Question

A 7-month-old infant has just started complementary feeding using the katori method. What is the recommended quantity and frequency of feeding during the first day?

• A. $\frac{1}{2}$--1 katori, 4 times daily
• B. $\frac{1}{2}$--1 katori, 5 times daily
• C. $\frac{1}{2}$--1 katori, 6 times daily
• D. $\frac{1}{2}$--1 katori, 8 times daily

Hint:

Complementary feeding starts after 6 months; begin with small frequent feeds and continue breastfeeding.

Answer 1

The Correct Option is A

Step 1: Understanding the Question:
The question refers to the Integrated Young Child Feeding (IYCF) guidelines for the introduction of complementary foods (solids) at 6-9 months of age.
Step 2: Detailed Explanation:

Complementary Feeding Basics: Complementary feeding should begin at exactly 6 months of age while continuing breastfeeding. The 'katori' (a standard 200 ml bowl) is used as a measurement unit in Indian guidelines.

Guidelines for 6-9 Months: For an infant between 6 and 9 months, the frequency of semi-solid feedings should be 2 to 3 times daily, plus frequent breastfeeding. However, when specifying the daily routine for a 7-8 month old, the general recommendation often shifts toward providing small meals more frequently as the child adapts.

Volume per Feed: The quantity starts small (2-3 spoons) and increases to about ½ to 1 katori per feed by the age of 7-9 months.

Frequency: According to standard nutrition guidelines for this age group, 3 main meals plus 1-2 snacks (approx. 4 times daily) is a common recommendation to ensure adequate caloric intake without overwhelming the small stomach capacity.

Diversity: It is important to include varied food groups (cereals, pulses, mashed fruits/vegetables) to prevent micronutrient deficiencies.

Step 3: Final Answer:
According to standard IYCF recommendations for infants aged 6-9 months, a quantity of ½–1 katori about 4 times daily is appropriate.