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(l) 请母乳妈妈看看:为何要晚点添加辅食?(已翻译见7楼)

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发表于 2009-6-3 21:48:00 | 显示全部楼层 |阅读模式
最近看到有很多妈妈或者家人过早的添加辅食,说实话我是非常担心那些宝宝的。所以找来这篇文章,希望对各位妈妈有所启示。
Why Delay Solids?
Reasons for delaying solids
A
itional information
References
Health experts and breastfeeding experts agree that it's best to wait until your baby is around six months old before offering solid foods. There has been a large amount of research on this in the recent past, and most health organizations have updated their recommendations to agree with current research. Unfortunately, many health care providers are not up to date in what they're telling parents, and many, many books are not up to date.
The following organizations recommend that all babies be exclusively breastfed (no cereal, juice or any other foods) for the first 6 months of life (not the first 4-6 months):
World Health Organization
UNICEF
US Department of Health & Human Services
American Academy of Pediatrics
American Academy of Family Physicians
American Dietetic Association
Australian National Health and Medical Research Council
Royal Australian College of General Practitioners
Health Canada
Most babies will become developmentally and physiologically ready to eat solids by 6-9 months of age. For some babies, delaying solids longer than six months can be a good thing; for example, some doctors may recommend delaying solids for 12 months if there is a family history of allergies.
Reasons for delaying solids
Although some of the reasons listed here assume that your baby is breastfed or fed breastmilk only, experts recommend that solids be delayed for formula fed babies also.
Delaying solids gives baby greater protection from illness.
Although babies continue to receive many immunities from breastmilk for as long as they nurse, the greatest immunity occurs while a baby is exclusively breastfed. Breastmilk contains 50+ known immune factors, and probably many more that are still unknown. One study has shown that babies who were exclusively breastfed for 4+ months had 40% fewer ear infections than breastfed babies whose diets were supplemented with other foods. The probability of respiratory illness occurring at any time during childhood is significantly reduced if the child is fed exclusively breast milk for at least 15 weeks and no solid foods are introduced during this time. (Wilson, 1998) Many other studies have also linked the degree of exclusivity of breastfeeding to enhanced health benefits (see Immune factors in human milk and Risks of Artificial Feeding).
Delaying solids gives baby's digestive system time to mature.
If solids are started before a baby's system is ready to handle them, they are poorly digested and may cause unpleasant reactions (digestive upset, gas, constipation, etc.). Protein digestion is incomplete in infancy. Gastric acid and pepsin are secreted at birth and increase toward adult values over the following 3 to 4 months. The pancreatic enzyme amylase does not reach adequate levels for digestion of starches until around 6 months, and carbohydrate enzymes such as maltase, isomaltase, and sucrase do not reach adult levels until around 7 months. Young infants also have low levels of lipase and bile salts, so fat digestion does not reach adult levels until 6-9 months.

Delaying solids decreases the risk of food allergies.
It is well documented that prolonged exclusive breastfeeding results in a lower incidence of food allergies (see Allergy References and Risks of Artificial Feeding). From birth until somewhere between four and six months of age, babies possess what is often referred to as an "open gut." This means that the spaces between the cells of the small intestines will readily allow intact macromolecules, including whole proteins and pathogens, to pass directly into the bloodstream.This is great for your breastfed baby as it allows beneficial antibodies in breastmilk to pass more directly into baby's bloodstream, but it also means that large proteins from other foods (which may predispose baby to allergies) and disease-causing pathogens can pass right through, too. During baby's first 4-6 months, while the gut is still "open," antibodies (sIgA) from breastmilk coat baby's digestive tract and provide passive immunity, reducing the likelihood of illness and allergic reactions before gut closure occurs. Baby starts producing these antibodies on his own at around 6 months, and gut closure should have occurred by this time also. See How Breast Milk Protects Newborns and The Case for the Virgin Gut for more on this subject.

