Dietary Prescription - The Filipino Doctor

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Dietary Prescription - The Filipino Doctor
Dietary Prescription
(2008)
Philippine Society of Pediatric
Gastroenterology and Nutrition
PPS Bldg., 52 Kalayaan Ave., Diliman, Quezon City
Telephone No. 526-9167, 521-8450 local 2108
Email: [email protected]
Officers
President
Vice-President
Secretary
Assistant Secretary
Treasurer
Auditor
Board Members
Grace L. Uy, MD
Felizardo N. Gatcheco, MD, MSc
Mary Jean Villa-Real Guno, MD
Ma. Lourdes G. Genuino, MD
Portia D. Monreal, MD
Josie Grace C. Castillo, MD
Germana V. Gregorio, MD
Ma. Estela R. Nolasco, MD
Immediate Past President
Founding President
Juliet O. Sio-Aguilar, MD, MSc
Perla D. Santos Ocampo, MD
Dietary Prescription Food Guide Pyramid
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 development 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 collection.
Recommended Breastmilk Storage Period
•Room temperature (<25oC);
•Room temperature (>25oC);
•Refrigerator (4oC);
•Freezer compartment of a 1-door refrigerator;
•Freezer compartment of a 2-door refrigerator;
•Deep freezer with constant temperature (-20oC);
4 hours
1 hour
5 days
2 weeks
3 months
6 months
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 Philippines
Recommended Energy and Nutrient, FNRI-DOST
(Department of Science and Technology), 2002
WHO Global Strategy for Infant and Young Child Feeding, 2003
Wellstart Lactation Management Education Program, 1996
DOH Administrative Order No. 2005-0014
DOH Administrative Order No. 2006-0012
For more information on this guide, please contact:
Your pediatrician or write us at [email protected]
www.TheFilipinoDoctor.com l Sign up and open your clinic to the world.
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Dietary Prescription Food Guide Pyramid
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
Infant Nutrition
Milk Supplements
Alactagrow Growing-up Milk
Powder with Fibercal
Anchor 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 & Minerals
Pediatric 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
Learn to access drug info on your cellphone. Send PPD to 2600 for Globe/Smart/Sun users.
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Dietary Prescription Food Guide Pyramid
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
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