Feeding in Low Birth Weight LBW:Techniques,Guidelines for Feeding

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Neonatology in Children

Feeding in Low Birth Weight Newborns

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FEEDING IN THE LOW BIRTH WEIGHT

Dr Swati Joshi,
Lecturer (Endocrinology and Epilepsy)
B J Wadia Hospital for Children,
Mumbai.

Q6) What are the various techniques of feeding & guidelines for using them?
A6) There are various techniques for feeding a LBW baby. They are:

Breast Feeding : Done in larger preterms (>1.5 kg and >34 weeks of gestation) and full term LBW babies.
Oral feeds by Wati and spoon : Used in VLBW babies who have a weak suck or have significant energy expenditure in sucking (as evidenced by poor weight gain) after ruling out other causes of weak suck and poor weight gain.
Nasogastric Feeds: Used to initiate feeding in babies less than 34 weeks of gestation. Also in all babies who are improving from sepsis/ asphyxia or any other neonatal conditions.
Continuous nasogastric/ transpyloric feeds: Used in ELBW babies.
Non Nutritional Sucking

GUIDELINES FOR FEEDING :

I.
II.
III.

* MONITOR :

For tolerance	For nutritional status
- RT aspirate	- Daily weight
- Abdominal girth	- Hb/HC/skin fold thickness- weekly
- Stool for occult blood	- S. albumin/Ca/Phos/Alk. Phos/VBG - once in 2 weeks - 1 month.

If poor weight gain - inadequate calories / proteins
Increased BUN/ metabolic acidosis - excessive protein intake
Poor growth / low BUN/ low albumin - inadequate protein intake
Increased triglyceride levels - fat intolerance

Abbreviations :

EBM= Expressed breast milk	Hb= Hemoglobin
WSF= Wati spoon feeds	HC= Head Circumference
RDS= Respiratory Distress Syndrome	S. albumin= Serum albumin
HIE= Hypoxic Ischemic Encephalopathy	Ca= Calcium
NG= Nasogastric	Phos= Phosphorus
NNS= Non nutritive sucking	Alk. Phos= Alkaline Phosphate
IVF= Intravenous Fluids	VBG= Venous blood gas
NGT= Nasogastric tube	BUN= Blood urea Nitrogen.
RT= Ryle's tube

Last created on 18-07-2001
Last updated on 01-07-2006

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