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Write a short note on Composition of Breast Milk & Colostrum.

Pediatrics · Final Professional

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

ComponentHuman milkCow's milk
ProteinLow (~1.1 g); whey-predominantHigh (~3.3 g); casein-predominant (hard curd)
LactoseHighLower
Whey : casein60 : 4020 : 80
Renal solute loadLow (kidney-safe)High
Anti-infective factorsPresentAbsent

All questions in Nutrition

  1. Q1Define Protein Energy Malnutrition. Describe its aetiology, pathophysiology, classification and clinical features. ★
  2. Q2Define Management of Severe Acute Malnutrition (SAM) — WHO 10 Steps. Describe its clinical features, management, prevention and treatment. ★
  3. Q3Define Breastfeeding — Physiology, Advantages & Problems. Describe its types and management. ★
  4. Q4Describe the vitamin D Deficiency of Nutritional Rickets. ★
  5. Q5Define Vitamin A Deficiency & Xerophthalmia. Describe its aetiology, classification, investigations and diagnosis. ★
  6. SN1Define Kwashiorkor. Describe its pathogenesis, clinical features, investigations and management. ★
  7. SN2Define Marasmus. Describe its pathogenesis, clinical features, investigations and complications. ★
  8. SN3Write a short note on Complementary Feeding. ★
  9. SN4Write a short note on Composition of Breast Milk & Colostrum. ★
  10. SN5Write a short note on Baby Friendly Hospital Initiative.
  11. SN6Describe the vitamin C Deficiency of Scurvy.
  12. SN7Define Iodine Deficiency Disorders. Describe its types, management and prevention.

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