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Get the free infant nutrition history - Dayton Children's Hospital

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Infant nutrition history Name: ___ Date of birth: ___ Baby (check all that apply): BreastfeedsDrinks expressed breast milk from a bottleDrinks formula from a bottleOther (please describe): ___Please
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How to fill out infant nutrition history

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How to fill out infant nutrition history

01
Gather information on the infant's feeding patterns and preferences.
02
Record information on the types of formula or breastmilk the infant is consuming.
03
Note any allergies or intolerances the infant may have.
04
Document any changes in the infant's weight or growth.
05
Include information on any solid foods the infant has started to eat.

Who needs infant nutrition history?

01
Pediatricians and other healthcare professionals who are monitoring the growth and development of the infant.
02
Parents or caregivers who want to ensure they are providing the appropriate nutrition for the infant.
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Infant nutrition history is a record of a baby's feeding habits, growth, and development during their early stages of life.
Parents or guardians of the infant are required to file the infant nutrition history.
Infant nutrition history can be filled out by documenting the baby's feeding schedule, types of food consumed, any allergies or intolerances, growth measurements, and developmental milestones.
The purpose of infant nutrition history is to track and monitor the baby's growth and development, as well as to identify any potential nutritional deficiencies or health concerns.
Information such as feeding schedule, types of food consumed, any allergies or intolerances, growth measurements, and developmental milestones must be reported on infant nutrition history.
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