Link zu WHO-Empfehlungen?

GoldSevenGoldSeven

3,151

bearbeitet 16. 02. 2005, 23:38 in Ernährung
Heute war ja Timos U4... Toll, da hätte ich auch beim alten Kinderarzt bleiben können :???:

Natürlich die Frage: "Was bekommt er?"
Ich:"Nur Pre."
Er: "Sie wissen, dass er das nicht mehr muss?"
Ich: "Ja. Aber ich möchte das so, auch bis er im 7. Monat Beikost bekommt."
Er: "Mit Beikost sollten Sie aber eigentlich ab dem 4. Monat anfangen, das sind so die Ärtzeempfehlungen in Deutschland."
Ich: "Die WHO empfhielt aber, bis zum 6. Momat ausschließlich zu stillen - oder eben Pre - und erst dann die Beikost einzuführen."

Das wollte er mir nicht glauben und bat um Beweise. Gisela? Wo kann man das nachlesen? ;-)

Aber immerhin bat er im Beweise und nachdem wir uns drüber unterhalten hatten und er merkte, dass ich mich dazu gut informiert hatte, ließ er mich dabei, zumal Timo so gut im Futter ist, dass er in den "Schwer"-Breich des Somatogramms gerutscht war...

Und natürlich kam noch ein Kommentar nach dem Motto, "Naja, aber die WHO muss ja auch Empfehlungen für die ganze Welt aussprechen; wahrscheinlich ist es in den Entwicklungsländern leichter, Fläschchen zu geben, als Breie, die haben da ja eh so wenig zu essen... :shock: :shock: :shock:

Aber Tragetücher, wissen wir ja von führenden Babyfachmarktverkäufern, sind ja auch nur für Afrikaner geeignet, weil die ja ganz anders gebaut sind als wir.

Wenn ich nicht grade erst den Kinderarzt gewechselt hätte. :???:

Kommentare

  • lilalila

    2,943

    bearbeitet 30. 11. -1, 01:00
    Das mit den Kinderärzten ist echt ein Dilemma. Da geb ich Dir Recht.

    Vielleicht muss man den Kinderarzt mehr als einen Dienstleister sehen :cool: , nicht sosehr als einen Ratgeber, dem man sein Herz ausschüttet.

    Er ist derjenige, der halt Rezepte ausstellt und impft. Achja, und die Us macht. Punkt.

    Aber zumindest hattest Du schon soviel Zeit, Dich überhaupt zu rechtfertigen. Ich hab in der Arztpraxis selber bestimmt noch nie mehr als zehn Sätze von mir gegeben, so routiniert und fix ging das dort. :fun10:
  • GoldSevenGoldSeven

    3,151

    bearbeitet 30. 11. -1, 01:00
    Doch, geredet haben wir (tatsächlich "wir") relativ viel, weil der gute Doktor auch schon der Kinderarzt von Timos Papa war :biggrin:

    Allerdings würde mich jetzt mal interessieren - davon hatte ich nämlich auch noch nie gehört - warum die Deutsche Ärztekommission (falls das der Begriff ist?) allen Ernstes Beikost ab dem 4. Monat empfiehlt, nicht mal nach Vollendung desselben... Dass Kinderärzte Pre-Nahrung für so ne Art Schonkost für Säuglinge unter 2 Wochen halten, davon hab ich hier ja schon gelesen ;-)

    Den Verlockungen der Einser zu widerstehen, fällt mir dereit wieder mal leicht. :???: Die Trinkmenge/Vollheitsgrad des Magens scheint sich bei Timo eher umgekehrt proportional zur Schlafmenge zu verhalten. Vorgestern hat er den ganzen Nachmittag nichts und abends nur 60 ml getrunken, hat aber nur einmal in der Nacht Hunger gehabt... und gestern Abend hat er fast nen halben Liter weggezogen und nachts gings dann im 3-2-1-1-1-Rhyhmus. Wobei er dann aber kaum trinkt. Wahrscheinlich schläft er echt besser. wenn der Darm Pause hat...

    Aber ich schweife ab. ;-)
  • bearbeitet 30. 11. -1, 01:00
    Hier habe ich etwas zum Stillen, aber leicht "aufgeweicht" durch die Nationale Stillkommisson, und nicht auf dem neuesten Stand vom letzen Jahr. Aber im Prnzip...
    http://www.bfr.bund.de/cm/207/empfehlun ... ldauer.pdf
    und dann such mal nach der Resolution 47.5 der World Health Assembly (WHA), welche seit 1994 den Einführungszeitpunkt ebenfalls mit "circa sechs Monaten" empfiehlt
    Das mit der Prenahrung steht in diversen Resolutionen.
    Evtl. kann man bei meinem Berusverband etwas dazu bekommen. Oder auch hier

    http://www.babynahrung.org/


    [/quote]
  • AnonymousAnonymous

    59,500

    bearbeitet 30. 11. -1, 01:00
    Dann gibt es noch diverse EU-Richtlininen zur Säuglingsernährung. So ziemlich alle Ländern haben diese umgesetzt, nur mal wieder nicht die Deutschen. :flaming01:

