Artificial and mixed feeding

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If there are not enough milk the mother of the child is often necessary to translate for mixed or artificial feeding. Mixed feeding is conventionally, when the number of supplementary feeding (artificial mixtures) is more than 1/2 - 1/2 daily amount of food the child. When artificial feeding breast milk or completely absent, or if its share is less than 1/5 of the daily volume of food.
Proper organization of mixed and artificial feeding is currently one of the urgent problems, as in most countries of the world is steadily growing percentage of women with symptoms of Hypo - and agalactia.
The percentage of hypogalactia in the early postpartum period varies from 8 to 12.7 % [Vogulka I. E., 1963]. According to O. P. Fomina et al. (1986), in Moscow the number of children breastfed for up to 3 months, is 72-76 %, up to 6 months breastfed 38-40 %, up to 9 months up to 12-14 %. For 10 months breastfeeding is usually stopped [Tambovtseva Century I. and others, 1985]. However, in some republics of our country, this percentage is much lower. Foreign authors provide a very low rate of breastfeeding. According to the CMEA [Droese W., 1968], at present only 1 D. infants fed breast milk over 4 weeks. According to N. Meyer (1960), in the USA only 21 % of children breastfed, 16 % - get mixed feeding and 63 % in the maternity hospitals are transferred to artificial feeding.
When analyzing the reasons for the sharp decline of breastfeeding are different opinions. First of all hypogalactia associated with the employment of nursing mothers at work, duration of training in educational institutions, reluctance to breastfeed and increased capacity to use for this purpose of increasing the range of mixtures, intended for artificial feeding.
However, Soviet specialists firmly stand on the positions of the maximum preservation of natural feeding for children of the first months of life. If a child is deprived of mother's milk, it is necessary to try to ensure donor milk, especially in the first 2-3 months of life. Given that the pasteurization donor milk many of his valuable qualities, and especially protective function, disappear in our country at present are special "banks" breast milk. This will involve the use of sparing methods of pasteurization with the subsequent freezing of milk and storing it for a long time (up to 6 months). This gives opportunity not only to save many useful properties of breast milk, including protective factors, but use it when necessary in the acute food for needy children.
Another direction is developed in our country in terms of enrichment donor milk protective factors. It is creation of special biologically active additives (BAA). SUPPLEMENTS are prepared on the basis of dry skim sterilised cow's milk with the addition of various protective factors. Developed three variants BAD: with lysozyme (BAD 1L), with bifidobacteria (BAD 1B) and combined lysozyme-lipidnoi additive (BAA-2). Physico-chemical characteristics of these options BAD shown in table. 11.