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1 Introduce the 3 min INTRODUCTION Student teacher The group
topic  Breast feeding alone is adequate to maintain growth introduces the listens the
and development up to 6 months. And complementary topic with a story
feeding should be given to maintain their growth and story
development according to age. So it is necessary to
introduce more concentrated energy riched nutritional
supplements by this age. Infant also need iron
containing food supplements to prevent iron
deficiency anemia

DEFINITION
Complementary feeding What is
Student defines
Define
2 2 min Complementary feeding or weaning is the process of complementary
the
complementary
giving an infant other foods and liquids along with feeding?
Complementary
feeding
breast milk after the age of 6 months as breast milk
feeding
alone is no longer sufficient to meet the nutritional
requirements of growing baby. It is the process by
which the infant gradually becomes accustomed to
adult diet.
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3 2 min WHY AT 6 MONTHS
Discuss why at
 Infant’s intestinal tract develops
six months?
immunologically with defense mechanisms to
protect the infant from foreign proteins.
 The infant’s ability to digest and absorb
proteins, fats, and carbohydrates, other than
those in breast milk increases rapidly.
 The infant’s kidneys develop the ability to
excrete the waste products.
 The infant develops the neuromuscular
mechanisms needed for recognizing and
accepting variation n the taste and color of
foods.

SIGNS WHEN BABY IS READY FOR Student teacher When is the

1 min
COMPLEMENTARY FEEDING explains the signs when
4
Explain the signs when baby is ready
signs when  Hold his/her head straight when sitting down baby is ready for
baby is ready  Opens his/her mouth when others eat for complementary
for complementary feeding
 Is interested in foods when others eat.
complementary feeding
 Receives frequent breast feed but appear
feeding
hungry soon after.
 Is not gaining weight adequately.
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5 Discuss the 5 min GUIDELINES FOR COMPLEMENTARY Student teacher What are the
guidelines’ for FEEDING discuss the guidelines for
complementary  Practice exclusive breast feeding from birth up guidelines for complementary
feeding to 6months and introduce complementary complementary feeding
feeding after 6 months of age. feeding
 Continue frequent on demand breast feeding
until 2 years of age
 Feed infant slowly and patiently and encourage
them to eat but do not force them.
 Practice good hygiene and proper food
handling to reduce the risk of diarrhea.
 Start with small amounts of food and increase
the quantity as child gets older
 Gradually increase food consistency and
variety as the child grows older.
 Increase the number of times the child is fed
complementary food, as the child gets older
 Feed a variety of nutrient rich foods to ensure
that all needs are met.
 Give micronutrient rich complementary foods
or vitamin and mineral supplements to the
infant as needed.
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 It is advisable to start one or two teaspoons of
new food at first which should be given when
baby is hungry, just before regular feeding,
during the day time.

Explain the 1 min

6 PREPARATION OF WEANING FOOD
preparation of Student teacher What are the
weaning food  Wash hands. explains the preparation of
preparation of weaning food
 Keep food in clean utensils weaning food
 Separate raw and cooked food
 Cook food thoroughly.
 Keep food at safe temperatures
 Use safe water and raw material
 Give freshly prepared food.
 Keep the cooked food covered

Discuss the 1 min QUALITIES OF COMPLEMENTARY FOOD

7
qualities of Student teacher What are the
complementary discusses the qualities of
food  Weaning food should be liquid at first, then qualities of complementary
semi solid and solid food to be introduced complementary food
food
gradually.
 Clean, fresh and hygienic, so that no infection
can occurs.
 Easy to prepare at home with the available
food items and not costly.
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 Easily digestible, easily acceptable and
palatable for infants.
 High in energy density and low in bulk
viscosity and contains all nutrients necessary
for the baby.
 Based on cultural practice and traditional
beliefs
 Well – balanced, nourishing and suitable for
the infant