    Ich wurde vom Verbraucherschutzministerium ans Internet verwiesen, wurde aber leider noch nicht fündig. :???: Ich muss auch gestehen, mir fehlte etwas die Zeit in letzter Zeit. :oops:

    :byebye01:
  • bearbeitet 30. 11. -1, 01:00
    UNICEF Breastfeeding Information (from UNICEF Website)

    1. Breastmilk alone is the best possible food and drink for a baby. No other food or drink is needed for about the first six months of life.
    Supporting Information
    • From the moment of birth up to the age of about six months, breastmilk is all the food and drink a baby needs. It is the best food a child will ever have. All substitutes, including cow's milk, infant formula, milk-powder solutions, and cereal gruels, are inferior.
    • Even in hot, dry climates, breastmilk contains sufficient water for a young baby's needs. Additional water or sugary drinks are not needed to quench the baby's thirst. They can also be harmful. If the baby is also given water, or drinks made with water, then the risk of getting diarrhoea and other illnesses increases.
    • Other food and drink are necessary when a baby reaches the age of about six months. If monthly weighing shows that a child under six months of age is not growing well, then the child may need more frequent breastfeeding. If the child is already being breastfed frequently, then lack of weight gain shows either that the child has an illness or that other foods, in addition to breastmilk, are now necessary.
    • Until the age of nine or ten months, the baby should be breastfed before other foods are given. Breastfeeding should continue well into the second year of life - and for longer if possible.

    2. Babies should start to breastfeed as soon as possible after birth. Virtually every mother can breastfeed her baby.
    Supporting information
    • Mothers and newborn babies should not be in different rooms. The baby should be allowed to suck at the breast as often as he or she wants.
    • If a mother gives birth in a maternity unit, then she has a right to expect that her newborn baby will be kept near her in the same room, 24 hours a day, and that no other food or drink will be given to her baby except breastmilk.


    • Starting to breastfeed immediately after birth stimulates the production of breastmilk. Breastfeeding should begin not later than one hour after the delivery of the baby.
    • The thick yellowish milk (called colostrum) that the mother produces in the first few days after birth is good for babies. It is nutritious and helps to protect them against common infections. The baby does not need any other food or drink while waiting for the mother's milk to 'come in'. In some countries, mothers are advised not to feed this colostrum to their babies. This advice is wrong.
    • Many mothers need help when they begin to breastfeed, especially if the baby is their first. An experienced and sympathetic adviser, such as a woman who has successfully breastfed, can help a mother avoid or solve many common problems.
    • The position of the baby on the breast is very important. A bad sucking position is the cause of problems such as: sore or cracked nipples; not enough milk; refusal to feed
    • Signs that the baby is in a good position for breastfeeding are: (1) the baby's whole body is turned towards the mother; (2) the baby takes long, deep sucks; (3) the baby is relaxed and happy; (4) the mother does not feel nipple pain.
    • Almost all mothers can produce enough milk if: (1) the baby takes the breast into his or her mouth in a good position;
    (2) the baby sucks as often, and for as long, as he or she wants, including during the night.
    • Crying is not a sign that a baby needs artificial feeds. It normally means that the baby needs to be held and cuddled more. Some babies need to suck the breast simply for comfort. If the baby is hungry, more sucking will produce more breastmilk.
    • Mothers who are not confident that they have enough breastmilk often give their babies other food or drink in the first few months of life. But this means that the baby sucks at the breast less often. So less breastmilk is produced. To stop this happening, mothers need to be reassured that they can feed their young babies properly with breastmilk alone. They need the encouragement and practical support of their families, the child's father, neighbours, friends, health workers and women's organizations.
    • Mothers employed outside the home need adequate maternity leave, breastfeeding breaks during the working day, and crèches where their babies can be looked after at the workplace. So employers and trade unions also have a part to play in supporting breastfeeding.
    • Husbands, families, and communities can help to protect the health of both mothers and babies by making sure that the mother has enough food and by helping with her many tiring tasks.
    • Breastfeeding can be an opportunity for a mother to take a few minutes of much-needed rest. Husbands or other family members can help by encouraging the mother to lie down, in peace and quiet, while she breastfeeds her baby.
    3. Breastfeeding causes more milk to be produced. A baby needs to suck frequently at the breast so that enough breastmilk is produced to meet the baby's needs.
    Supporting Information
    • From birth, the baby should breastfeed whenever he or she wants to - often indicated by crying. Frequent sucking at the breast is necessary to stimulate the production of more breastmilk.
    • Frequent sucking helps to stop the breasts from becoming swollen and painful.
    • 'Topping up' breastmilk feeds with milk-powder solutions, infant formulas, cow's milk, water, or other drinks, reduces the amount of milk the baby takes from the breast. This leads to less breastmilk being produced. The use of a bottle to give other drinks can cause the baby to stop breastfeeding completely. It can also confuse the baby because the sucking action of bottle-feeding is very different from sucking at the breast. Babies who are confused between sucking at the breast and sucking at the bottle may drink less breastmilk. This will cause less breastmilk to be produced.


