Barnsley Healthy Start Vitamin D Guidance - Children DRAFT 28/08/2019 Barnsley Healthy Start Vitamin D Guidance - Children All young Children should take a daily supplement containing VITAMIN D in the form of vitamin drops. FREE (if eligible to Healthy Start scheme) vitamins are available from Infant Feeding Service, Health Visitors or local Family Centre. Reduced price vitamins available to none eligible families at Main and link Family Centre sites. Provide PH FUNDED 2 MONTH supply of vitamins to ALL breastfed babies This will be given at 1-2 weeks of age, by H/V or Infant Feeding Support worker, and advise where to access ongoing vitamins. (if child is having top ups or mixed feeding and is taking more than 500mls per day child does not require vitamin supplementation) * A further 2 months supply of PH funded vitamins will be given by HV at 8-12 months of age Recommended to receive a daily supplement containing 8.5 to 10 micrograms vitamin D from birth to 4 years YES When should I recommend vitamin D supplements for babies and children Is the child exclusively or partially breastfed YES Is the child taking 500mls or MORE of Infant formula per day Is the child formula fed Child does not require vitamin supplements until they are six months old or taking less than 500mls per day e.g. introduction of solid foods ( Formula milk supplemented with Vitamin D) Yes YES Is the child taking LESS than 500mls of infant formula and is over 6 months of age YES YES Recommend child takes vitamin supplements HV to give PH FUNDED 2 MONTH SUPPLY at 8-12 months and advise where can access ongoing vitamins IMPORTANT: The pathway above applies to full term babies only - from 37 weeks gestation Pediatricians/GP’s will provide pre term babies with required vitamin supplementation up to 6 months of age Healthy Start Vitamin supplements contain: dosage = 5 drops per day Vitamin A 33mcg/day Vitamin C 20mg/day Vitamin D 7mcg/day (please note dosage will change 2018)

Healthy Start Vitamin D Supplements available in Barnsley Barnsley Healthy Start Vitamin D Guidance - Women All pregnant women and women with a baby under one should take daily supplement containing 10mcg of vitamin D to ensure the mothers requirements for vitamin D are met and build adequate fetal stores for early infancy. This is especially important if they are breastfeeding or at risk of vitamin D Deficiency Women eligible for the Healthy Start scheme receive vouchers bi- monthly Vouchers can be exchanged for Healthy Start Vitamins at ANC, via MW,HV or from local Family Centres Pregnant and Breastfeeding Mothers All pregnant women to receive a PH funded 2 months supply of Healthy Start vitamins from their midwife at first point of contact. Midwives /Health Visitors discuss the importance of Healthy Eating/Lifestyle and the latest DH recommendations for vitamin D supplementation. Healthy Start Vitamin D Supplements available in Barnsley Healthy Start Vit D Supplements available to buy at main Barnsley Family Centres Women NOT eligible for the Healthy Start scheme IMPORTANT INFORMATION: Healthy Start vitamins for pregnant & breastfeeding women contain: Vitamin C (70mg), vitamin D (10mcg) and Folic Acid (400 mcg) Family Centres – Darfield,Jump, Kings Oak, Kendray & Worsborough, Worsborough Common, Athersley & Grimethorpe, Lundwood, Embankment, and Dearne