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Feeding History Job Aid, infants 06 months

Age of child
Particular concerns about feeding of child
Feeding

Milk (breast milk, formula, cow milk, other)

Frequency of milk feeds
Length of breastfeeds/quantity of other milks
Night feeds
Other foods in addition to milk (when started, what,frequency)
Other fluids in addition to milk (when started, what,frequency)
Use of bottles and how cleaned
Feeding difficulties (breastfeeding/other feeding)

Health

Growth chart (birth weight, weight now, length)

Urine frequency per day (6 times or more, if less than 6 months)
Stools (frequency, consistency) Illnesses

Pregnancy, birth, early feeds (where applicable)

Antenatal care
Feeding discussed at antenatal care
Delivery experience
Rooming-in
Pre-lacteal feeds
Postnatal help with feeding

Mothers condition and family planning

Age
Health including nutrition and medications
Breast health
Family planning

Previous infant feeding experience

Number of previous babies

How many breastfed and for how long
If breastfed exclusive or mixed-fed
Other feeding experiences

Family and social situation

Work situation
Economic situation
Familys attitude to infant feeding practices

Feeding History Job Aid, children 623 months

Is the child still breastfed?

How many times per day? Day and night?
If using expressed breast milk, how is the milk stored and given?

What other foods is the child receiving?

 How many meals and snacks each day?

How much food at each meal?
What is the consistency of the main meals?
Do meals include: animal-source foods, dairy products, dark green vegetables or red or orange fruits or
vegetables, pulses (beans, lentils, peas, nuts), oil?
Who helps the child to eat?
What bowl does the child get food from (his or her own bowl, or the family pot)?
Is the child given any vitamin or mineral supplements?
How does the child eat during sickness?

Breastfeed Observation Job Aid

Mothers name.............................................

Babys name.................................................

Date..............................................................

Babys age....................................................

Signs that breastfeeding is going well:

Signs of possible difficulty:

GENE RAL
Mother:

Mother:

Mother looks healthy

Mother relaxed and comfortable
Signs of bonding between mother and baby

Mother looks tense and uncomfortable

Mother looks ill or depressed
No mother/baby eye contact

Baby:
Baby looks healthy
Baby calm and relaxed
Baby reaches or roots for breast if hungry

Baby:
Baby is restless or crying
Baby looks sleepy or ill
Baby does not reach or root

BREASTS
Breasts look healthy
No pain or discomfort
Breast well supported with fingers away from
nipple

Nipple stands out, protractile

Breasts look red, swollen, or sore
Breast or nipple painful
Breasts held with fingers on areola
Nipple flat, not protractile

Babys neck and head twisted to feed

Baby not held close
Baby supported by head and neck
Baby approaches breast, lower lip to nipple

More areola seen below bottom lip

Babys mouth not open wide
Lips pointing forward or turned in
Babys chin not touching breast

Rapid shallow sucks

Cheeks pulled in when suckling
Mother takes baby off the breast
No signs of oxytocin reflex noticed

BABYS POSITION

Babys head and body in line

Baby held close to mothers body
Babys whole body supported
Baby approaches breast, nose opposite nipple

BABYS ATTACHMENT

More areola seen above babys top lip

Babys mouth open wide
Lower lip turned outwards
Babys chin touches breast

SUCKLING

Slow, deep sucks with pauses

Cheeks round when suckling
Baby releases breast when finished
Mother notices signs of oxytocin reflex