    4. Breastfeeding helps to protect babies and young children against dangerous diseases. Bottle-feeding can lead to serious illness and death.
    Supporting Information
    • Breastmilk is the baby's first 'immunization'. It helps to protect the baby against diarrhoea, coughs and colds, and other common illnesses. The protection is greatest when breastmilk alone is given to the baby for about the first six months.
    • Cow's milk, infant formulas, milk-powder solutions, maize gruel and other infant foods do not give babies any special protection against diarrhoea, coughs and colds, and other diseases.
    • Bottle-feeding can cause illnesses such as diarrhoea unless the water is boiled and the bottle and teats are sterilized in boiling water before each feed. The more often a child is ill, the more likely it is that he or she will become malnourished. That is why, in a community without clean drinking water, a bottle-fed baby is many times more likely to die of diarrhoea than a baby fed exclusively on breastmilk for about the first six months.
    • Mothers should be helped to breastfeed their babies. If for any reason a mother does not breastfeed, then she should be helped in other ways to give her baby good nutrition and protection against disease.
    • The best food for a baby who, for whatever reason, cannot be breastfed, is milk squeezed from the mother's breast. It should be given in a cup that has been very well cleaned. Cups are safer than bottles and teats because they are easier to keep clean.
    • The best food for any baby whose own mother's milk is not available is the breastmilk of another mother.
    • If non-human milk has to be used, it should be given from a clean cup rather than a bottle. Milk-powder solutions should be prepared using water that has been boiled and then cooled.
    • Cow's milk, infant formula, or milk-powder solutions can cause poor growth if too much water is added in order to make it go further.
    • Cow's milk and milk-powder solutions go bad if left to stand at room temperature for a few hours. Breastmilk can be stored for at least eight hours at room temperature without going bad.
    • In low-income communities, the cost of cow's milk or powdered milk, plus bottles, teats, and the fuel for boiling water, can be as much as 25-50% of a family's income.


    5. A variety of additional foods is necessary when a child is about six months old, but breastfeeding should continue well into the second year of a child's life and for longer if possible.
    Supporting Information
    • Although children need additional foods after about the first six months of life, breastmilk is still an important source of energy and protein, and other nutrients such as vitamin A, and helps to protect against disease during the child's second year of life.
    • A mother can continue to breastfeed her child for as long as she wishes, but it is best for her own and her children's health if she avoids becoming pregnant again until her youngest child has reached the age of two years. Most methods of avoiding pregnancy - including condoms, IUDs, and voluntary sterilization - do not affect breastfeeding. 'Minipills' and injectable contraceptives also have no effect on breastmilk providing that they contain no oestrogen. But conventional contraceptive pills can reduce the amount of breastmilk.
    • Babies get ill frequently as they learn to crawl, walk, and play. A child who is ill needs breastmilk. It provides a nutritious, easily digestible food when the child loses appetite for other foods.
    • Between the ages of one and two, a baby benefits from breastmilk as well as needing family foods. Breastfeeding is good for the child as part of a meal, or between meals, or whenever the child feels hungry. But at this time, all children need other foods. In the second year of life, breastfeeding should be an addition to, not a substitute for, normal meals.
    • Breastfeeding also comforts a child when he or she is frightened, hurt, angry, or tearful.



    6. Breastfeeding gives a mother 98% protection against pregnancy for six months after giving birth - if her baby breastfeeds frequently, day and night, if the baby is not regularly given other food and drink, and if the mother's periods have not returned.
    Supporting Information
    • It is now known that the sucking of the baby on the mother's breast causes a delay in the return of the mother's fertility. For some women, breastfeeding delays the return of menstrual periods for up to 12 months - or even longer. For other mothers, menstrual periods return only three or four months after giving birth.
    • How often the baby sucks at the mother's breast is the most important fact in deciding how long it will be before the mother's periods return.
    • If a baby sucks very frequently at the breast (whenever the baby wants to, including at night) then the return of the mother's periods will be delayed for much longer. But if breastfeeding is restricted to a regular routine, then the mother's periods will return much more quickly. Or if a mother gives other food or drink to a baby who is less than six months old, then the baby may suck less often at the breast and the mother's periods are likely to return much sooner.
    • The return of menstrual periods lets the mother know that she can become pregnant again.
    • It is possible for a mother to become pregnant again before her monthly period returns. This becomes more likely when six months have passed since the birth of the baby. A woman who wants to be protected against another pregnancy should choose another method of family planning if any of the following apply: (a) her baby has reached the age of six months; (b) her monthly periods have returned; (c) the baby is starting to take other food and drink in addition to breastmilk.
    • Whether or not a mother intends to breastfeed a newborn child, parents should be provided with advice on family planning at the maternity unit or hospital where their child has been born. If the child is born at home, trained birth attendants can also give advice on family planning. ■

    Das ist die internationalen Stillempfehlungen von UNICEF/WHO (in englischer Sprache).
  • IngaInga

    753

    bearbeitet 30. 11. -1, 01:00
    Ich schick dir mal nen Link, den ich vom Hebammenbund über die Empfehlungen bekommen habe!
    Schickst du mir deine email adresse?
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