 6 – 8 Month -200 Kcal/day

Start with liquid and proceed foods 2 – 3 times per day
Start with 2 - 3 table spoons per feed and increase to
about 125 ml
 9 – 11 months 300 Kcal/day
Finely chopped or mashed foods. 3 – 4 times a day
Half cup of 250 ml cup. 
 12 – 23 months 550 Kcal/day
Solid family foods chopped or mashed. 3 – 4 times a
day 1/4 th to full 250ml cup
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COMPLEMENTARY FEEDING AT
8 Explain the 5 min Student teacher
DIFFERENT AGE What are the
complementary explains the
4 to 6 months complementary
feeding at complementary
Weaning to be initiated with fruit juice. Within one to feeding at
different age feeding at
two weeks new food to be introduced with suji, biscuit different food
different food
socked with milk, vegetable soup, mashed banana,
mashed vegetable. Each food should be given with
one or two teaspoon at first for 3 to 6 times per day
6 to 9 months
Food item to be given at this period include soft
mixture of rice and dal, khichri, pulses, mashed and
boiled potato, bread or roti soaked with milk or dal,
mashed fruits, egg yolk, curd. Amount of food should
increase gradually
9 to 12 months
More variety of household food can be added. Fish,
meat, chicken can be introduced. Food need not to be
mashed but should be soft and well cooked
12 to 18 months
The child can take all kind of cooked food. The
amount and frequency should increase gradually.
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9 Explain the 3min PROBLEMS DURING WEANING Teacher What are the
problems explains the problems
 If on starting weaning, breast feeding is problems
during during
weaning? stopped suddenly, it can have adverse during weaning weaning?
psychological effect on the child.
 Weaning food, if prepared unhygienic ally or
not digested properly can cause diarrhea.
 If weaning food are not nutrient rich, the child
can develop malnutrition.
 Children may develop indigestion, abdominal
pain, diarrhea or rashes if they are allergic to
certain foods.

ADVANTAGES:-  
Teacher What are the
10 Explain the 1 min  Promotes growth. explains the advantages and
advantages and  It prevents deficiency diseases, e.g.anemia. advantages and disadvantages
disadvantages disadvantages of weaning?
of weaning?  It prevents malnutrition. of weaning

DISADVANTAGES:-
 Negligence in choosing nutritious weaning
food can lead to calorie, protein, vitamin or
mineral deficiencies.
 It may lead to diarrhea, if the food is preparing
an unhygienic way.
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BIBLIOGRAPHY
1. Nikki. L. Potts, barbara l mandleco,
pediatric nursing, caring for children
and their families, 1st edition, delmer
thomson publications (2002), new york.
Pageno:19 – 24
2. text book of pediatric nursing, editors
by “wong and whaley’s”, published by
“n.r.broyhers”, 4th edition, page no:244-
249
3. dorothy r. Marlow, “text book of
pediatricnursing” 6th edition,
published by elsevien, page no:284-290.
4. Text book of “ essential pediatric
nursing”,editors by “piyush gupta”,
published by “a.p. jain and co”, 1st
edition, page no:302- 305.
5. The short text book of “pediatric
nursing”, editors by “suraj gupte”,
published by “jaypee brothers”, 10th
edition, page no: 735-737.
COMPLEMENTARY
FEEDING

SUBMITTED TO SUBMITTED BY
Dr.Shweta Joshi Jasmine Ouseph
Professor,DYCON F.Yr.MSc Nursing
 PERFORMA FOR LESSON PLAN

TOPIC : COMPLEMENTARY FEEDING

SUB TOPIC : CHILD HEALTH NURSING

UNIT : IX

DATE : 13-7-2021

TIME : 9.30 am

VENUE : PEADIATRIC WARD

METHOD OF TEACHING : LECTURE CUM DISCUSSION

AUDIO VISUAL AIDS CHART.FLASH CARD

PREVIOUS KNOWLEDGE OF THE GROUP : THE GROUP HAS SOME KNOWLEDGE ABOUT THE
COMPLEMENTARY FEEDING
General Objective

At the end of the class, the group will gain knowledge regarding complementary feed

Specific Objectives

At the end of teaching group will be able to,

- Define complementary feeding

Discuss why at six months?

Explain the signs when baby is ready for complementary feeding

Discuss the guidelines’ for complementary feeding

Explain the preparation of weaning food

Discuss the qualities of complementary food

Explain the complementary feeding at different age

Explain the problems during weaning?

Explain the advantages and disadvantages of weaning