Escobal Pediatric Clinic

03/05/2026

Our schedule for May.

03/05/2026

Marianne Lutgarda Angelica Escobal Occiano, MD
Fellow, Philippine Pediatric Society

01/05/2026

Good morning!
Clinic hours will resume on May 4.
Sorry for the inconvenience.

28/04/2026

63rd PPS

22/04/2026

Social media isn’t just entertainment...it’s designed to keep teens coming back.
It can affect their focus, mood, and daily habits more than we realize.
The good news? Small changes can make a big difference. Start the conversation at home. Click for more : https://bit.ly/3PWQ2lv

22/04/2026

for
According to and
Vitamin D is recommended to support bone mineralization, calcium homeostasis, and prevention of rickets, especially in preterm and breastfed infants.
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👶 TERM INFANTS

📌400 IU/day vitamin D for all infants beginning soon after birth

Especially important for:
▪️Exclusively breastfed infants
▪️Partially breastfed infants
▪️Continue until taking ≥1 liter/day of vitamin D–fortified formula or milk (after infancy)

🔹️Practical start:
First few days of life
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📌Also supports 400 IU/day for healthy term infants through infancy
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🍼 PRETERM INFANTS


📌200–400 IU/day for preterm infants
Many NICUs practically use 400 IU/day
🔹️once enteral feeds established


More proactive in preterms:
📌 400–800 IU/day during first months of life for preterm infants
📌Then reduce to 400 IU/day after reaching term-equivalent age / stable growth
(Depends on feed intake, labs, osteopenia risk)
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⏱️ When to Start?
🔹️Term:
Soon after birth

🔹️Preterm:
Once clinically stable and tolerating enteral feeds
(often first days to first 2 weeks depending on NICU)
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⏳ How Long to Continue?

🔹️Term:
Through infancy until adequate dietary intake

🔹️Preterm:
Usually through infancy, minimum 400 IU/day, individualized after discharge
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🔬 When to Monitor Levels?

📌Check 25-OH vitamin D selectively if:

▪️Cholestasis
▪️Severe prematurity
▪️Metabolic bone disease
▪️Fractures
▪️Malabsorption
▪️Prolonged high-dose supplementation
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⚠️ Avoid Excess

▪️Chronic excessive dosing may cause:
▪️Hypercalcemia
▪️Nephrocalcinosis
▪️Poor feeding / vomiting

So avoid empiric megadoses unless guided.
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Practical Note

Many NICUs use 400 IU/day routinely, then individualize for ELBW infants or metabolic bone disease risk.
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Ghaith🌧🌿

15/04/2026

08/04/2026

Book your appointments at Escobal Pediatric Clinic messenger or at 09569455504

03/04/2026

03/04/2026

Yes, We'll be accepting consults tomorrow,
April 4, 2026
by appointment.
Please DM us.