mg 0.18 mg
Vit B12: 0.44 µg 0.96 µg
Vit D: 40 IU 430 IU
Minerals Ca: 113 mg
Magnesium: 10 mg
450 mg
45 mg
K: 143 mg 480 mg
Iron: 0.5 mg 12 mg

13. Why toddler formula?
 One benefit of formulas over whole milk
is that many of them contain DHA, an
important omega-3 fatty acid (that you
would find in breastmilk).
 One way or another, getting DHA in the
diet seems especially important in the
first two years

14. Why toddler formula?
 Cow's milk contains two types of proteins:
whey and casein.
 Milk-based formulas generally contain a
blend of these two proteins

15.  During digestion, cow’s milk casein may
form large, thick curds in babies’
tummies, looking somewhat like cottage
cheese, which means the protein may
take longer to digest.
 But whey is a gentle, liquid protein that
does not form curds.

16.  Clinicalevidence has shown that formula
made with 100% whey protein empties
from the stomach faster than casein-
containing formulas, which may help
reduce the potential for reflux, or spitting
up.
 But it’s the diaper that tells the story
best. The stools of babies on formulas
with higher whey content also tend to be
softer, like those of breastfed babies.

17.  Forthese reasons, milk-based formulas
are made with 100% whey protein. No
other formulas are!!

18. Why toddler formula?
 Lactose is the major carbohydrate in cow`s
milk, although it is present in only a 4%
concentration.
 Formulaprepared from whole or evaporated
cow`s milk has added sucrose.
 While lactose is the least sweet of the
disaccharides,sucrose adds a very sweet of
the disaccharides,sucrose adds a very
sweet taste to the formula.This may be one
of the factors influencing the increased food
intake in bottle-feeding

19.  In a starting formula, lactose should constitute all or
most of the carbohydrate.

20. Why toddler formula?
 The main difference between toddler and
infant formulas is that toddler formulas
contain a greater amount of calcium and
phosphorus.
 They are designed to match the higher
calcium and phosphorus levels children need
as they grow, similar to the levels found in
whole milk.

21. Why does a baby need
iron-fortified formula?
 Most healthy babies have iron stores
that last for the first few months of life,
but they need an additional source to
prevent those stores from dwindling.
 As the iron content of cow`s milk is 0.75
mg/l at least 10 litres of cow`s milk
would have to be consumed daily to
meet the recommended daily iron
requirement.

22.  The American Academy of Pediatrics (AAP)
has identified lack of iron as the most
common nutritional deficiency in the U.S.
affecting mainly older infants.
 When a baby doesn't get enough of this
essential mineral, growth is slowed and brain
function is hampered. That's why some
formulas, are fortified with iron.

23. Time for a New Formula?
 Is your baby having trouble tolerating her formula?
 If your little one is fussy, or suffering from gas, you may
be seeing signs that she's not tolerating her current
formula well.
 The good news is a switch to a different formula may
help.

24.  If you believe a baby has an intolerance to cow’s
milk, switch formulas only under a doctor's
supervision.
 If you and your baby's doctor decide to switch
formulas, you may want to ease your baby into the
transition to minimize upsetting her developing
digestive system.

25.  It is now commonly advocated that
cow`s milk should not be given to
children younger than two years of age.

26.  TO MUM
EVERYWHERE!
Your baby after cow`s milk intake
He will be more puffy
BUT
.He will be lessssssssss healthy

27.  Breast milk is always an important nutritional
source,even during the second year of life
and later.
 Solid foods do not replace breast milk,but
supplement it.