SN4
SHORT NOTE
5M
★ High-yield
Write a short note on Composition of Breast Milk & Colostrum.
Colostrum
Colostrum is the thick, yellowish milk secreted in the first 3–4 days. Though small in volume, it is highly valuable:
- Rich in protein, vitamin A and secretory IgA and other anti-infective factors — 'the baby's first immunisation'.
- Has a laxative action that helps expel meconium and reduces the severity of jaundice.
- Lower in fat and lactose than mature milk. It must never be discarded.
Stages of Milk
- Colostrum (day 1–4) → transitional milk (day 5–14) → mature milk.
- Foremilk (early in a feed) — watery, quenches thirst; hindmilk (late) — fat-rich, gives most calories & satiety.
Composition of Mature Human Milk
- Carbohydrate — mainly lactose (~7 g/dL; promotes calcium absorption & lactobacilli).
- Protein (~1.1 g/dL) — whey : casein ≈ 60:40 (easily digested; soft curds).
- Fat — provides ~50% of calories; rich in essential fatty acids (DHA) for brain development.
- Adequate vitamins (except D and K) and highly bioavailable iron (low amount but well absorbed).
- Anti-infective factors — IgA, lactoferrin, lysozyme, macrophages, bifidus factor, oligosaccharides.
Human Milk VS Cow's Milk
| Component | Human milk | Cow's milk |
|---|---|---|
| Protein | Low (~1.1 g); whey-predominant | High (~3.3 g); casein-predominant (hard curd) |
| Lactose | High | Lower |
| Whey : casein | 60 : 40 | 20 : 80 |
| Renal solute load | Low (kidney-safe) | High |
| Anti-infective factors | Present | Absent |
All questions in Nutrition
- Q1Define Protein Energy Malnutrition. Describe its aetiology, pathophysiology, classification and clinical features. ★
- Q2Define Management of Severe Acute Malnutrition (SAM) — WHO 10 Steps. Describe its clinical features, management, prevention and treatment. ★
- Q3Define Breastfeeding — Physiology, Advantages & Problems. Describe its types and management. ★
- Q4Describe the vitamin D Deficiency of Nutritional Rickets. ★
- Q5Define Vitamin A Deficiency & Xerophthalmia. Describe its aetiology, classification, investigations and diagnosis. ★
- SN1Define Kwashiorkor. Describe its pathogenesis, clinical features, investigations and management. ★
- SN2Define Marasmus. Describe its pathogenesis, clinical features, investigations and complications. ★
- SN3Write a short note on Complementary Feeding. ★
- SN4Write a short note on Composition of Breast Milk & Colostrum. ★
- SN5Write a short note on Baby Friendly Hospital Initiative.
- SN6Describe the vitamin C Deficiency of Scurvy.
- SN7Define Iodine Deficiency Disorders. Describe its types, management and prevention.