. |
 Wt. Curve of
Baby Rumita Rupani(F)
(Guj. Bhatia) (2nd Child Born F.T.
C.S.D.)
|
Fig. 1 and 2
gives the increase in
weight and velocity curve in exclusively
breast fed baby in the first 4 1/2
months. Supplements of cereals and pulses
were added at 4 1/2 months. At the age of
9 1/2 months childs weight was better
than 90 % of children of United States.
It may be noted that this mother from
upper socio income group was able to
breast feed the baby so well inspite of
her delivery done by caesarian operation.
She was able to do so because she was
motivated for breast feeding during
pregnancy. Note that the rate of
weight gain (velocity curve ) has started
coming down at 4 1/2 months but addition
of supplementary foods( cereals, pulses,
mashed vegetables) improved her rate of
weight gain better than 90 % Harward
children (USA). However breast feeding
was continued till 15 months of age.
|
 |
[ BACK TO CHAP. 17 ]
Fig.
3A & 3B
 |
 |
| Fig.
3A (R.K. Chandra
1981) gives the defences of the body in a
healthly child against various micro
organisms, parasites, malignant cells,
allergens, and toxins. In infancy breast
feeding provides as well as stimulates
the local defences in the
gastro-intestional tract and systemic
immunity. |
Fig.
3B shows the
breakdown of various defensive factors in
a malnourished child. |
[ BACK TO CHAP. 17 ]
Fig. 4
 |
Master
Phillips A case of Protein Overload
Syndrome( POS) The chart shows that
birth weight of the baby was 2650 gms.He
did not receive mothers milk and received
infant milk formula. He received 200
calories per kg. body weight per day with
a high intake of protein of 7 to 8 gms.
per kg. body weight per day. He has
characteristic symbols of proteins
overload syndrome. Inspite of high
calorie diet his weight came down from
2650 at birth to2200 gms. at 6 weeks. A
change of diet during 6th week with
protein intake of 2.5 gms. he took
required normal calorie intake of 110 per
kg. and gained 1600 gms. in a period of 6
weeks.The chart emphasis the damage done
by the high intake of proteins.
|
[ BACK TO CHAP. 17 ]
Fig. 5
 |
Comments
Jasmin3 months and 3 weeks born of
14.2.1980 had a weight of 3800 gms. at
the age of 64 days. Birth weight was 3600
gms. which means that the child gained
200 gms. in a period of 63 days This poor
weight gain was inspite of high claorie
intake of 150 calories per kg. body
weight per day but note the protein
intake was very high 7 gms. per kg. per
day. The treatment consisted only of
reduction of protein intake from 7 gms.
to 2.5 gms. per kg. Child took less
amount of calories after the proteins
were reduced i.e. 115 to 120 calories per
kg. body weight and gained in weight with
reduction in protein intake. The circles
in the chart give high intake of protein
20% of calories before treatment, and the
second small circle shows 10% intake of
proteins. |
[ BACK TO CHAP. 17 ]
Fig. 6
 |
 |
 |
| Fig. showing two
babies with carbohydrate malnutrition
(carbohydrate deficiency syndrome or
deoravation) who were malnourished
inspite of excessive calorie intake
(which means large amnount of milk) but
low in carbohydrate (without sugar). The
curve shows that the infant AHJ at the
age of 6 months was taking 20 % of
carbohydrates instead of recommended 50
to 55% and was getting 144 calories per
kg. per day. Circle of calorie
distribution above the curve shows that
inspite of large intake of calories with
low carbohydrates. Reduction of calories
(Small circle) below the curve 120
calories per kg. per day with increased
quantity of carbohydrates from 20% before
treatment to 38 % after treatment showed
remarkable improvement in the child over
a period of 3 months, but specially so in
the first 3 weeks. |
[ BACK TO CHAP. 17 ]
Fig. 7
 |
It
shows the marked difference in the weight
in lbs and kgs in children of upper socio
income groups taking well balanced foods
and adequate calories and the poor socio
income groups whose weight increase was
very poor. PARAMETERS
Upper
socio economic groups
Rs.800 - Rs. 1000 or more per month per
person
Middle
(S.E.G.)
Rs.300 - Rs. 500 or more per month per
person
Lower
(S.E.G.)
Less than Rs.50 - Rs. 100 or more per
month per person
Difference
in rates of growth is mainly because of
lower dietary intake by lower and middle
socio income groups. Which could be
improved by the diet mentioned in the
intake of balanced diet of low cost.
|
[ BACK TO CHAP. 17 ]
Fig. 8
 |
 |
| A. Healthly Breast
fed baby in poor socio income group at 7
months of age. B. Compared to the
severe malnurished (Marasmic child)
suffering from carbohydrate malnutrition
(due to not giving carbohydrates like
sugar,rice, cereals, potatoes etc)
However, diluted milk was given without
sugar.
|
[ BACK TO CHAP. 17 ]
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