Saturday, June 28, 2014

Feeding a premature baby


Feeding a premature babyIt is known that feeding preterm crumbs gives the parent the complexity, because the immature organism differs reduced level or even lack of reflexes of sucking and swallowing, a small amount of the stomach and slow evacuation filled, a significant limitation of the food supply, decrease intestinal motility, saulenas enzymatic activity of the gastrointestinal tract.


However, even such a child in the gastric juice is necessary rennet, which contributes to stvorazhivanii milk. It is the mother's milk, the protein composition of which coincides with protein metabolism premature baby, is the best food. In addition, fats such hassle-free milk digested, lactose easily broken down and absorbed. You must make all efforts in order to prolong breastfeeding.





Mother's milk


Draw your attention to the peculiarities of milk in women who gave birth prematurely. It has a high energy value, significant concentration of essential amino acids and contains more oligosaccharides, lipids and proteins (1, 2-1, 6 g in 100 ml). Lactose content is reduced. Studies show that such milk is still unable to fully meet the needs of premature babies in energy and protein, vitamins and minerals.




Remember that heat treatment has a negative impact on the nutritional value of breast milk! A more acceptable type of feeding it milk with the addition of mixtures of fortifiers that retains the advantages of conventional feeding and promotes rapid development. The method of feeding depends on the weight of the crumbs and the degree of prematurity.





Power through the probe


Children with weight less than 1000 g and gestational age of 25-28 weeks need enteral (via probe) and parenteral nutrition (through Central or peripheral vein). The first power is used for babies weighing 1000-1500 g, and the second is when poor tolerability of the first. Children with body weight 1500-2000 g in the absence of severe pathology they organize a check feeding from a bottle. If the weight of more than 2000 g and the condition is satisfactory, then the first minutes can be applied to the chest.




The first feeding should occur within 2-3 hours after birth, but no later than 6-8 hours Deep preterm infants, due to the limited amount of nutrients, can't stick to a delayed feeding. The first breastfeeding depends on the availability of the sucking reflex and the General condition of the crumbs. In order to keep his power and weighs more than 2 kg, the child is given a chest 1-2 times per day, and the rest of the time the mothers milk is poured from a bottle. The amount consumed of milk is controlled by weighing the baby before and after feeding.





Artificial feeding


If we talk about artificial feeding, then make use of it, if breast milk is not enough, it contains antibodies in rhesus the conflict, the newborn does not tolerate its proteins or is it the mother is absent. In such cases, the doctor prescribes a specialized mixture for premature babies. In the first 2-3 days of the introduction of the new mixture quantity is 10 ml at a time (1 to 3 feedings a day) before breast milk. Within 3-5 days the amount of the mixture increased to a full replacement 1-2 feedings. After a week, it can be 50% of the diet. If you want, then in the next week, with full portability of the product, the child can be transferred to artificial feeding. Period to achieve a little body weight 2500 g, it is necessary to feed the specialized customized mixes for underweight children. When the weight will be 2500-3000 g, it should be gradually translated into the usual substitutes for breast milk.





Author:

So Valkova


Source:

lojechka
















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