Dietary Prescription

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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 Grace L. Uy, MD


Vice-President Felizardo N. Gatcheco, MD, MSc
Secretary Mary Jean Villa-Real Guno, MD
Assistant Secretary Ma. Lourdes G. Genuino, MD
Treasurer Portia D. Monreal, MD
Auditor Josie Grace C. Castillo, MD
Board Members Germana V. Gregorio, MD
Ma. Estela R. Nolasco, MD

Immediate Past President Juliet O. Sio-Aguilar, MD, MSc


Founding President Perla D. Santos Ocampo, MD
Dietary Prescription Food Guide Pyramid
Benefits of Breastmilk and Breastfeeding Complementary Food
for Mothers and Infants
Must be:
Breastmilk • Timely - introduced at 6 months of age.
• Safe, sterile and always available • Adequate - provides sufficient energy, protein and
• With perfect nutrients to fully sustain the growth micronutrients to sustain growth; use PSPGN Dietary
and development of the baby from birth up to 6 Prescription Food Guide Pyramid as a tool.
months of age; after 6 months, still a good source of • Safe - hyginically prepared and stored; feed using clean
nutrients when given with adequate complementary utensils, NOT bottles and nipples.
foods • Properly fed - meal frequency and feeding methods
• Easily digested and absorbed; efficiently used by the suitable for age (guided or self-feeding using clean
baby's immature system hands, spoon and fork, cups and bowls; using locally
• Contains antibodies and substances which protect available fresh and natural foods).
the babies against infection
• Contains fats (DHA) which enhance brain develop- How to introduce:
ment and intelligence of the baby • Begin with one new food at a time to be given for 3
days.
Breastfeeding • Start with lugaw or cereals, fruits or vegetables in any
• Promotes emotional bonding between the baby and order, giving 1-2 teaspoons a day.
mother • Start with pureed foods at 6 months of age; introduce
• Protects the mother's health against cancer (breast, “finger foods” around 8 months of age; lumpy or
uterus, ovaries), obesity and post-partum hemorrhage chopped foods at 10 months of age; table foods at 12
• Promotes early return to pre-pregnancy weight months of age.
• Gives the family big financial savings. • Feed 6-8 month old infants 2-3 times a day; 9-24 month
old infants 3-4 times a day. Give additional nutritious
Correct Breastfeeding Techniques snacks once or twice a day.
• Offer a variety of foods to improve the quality of food
Helpful Tips for the Mother: intake; avoid drinks with low nutrient value (sweet
• Support the baby's head and entire body throughout beverages).
the feeding; the head, back and hips should be facing • Do not add salt to the infant's diet before one year of
the breast and aligned in a straight manner. age.
• Maintain the position of the baby in such a way he is • Give supplements of iron, zinc, calcium and vitamin
'face to face', 'chest to chest', 'tummy to tummy' with B12, if diet is primarily plant-based.
the mother. • Practice responsive feeding; feed infants directly
• Support the breast with the hand of the opposite arm and assist older children; feed slowly and patiently;
in a C-hold position: thumb above, 4 fingers under the DO NOT force-feed; make feeding a pleasurable
breast. experience.
• Stimulate the infant to open the mouth wide by
stroking the corner of the baby's lips; check that the Diet of Lactating Mothers
chin touches the breast and the lower lip is turned • Rice 6 cups
outward. • Fruits (vitamin C-rich; 4 pieces
• Ensure that the baby grasps the entire nipple plus one different varieties)
inch of the surrounding areola. • Vegetables 1½ cups
• Allow the baby to suck 15-30 minutes per breast to (green leafy and yellow)
extract both foremilk and hindmilk. • Meat, fish, poultry, 5 pieces
• Empty the breast around 8-10 times or more a day to seafoods (matchbox size for meat)
ensure adequate milk supply. or 2 cups cut into
small pieces
Breastmilk Expression and Storage Egg 4 pieces a week
• Express breastmilk by hand or by using a breast pump Monggo, beans or taho 1½ cups 3 times a week
when breastmilk supply is abundant and when the Milk 2 glasses
mother is planning to go back to work. • Fats (vegetable oil) 7 teaspoons
• Store in sterile polypropylene (cloudy hard plastic) or • Fluids 7 glasses water
polycarbonate (clear hard plastic) containers, properly 1 glass fresh fruit juice
labeled with the date and time of breastmilk collec-
tion. References:

