Formula feeding and complementary feeding — structured clinical encounter

Structured encounter testing the approach to a six-month-old starting complementary foods and a young infant with iron deficiency anaemia from early whole cow's milk: taking a focused feeding history, confirming developmental readiness and safe formula preparation, counselling on the texture and allergen ladder, and recognising and correcting the never-before-twelve-months hazards.

structured clinical encounter3 min readVerification in progress

Prompt

A six-month-old infant is brought to clinic. The family has begun adding rice cereal to the bottle and has introduced whole cow's milk as a drink because the infant 'seemed hungry', and they have also started giving honey in water for 'wind'. You are the paediatric registrar working through a focused feeding assessment, the correction of unsafe practices, and the safe introduction of complementary foods with iron-rich first foods and early allergens.

Station brief (candidate)

You are the paediatric registrar in a general clinic. A six-month-old is brought for review. The family has begun adding rice cereal to the bottle, has switched to whole cow's milk as the main drink because the infant "seemed hungry", and has started giving honey in water for "wind". You have 10 minutes to take a focused feeding history, correct the unsafe practices, and counsel on the safe and timely introduction of complementary foods. ^[1]

References5Show

[1]Fewtrell M; Bronsky J; Campoy C; Domellöf M; Embleton N; Fidler Mis N; et al Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. J Pediatr Gastroenterol Nutr, 2017.PMID 28027215
[2]Agostoni C; Decsi T; Fewtrell M; Goulet O; Kolacek S; Koletzko B; et al Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr, 2008.PMID 18162844
[5]Du Toit G; Roberts G; Sayre PH; Bahnson HT; Radulovic S; Santos AF; et al Randomized trial of peanut consumption in infants at risk for peanut allergy. N Engl J Med, 2015.PMID 25705822
[7]Koletzko B; Baker S; Cleghorn G; Neto UF; Gopalan S; Hernell O; et al Global standard for the composition of infant formula: recommendations of an ESPGHAN coordinated international expert group. J Pediatr Gastroenterol Nutr, 2005.PMID 16254515
[10]Tsai SF; Chen SJ; Yen HJ; Hung GY; Tsao PC; Jeng MJ; et al Iron deficiency anemia in predominantly breastfed young children. Pediatr Neonatol, 2014.PMID 24953965

Formula feeding and complementary feeding — structured clinical encounter

structured clinical encounter3 min readVerification in progress

Station brief (candidate)

References5Show

[1]Fewtrell M; Bronsky J; Campoy C; Domellöf M; Embleton N; Fidler Mis N; et al Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. J Pediatr Gastroenterol Nutr, 2017.PMID 28027215
[2]Agostoni C; Decsi T; Fewtrell M; Goulet O; Kolacek S; Koletzko B; et al Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr, 2008.PMID 18162844
[5]Du Toit G; Roberts G; Sayre PH; Bahnson HT; Radulovic S; Santos AF; et al Randomized trial of peanut consumption in infants at risk for peanut allergy. N Engl J Med, 2015.PMID 25705822
[7]Koletzko B; Baker S; Cleghorn G; Neto UF; Gopalan S; Hernell O; et al Global standard for the composition of infant formula: recommendations of an ESPGHAN coordinated international expert group. J Pediatr Gastroenterol Nutr, 2005.PMID 16254515
[10]Tsai SF; Chen SJ; Yen HJ; Hung GY; Tsao PC; Jeng MJ; et al Iron deficiency anemia in predominantly breastfed young children. Pediatr Neonatol, 2014.PMID 24953965