Delaying solids helps to protect baby from iron-deficiency anemia.
The introduction of iron supplements and iron-fortified foods, particularly during the first six months, reduces the efficiency of baby's iron absorption. Healthy, full-term infants who are breastfed exclusively for periods of 6-9 months have been shown to maintain normal hemoglobin values and normal iron stores. In one study (Pisacane, 1995), the researchers concluded that babies who were exclusively breastfed for 7 months (and were not give iron supplements or iron-fortified cereals) had significantly higher hemoglobin levels at one year than breastfed babies who received solid foods earlier than seven months. The researchers found no cases of anemia within the first year in babies breastfed exclusively for seven months and concluded that breastfeeding exclusively for seven months reduces the risk of anemia. See Is Iron-Supplementation Necessary? for more information.

Delaying solids helps to protect baby from future obesity.
The early introduction of solids is associated with increased body fat and weight in childhood. (for example, see Wilson 1998, von Kries 1999, Kalies 2005)
Delaying solids helps mom to maintain her milk supply.
Studies have shown that for a young baby solids replace milk in a baby's diet - they do not a
to baby's total intake. The more solids that baby eats, the less milk he takes from mom, and less milk taken from mom means less milk production. Babies who eat lots of solids or who start solids early tend to wean prematurely.
Delaying solids helps to space babies.
Breastfeeding is most effective in preventing pregnancy when your baby is exclusively breastfed and all of his nutritional and sucking needs are satisfied at the breast.
Delaying solids makes starting solids easier.
Babies who start solids later can feed themselves and are not as likely to have allergic reactions to foods.

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发表于 2009-6-3 22:05:00 | 显示全部楼层
很好的资料。谢谢lz了。这样,我也安心了。宝宝不肯吃辅食,只肯吃奶。别的大人都自豪地说他们宝宝多乖,可以吃好多辅食。可是我家宝宝,就不行。我真担心他会营养不够。现在算是有些安慰了。至少有很多好处,还可防止宝宝成年肥胖。呵呵。让我的宝宝多喝些我的奶吧

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发表于 2009-6-3 22:06:00 | 显示全部楼层
真恨不得把这篇文章扔到我公婆面前去!他们一直要我承认我的母乳已经是零食了,宝宝应该以辅食为主,可恶之极!!

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发表于 2009-6-3 22:17:00 | 显示全部楼层
大家都看懂了??
差距啊 1.gif

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发表于 2009-6-3 22:24:00 | 显示全部楼层
看不懂!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!郁闷!!!!!!!!

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发表于 2009-6-3 23:09:00 | 显示全部楼层
从出月子开始就在抵制给宝宝加辅食。
总算快六个月了,呵呵。

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发表于 2009-6-4 02:19:00 | 显示全部楼层
感觉承受了很多老人给的压力!
真想一个人带孩子!
55555555555555