Recommended Breastmilk Storage Period Nutritional Guidelines for Filipinos, Food Nutrition Research Institute
(FNRI), 2000
• Room temperature (<25oC); 4 hours Dietary Prescription, Nutrition Center of the Philippines
• Room temperature (>25oC); 1 hour Recommended Energy and Nutrient, FNRI-DOST
(Department of Science and Technology), 2002
• Refrigerator (4oC); 5 days WHO Global Strategy for Infant and Young Child Feeding, 2003
• Freezer compartment of a 2 weeks Wellstart Lactation Management Education Program, 1996
1-door refrigerator; DOH Administrative Order No. 2005-0014
DOH Administrative Order No. 2006-0012
• Freezer compartment of a 3 months
2-door refrigerator; For more information on this guide, please contact:
• Deep freezer with constant 6 months
temperature (-20oC); Your pediatrician or write us at [email protected]

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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 Vitaminized Lactum 1+ Children's Bio-Fit


Infant Nutrition Vitaminized Lactum 3+ with Children's Clusivol
Milk Supplements Inulin Chlorvytol
Alactagrow Growing-up Milk Vitaminized Lactum 6+ Clusivol Drops
Powder with Fibercal Vitaminized Lactum RD Drugmaker's Biotech Multivitamins
Anchor 1+ Growing-up Milk + Taurine + Lysine + CGF
Powder-Chocolate Flavour Solid Food Supplements Eneraplus
Powder (Reformulated) Nestle Baby Cereal Brown Rice Eneraplus Syrup
Anchor 1+ Growing-Up Milk with Prebio1 Enervon Drops
Powder-Vanilla Flavour Nestle Baby Cereal Mixed Enervon-C Plus Syrup
Anchor 3+ Growing-Up Milk Fruits Enouvim
Powder-Chocolate Flavour Nestle Baby Cereal Mixed Ferlin
(Reformulated) Vegetables Flintstones Complete
Anchor 3+ Growing-Up Milk Nestle Baby Cereal Rice Flintstones My First'
Powder-Vanilla Flavour Nestle Baby Cereal Wheat Banana Flintstones Plus Iron
Anchor Full Cream Milk Powder with Prebio1 Growee
Anchor Full Cream Milk Powder Nestle Baby Cereal Wheat with Macrobee with Lysine
Chocolate Flavour Prebio1 Medgivit Syrup
Bonakid Nestle Baby Rice Meals Memorx IQ Plus Children's
Bonakid Pre-School - Beef Pochero Formula Syrup
Enervon Bright Nestle Baby Rice Meals Molvite with Iron
Enfagrow A+ - Beef Stew Nutrilin Drops
Enfakid A+ Nestle Baby Rice Meals Nutrilin Syrup
Enfakid Tummy Friendly - Chicken Delight Nutroplex with Iron and Lysine
Frisogrow Nestle Baby Rice Meals Syrup
Frisokid - Chicken Tinola Optigrow Plus
Grow Advance Pharex Vitamin Syrup for Kids
Neslac Honey Vitamins & Minerals Pharmaton Kiddi
Nestle Premium Growing Up Milk Pediatric Vitamins & Minerals Poly-Vi-Flor
Nido Calci-N (6+) Bio-Termin Plus with Lecithin Poly-Vi-Sol
Nido Fortified (1+) Bomvital Forte Multivitamins Propan TLC
Nido Full Cream for Kids Regeron Vita w/ Chlorella
Nido Prebio Plus (3+) Celermin Restor Big
Progress Cherifer Drops with Taurine and Supplemin-C
Progress Gold CGF Supplemin-C Drops
Promil Kid Cherifer Forte Syrup with Taurine Taurex
Promil Pre-School and CGF Plus Zinc United American Tiki-Tiki Plus
Sustagen Junior Cherifer Forte Syrup with Taurine Vitamin Drops
Sustagen Kid and Double CGF United American Tiki-Tiki Star
Sustagen School Cherifer PGM 10-22 with High Syrup
Ucare 1-2-3 Growing-up Milk CGF Viteron
Powder Vanilla Flavour Cherifer PGM 10-22 with Zinc Z-Vita
Ucare Powdered Milk Drink Cherifer Syrup with Taurine and Zeeplus
Ucare Powdered Milk Drink CGF Zimuvite
Chocolate Flavor Cherifer Syrup with Zinc Zinbee

Learn to access drug info on your cellphone. Send PPD to 2600 for Globe/Smart/Sun users. 53
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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