Nutrition, feeding and exercise

Health Visiting and School Nursing Feeding and nutrition

Information from healthy eating in pregnancy, to breast and formula feeding, complimentary feeding (weaning), and healthy eating for the whole family. The benefits of healthy diets, feeding and eating habits, and managing difficulties with these. Links to local and national supporting videos, information, advice, and support groups.

Infant formula is usually made from cow’s milk and has been treated to make it suitable for babies. There are many types of formula so always check the label before giving to your baby. However it is recommended to always use first stage milks until at least twelve months when it is recommended that your baby moves on to full fat cow’s milk. Your baby can stay on first stage milk whilst you are introducing them to solids at around six months. Vitamins are added to formula milk to make it more like breast milk. If your baby is taking 500ml or more a day then additional vitamins should not be given.

Formula comes in two forms; ready-made formulas which are sterile and sold in cartons, and powered infant formula which is not sterile and must be made up and sterilised.

Skin to skin contact whilst bottle feeding, enables a special bonding experience for you and your baby. You and your partner should feed your baby to build up a close and loving bond between yourselves. To promote responsive bottle feeding it is important that the mother holds her baby close, and look into their eyes, although the baby may be slightly more up right than in a breastfeeding position. Watching for feeding cues rather than adhering to a 3-4 hourly routine will enable the baby to have more control over their feeding pattern. The mother should gently rub the teat against the baby’s upper lip to encourage the baby to open his mouth and place the teat in his mouth and allow the baby to draw it further back. The teat should be full of milk to prevent sucking in too much air. The baby should be allowed to PACE the feed and never forced to finish a feed as this inhibits appetite control.

After a while you will be able to identify when your baby is hungry. Common signs are stirring, facial movements, eyes flickering, wriggling, moving head/mouth around, rooting/sucking fingers, crying.

  • Action for Children (Children’s Centre): 01803 210200 – Vitamins available here
  • Baby Café (Infant Feeding support group): Every Friday, 10am -11.30am, Zig Zags Children’s Centre
  • Infant Feeding Support Helpline (Local): 07500952216

Links

Knowing what to expect when breastfeeding should help you feel as confident as possible when you’ve just given birth and want to breastfeed your baby.

Your breast milk is uniquely made for your growing baby’s needs. Your breast milk can make a big difference to both you and your baby’s health. The longer you feed your baby breast milk, the more they benefit. Breast milk gives your baby all the nutrients your baby needs for around the first six months of life (and beyond). Breast milk may help protect your baby against infection, childhood illness and obesity. As a mum, breast feeding also reduces your chance of getting some illnesses later in life such as breast and ovarian cancer, and naturally uses approximately 500 calories a day. Plus, breast milk is free!

The skin to skin contact that breastfeeding naturally provides, enables a very special bonding experience for you and your baby. It will help to comfort you and your baby, helping baby to feel warm, calm and at ease. Being close to your baby also encourages your milk stimulation. Responsive feeding describes the sensitive, mutual nature of feeding when mother and baby respond to each other’s needs and cues. For example the mother can offer her breast if the baby appears unsettled or if the mother feels full and wants to sit down with her baby.

After a while you will be able to identify when your baby is hungry. Common signs are stirring, facial movements, eyes flickering, wriggling, moving head/mouth around, rooting for the breast, sucking fingers, crying.

Infant feeding support groups at Children’s Centres

  • Action for Children (Children’s Centre): 01803 210200 – Vitamins available here
  • Association of Breastfeeding Mothers (ABM) Helpline: 0300 330 5453
  • Facebook group: NHS Breastfeeding Torbay
  • Infant Feeding Support Helpline (Local): 07500952216
  • La Leche League Helpline: 0845 120 2918
  • National Breastfeeding Helpline: 0300 100 0212
  • Newton Abbot Hospital: 01626324651

Links

Complimentary feeding (introducing your baby to solid foods and often called weaning) should start around six months of age (26 weeks). Before introducing solid foods your baby must show three clear developmental signs; stay in a sitting position and hold their head steady, co-ordinate their eyes, hands and mouth, and swallow food rather than pushing most of it back out with their tongue. There are many myths around signs of ready such as; chewing fists, watching you eat, requiring extra feeds and waking during the night. These are not necessarily signs of being ready for solids and some extra breast or first stage milk will help until they are ready for food.