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发表于 2009-6-4 06:23:00 | 显示全部楼层
为何延迟添加辅食?
- 延迟添加辅食的原因
-其它信息
-参考文件
健康专家和母乳专家达成共识,最好等到你的宝宝大约6个月时再添加辅食。过去在这方面做了大量的研究后,大多数健康组织更新了他们的建议与研究结果保持一致。不幸的是,许多医生在告诉父母时没有更新这些信息,还有许多书籍也是滞后的。
下列组织建议所有的宝宝的前6个月(而不是4-6个月)全母乳喂养(没有米粉,果汁和其它任何食物):
世界健康组织
联合国儿童基金会
美国健康与人类服务部
美国儿科学会
美国家庭医生学会
美国饮食协会
澳洲国家健康与医学研究委员会
皇家澳洲医学院
加拿大健康部
大多数宝宝到6-9个月,才能从心理和生理上准备好接受辅食。对于一些宝宝,推迟到6个月以后添加辅食是一件好事情。例如,如果宝宝有家族过敏史,一些医生会建议到12月后再添加辅食。
推迟添加辅食的原因
虽然以下列举的原因假设你的宝宝是全母乳喂养,但是专家也建议人工喂养的宝宝晚些添加辅食。
推迟添加辅食可以给宝宝更大的疾病保护
虽然只要宝宝吃母乳,他们还可以继续从母乳中得到一些免疫,但是只有在全母乳喂养的情况下,宝宝才能得到最大的免疫保护。母乳中有50多种免疫因子(可能还有更多我们尚未发现的免疫因子)。一项研究表明,全母乳喂养的宝宝比那些饮食中添加其他食物的母乳宝宝患耳部感染的机会小40%。 如果一个儿童全母乳喂养15周,而且在此期间未添加辅食,这也会极大的降低他在童年时代任何时候患呼吸系统疾病的概率(Wilson, 1998)。  一些其他研究也将全母乳喂养的程度和增强健康的益处联系起来 (参见<母乳中的免疫因子和人工喂养的风险&gt 1.gif
推迟添加辅食可以给宝宝的消化系统更多的时间发育成熟
如果在宝宝的消化系统还不成熟的时候过早的添加辅食,辅食会消化很差,还有可能会导致一些不良反应(消化不良,涨气,便秘等)。幼年时期对蛋白质的消化是不完全的。胃酸和胃蛋白酶出生后开始分泌 ,然后在之后3到4个月逐渐增加到成人水平。胰腺酶(淀粉酶)的分泌直到6个月才能达到成人水平来消化淀粉, 并且碳水化合物酶,例如麦芽糖酶等要到7个月才能达到成人水平。小婴儿的脂肪酶和胆盐的水平也很低,所以直到6-9个月对于脂肪的消化才能达到成人水平。
推迟添加辅食可以降低食物过敏的风险
延长全母乳喂养可以减少食物过敏是有据可查的(参见《过敏根源和人工喂养的风险》)。从出生到4到6个月的某个时间,宝宝有未合的幽门。这意味着小肠细胞之间空间可以容易让完整的分子包括蛋白质和病原体通过到血液中去。对于你母乳喂养的宝宝,这是非常棒的,因为母乳中的有益抗体很容易流到血液中去。但是这也意味着从其他食物来的一些可能导致过敏的蛋白质和致病的病原体也会到血液中去。在宝宝的前4-6个月时, 幽门仍然是开放的,母乳中的抗体(sIgA)给宝宝的消化道表面一层保护并提供有益的免疫,减少幽门关闭前疾病和过敏反应的可能性。宝宝在大约6个月时开始自己生成这些抗体,并且在 这个时候幽门也应该关闭了(参见《母乳如何保护新生儿和幽门案例》)。

推迟添加辅食有助于保护宝宝免于缺铁性贫血
尤其在前六个月,补充铁和含铁食物将降低宝宝对铁吸收的效率。全母乳喂养6到9个月的健康足月的婴儿显示可以维持正常的血色素值和正常的铁存量。 在一项研究中(Pisacane, 1995),研究人员得出结论, 全母乳喂养7个月的宝宝(并且没有补充铁或含铁食物)比在七个月前接受辅食的母乳喂养的宝宝的血色素水平高很多。研究人员没有发现全母乳喂养7个月的宝宝在第1年里有贫血的案例,因此得出结论全母乳喂养7个月可以减小贫血的风险(参见《补铁必要吗?》)。
推迟添加辅食有助于保护宝宝免于将来肥胖
过早添加辅食和增加儿童期肥胖和体重有关。
推迟添加辅食有助于妈妈维持母乳供给量
研究表明对于小宝宝来说,辅食将取代他饮食中的母乳的量,也就是说辅食并不能增加宝宝总摄入量。宝宝吃的辅食越多,他吃妈妈的奶越少。吃妈妈的奶少意味着减少了母乳分泌。 过多或过早吃辅食往往会过早断奶。
推迟添加辅食有助于增大怀孕间隔
当你的宝宝全母乳喂养,并且所有他的营养和吸吮需求由乳房满足时,母乳喂养可以更为有效的避孕。
推迟添加辅食使辅食添加更容易
晚些吃辅食的宝宝可以自己动手吃,而且也不太可能对食物过敏。

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发表于 2009-6-4 06:47:00 | 显示全部楼层
好帖,顶!

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发表于 2009-6-4 08:02:00 | 显示全部楼层
帮顶,可惜我妈不上网,哎,不然让她来母乳最好学习学习
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