8th Sep 2010
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Infants, birth to four months
Making the right choices when it comes to feeding your new baby will help to ensure he gets a good start in life.

In this article
Breastfeeding | When not to breastfeed | Types of breastmilk | Mother's diet |
Dietary guidelines | Foods to avoid | Bottlefeeding | Possible feeding problems |
Weaning guidelines
| The first two weeks of weaning | The next six to eight weeks |
From six to nine months | From eight to nine months
Mother's diet
Breastfeeding uses at least 500 calories a day. Much of this energy can be derived from fat stores laid down in pregnancy, but many women also experience an increase in their appetite. Sensations of hunger and thirst are particularly intense during this period, and new mums should be encouraged to respond to these signals. The stress and tiredness of early motherhood, as well as the demands of breastfeeding, mean this is not a good time to diet or limit your food intake.
It's important that this increased appetite is satisfied with foods of a high nutritional quality, not fatty and sugary foods alone. Requirements for protein, calcium, folate and vitamins C and A increase significantly while breastfeeding. This necessitates a balanced intake of foods as illustrated in the table below.
Sufficient fluid is also vital. All lactating women should drink more than usual (at least eight glasses of fluids a day) and shouldn't ignore thirst; it's often the first sign of dehydration. Caffeine (from tea, coffee and some soft drinks) and alcohol are excreted in breastmilk, so excessive quantities should be avoided.
Dietary guidelines
Nutrition during Lactation
Calories
A breastfeeding woman needs to consume a minimum of 1800 calories per day. If you are breastfeeding twins, you may need many more calories. The mother's appetite is the best guide to energy requirement. If you are losing more than 1-4 pounds per month while breastfeeding, you may not be eating enough. Overweight women, or women who gained a lot of weight during pregnancy, may be able to lose 4-6 pounds per month without compromising their breastmilk production, but rapid weight loss or slimming should be avoided.
Protein
Protein needs are increased during breastfeeding. Be sure you are including a healthy portion of protein with at least 2 meals each day. Meat, poultry, seafood, eggs, beans, nuts, tofu, and many low-fat dairy products are good sources of protein.
Calcium
Calcium needs for lactation remain elevated as in pregnancy. Continue to choose at least 3-4 calcium-rich foods daily.
General
Eat regular meals and snacks, and eat a variety of foods - try to include the following in your diet every day:
Milk, cheese or yogurt;
Meat, fish, eggs, bean or pulses;
Fruit and vegetables - at least five portions; and
Starchy carbs - bread, rice, potatoes, pasta and breakfast cereals.
Fluid
Producing breastmilk requires water. Drink at least 8-10 cups of fluids each day. (But drinking extra fluids will not increase your milk supply.) Both caffeine and alcohol are passed through breastmilk and negatively affect breast-fed infants.
Foods to avoid
There should be no need to avoid any particular foods while breastfeeding. Some mother say certain foods, such as onions, garlic and citrus fruits, seem to upset their babies. However, you should always check with a healthy professional before omitting any foods from your diet to avoid a deficiency in any vitamins or minerals.
Small amounts of alcohol pass into breastmilk, making it smell different, which may affect your baby's feeding, sleeping or digestion. Stick within the daily limits for women of between two and three units.
It has been suggested that avoiding potentially allergenic agents during early life could reduce the incidence of allergies. The Department of Health advises that women who are atopic (suffer from inherited allergies such as eczema, hayfever or asthma) or who have an atopic partner may consider avoiding obvious sources of peanuts during pregnancy and lactation. A lack of research data, however, means advice has not yet been extended to other allergenic foods.
 
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