40 yr old working mother of 13 months,3 weeks old- twins

I am a 40 yr old working mother of 13 months,3 weeks old- twins. My questions are
>
> 1)The twins were preterm born at 35 weeks and were weighting around 2.25 kgs and birth. Their weight recently at 13.5 months is around 10 kgs. In the first 5 months they were fed breast milk plus formula (Nan) in the ratio of maybe 30:70 i.e. more of formula. Introduced them to solids after that.
> Is their diet adequate and sufficient of the diet in term of composition (carbohydrates, proteins and fats, nutrients and minerals). Their typical meals are as given below. As you will notice no oil/or ghee is added to their meals. Is that okay?
>
> Early Morning(7 to 8 am)
> · Breast Milk –if possible, feed for around 7-8 mins, each of the twins
> · Formula (Lactogen)- 100 to 120 ml
> Midmorning Morning (around 10.30 to 11 am)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> · Fruit-one small banana/little papaya/one chickoo/half mosabi
> Noon (around 1.00 to 1.30 pm)
> · Khichdi- rice, around 4/5 vegetables,sprouts(moong or chawli)-no oil/ghee added
> Evening(around 4.30 to 5pm)
> · Vegetable paste-4/5 vegetables boiled with salt and mashed- no oil/ghee added
> · One Biscuit/Toast
> Evening(around 6.30 to 7.30 pm)
> · Formula (Lactogen)- 60 to 100 ml
> Evening(around 9.30 pm)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> Night (around 10.30 to 11)
> · Breast milk feeding –around 7-8 mins,each
>
> 2) I would like to continue breastfeeding them to the extent I can till they are around 2 years old.Is it okay for me to take Satavarex to boost my milk supply.
> 3) Is T-minic drops safe to give when they catch a cold
>
> Thanks and appreciate your time given
 
ANSWER:
 
The variety and frequency of diet seems adequate, but unless the quantity is specified it isnt always easly to get to whether its in adequate calorie , protein, carbs etc. (most of the times exact percentage is not required)
 
If the feeds are made as per instructions on formula usually they contain the carbohydrates proteins and fats in proportions.
There is no need to restrict fat till 4 year age, he may also need extra fats for his growth in this age group.
 
As he is 1 year plus there is no need to prolong breast feeding, so definitely no need to boost your milk production, so let it have its natural course.
 
Just for your knowledge his requirements on an average will be 1000 cal per day which is usually done with 8 good feeds of 100 ml each. by 2 year it will be 1200 cal per day
 
Its important at this age to have the child on complementary feeding. A 1 year old child should be able to eat all the diet items which an adult can eat , and his requrements may be as good as half of an adult.
 
plot his serial growth charts, maintaining well on growth charts is an indicator of good intake.
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> Date: Thu, 27 Dec 2007 22:35:30 -0800
> 
Hello Drs,
>
> I am a 40 yr old working mother of 13 months,3 weeks old- twins. My questions are
>
> 1)The twins were preterm born at 35 weeks and were weighting around 2.25 kgs and birth. Their weight recently at 13.5 months is around 10 kgs. In the first 5 months they were fed breast milk plus formula (Nan) in the ratio of maybe 30:70 i.e. more of formula. Introduced them to solids after that.
> Is their diet adequate and sufficient of the diet in term of composition (carbohydrates, proteins and fats, nutrients and minerals). Their typical meals are as given below. As you will notice no oil/or ghee is added to their meals. Is that okay?
>
> Early Morning(7 to 8 am)
> · Breast Milk –if possible, feed for around 7-8 mins, each of the twins
> · Formula (Lactogen)- 100 to 120 ml
> Midmorning Morning (around 10.30 to 11 am)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> · Fruit-one small banana/little papaya/one chickoo/half mosabi
> Noon (around 1.00 to 1.30 pm)
> · Khichdi- rice, around 4/5 vegetables,sprouts(moong or chawli)-no oil/ghee added
> Evening(around 4.30 to 5pm)
> · Vegetable paste-4/5 vegetables boiled with salt and mashed- no oil/ghee added
> · One Biscuit/Toast
> Evening(around 6.30 to 7.30 pm)
> · Formula (Lactogen)- 60 to 100 ml
> Evening(around 9.30 pm)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> Night (around 10.30 to 11)
> · Breast milk feeding –around 7-8 mins,each
>
> 2) I would like to continue breastfeeding them to the extent I can till they are around 2 years old.Is it okay for me to take Satavarex to boost my milk supply.
> 3) Is T-minic drops safe to give when they catch a cold
>
> Thanks and appreciate your time given.
>
>
>
>
>
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>
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>
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> Date/Time: 2007-12-27 22:35:28 PST
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> Referrer: http://askyourdoc.blogspot.com/

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