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 |
Fig.1 Shows
the twins who doubled the birth weight
within a penoa of 2 1/2 rnonths, only on
breast feeding and one or two appropriate
top milk feeds. Child A on the left
weighed 2.6 kg. at birtnh, was 4.9 kg. at
21/2 months of age. Child B on the right
had the birth weight of 1.9 kg. and at 2
1/2 months was 4.2 kg. It shows that
proper education and attitude of this
mother of the twins when motivated
produced remarkable increase in weight
and growth because of breast feeding. |
[ BACK TO CHAP. 17 ]
 |
| Fig. 4 |
Fig. 2 |
Fig. 3 |
|
Fig. 2: Breast
fed baby of mother from lower
socio-economic group. A. K. whose birth
weight was 3.5 kg. had the weight of 8.7
kg. at the age of 18 months. Mother took
extra calories during pregnancy from the
traditional extra special food. Child had
gained 5.4 kg. in a period of 5 months
and length was 65 cms. Child is mentally
alert and had excellent development. The
photograph shows that even in an
exclusively breast fed baby in a poor
socioincome group with healthy mother
getting adequate supplements during
pregnancy had a good birth weight baby
and baby grew well because of excellent
vield of mother's milk |
| Fig
. 4: MalasmusDiarrhoea
child: a girl of 11 months who did not
receive mother's milk with the result she
was given milk by a bottle which resulted
in protracted diarrhoea. This baby's
weight at 11 months was only 3.5 kg.
Physical and mental development of this
child was severely affected because of
chronic protein energy malnutrition. The
condition could have been prevented by
breast feeding and adequate supplementary
feeding between the age of 4 and 6
months, and avoidance of bottle feeding. |
Fig.
3: Marasmic child
because of partial lactation failure: a
baby of 1 1/2 years who was partly breast
fed for the first 2 to 3 months. However,
as the mother was working the infant was
kept on top milk feeds with diluted milk
formula which provided 1/4 th of the
calorie intake required by the child.
This baby had a weight of 6.2 kg at 1 1/2
years, the expected being 11 kg. This is
the picture of a baby with Marasmus or
severe undernutrition. It has also
produced adverse effect on the length of
the baby girl as it was 57 1/2cms.
expected being 83 cms. Even the head
circumference was less as it was 35 cms.
inspite of expected 44 cms. This shows
that the child with chronic
undernutrition has an adverse effect wt
only on her weight and height but also on
her brain growth. |
[ BACK TO CHAP. 17 ]
 |
Fig. 5:
Kwashiorkor baby: following lactation
failure in low socioeconomic group: Even
though the child does not appear
undernourished he has moon facies, sparse
hairs on the scalp, swelling of the legs,
skin changes and diarrhoea. Child was
miserable and retarded growth. This was a
case of kwashiorkor who did not receive
mother's milk and supplementary foods
like rice, pulses, mashed vegetables
between the age of 4 and 6 months because
of which the child developed Kwashiorkor |
[ BACK TO CHAP. 17 ]
 |
Fig.
6:
Severe vitamin-A deficiency leading to
blindness: Child who has become blind
because of keratomalacia or destruction
of cornia and the eyes because of
deficiency of Vitamin A. This blindness
could have been prevented by giving him
supplement of vitamin A, from birth to 5
years, the cost of which would have been
Rs. 2 per year. |
[ BACK TO CHAP. 17 ]
Fig. 7 - A |
Fig. 7 - B |
| Fig.
7 A-B
Adoloscent rickets- Two girls of 12 and
14, one on the left with knock knee or
genuvalgum and second on the right
showing bow legs.Supplements of vitamin D
during school age between the age of 10
and 12 years would have prevented rickets
and these deformities in these children. |
[ BACK TO CHAP. 17 ]
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