Eating solid foods is a significant developmental milestone and babies enjoy exploring new flavours and textures. To begin with solid food is complimentary to baby’s milk and therefore it is less important how much they eat which can vary greatly day today, and more about getting used to the idea and enjoying eating.

Gradually you can increase solid food and introduce more varieties and textures, whilst slowly reducing baby’s milk intake.

Eating solid foods should be a pleasurable and exciting learning experience for your baby. Baby-led weaning can be messy but that is all part of the fun. Your baby can feed themselves using their own fingers, but if you are using a spoon wait for your baby to open their mouth before offering the food.

Always stay with your baby when they are eating in case they choke.

Infant feeding support groups at children’s centres.

Links

Support videos

No rush to mush: How do you know when to start your baby on solid foods? (Short version)

Getting your baby started with solid foods

Free school meals

All children who are in key stage one (reception, year 1 and year 2) are entitled to free school meals. There is often a rolling menu which changes every term and children are asked to choose their options on a daily basis.

Some older children are also entitled to free school meals if their parents receive certain benefits. These include income support, employment and support allowance, jobseekers allowance, pension credits, child tax credit without working tax credit, or if you receive support under the immigration and asylum act. Please contact the local authority to make an application.

Healthy lunch boxes

Some children choose to have lunch boxes instead of school meals. These can help with children who may be fussy eaters. It may be helpful to contact the school as to what they expect to see in the children’s lunch boxes. There are some great ideas on the Change4Life website.

Eating disorders can affect boys or girls, men or women. They usually involve negative thoughts about body weight and food and affect eating patterns that then disrupt usual body functions and daily living.

Eating disorders can take different forms, all of which should be referred for professional support. It is also helpful for families of those with an eating disorder to know about these disorders and how to access help and support.

CAMHS webpage has more information on eating disorders.

Torbay Healthy Learning supports schools to promote physical activity, making it a part of everyday life both at school and home.

During pregnancy, throughout breastfeeding, and whilst raising your child, a healthy diet and lifestyle is important for you and your family. Living a healthy lifestyle and eating well will make you and your family feel better and reduce your chances of getting both short and long term health complications such as obesity, diabetes type II, heart disease and cancer. Healthy eating and exercise as a family will help demonstrate the importance of a healthy lifestyle to your child.

Torbay Healthy Learning supports schools to promote healthy eating, maintain a balanced diet and make healthy choices in school, home and the community.

Links

If you’re pregnant or have a child under 4, the Healthy Start scheme can help you buy basic foods like milk or fruit. If you qualify for the scheme you’ll be sent vouchers you can use in over 30,000 shops in the UK. You can also get coupons to swap for free vitamins suitable for: pregnant, and breastfeeding women.

Links

Cow’s Milk Allergy (also known as Cow’s Milk Protein Allergy or CMPA) is one of the most common food allergies to affect babies and young children in the United Kingdom. It is estimated to affect between 2 and 7.5% of babies under one.

Cow’s milk allergy is an abnormal response by the body’s immune (defence) system in which proteins in a food (in this case cow’s milk) are recognised as being harmful.

Whilst CMPA mostly affects formula fed babies, breast fed babies can also be affected too. Allergic symptoms to CMPA can happen immediately after feeding (IgE mediated) or they can be delayed (non IgE mediated).

Support videos

What is cows’ milk allergy?

Cows’ milk allery and breastfeeding

Cows’ milk allergy free weaning

Cows’ milk allergy and formula milk

Cow’s milk allergies – Guidance for health visitors and GPs

Protecting, promoting and supporting breastfeeding, and close, loving parent-infant relationships.


We would welcome your feedback on the 0-19 Health Visiting and School Nursing pages. If you would like to do so, please complete our feedback survey.

Translate this page: