215
Unit 6: Feeding
Part 1: Feeding Principles .................................................................................................. 218
Objectives ........................................................................................................................... 218
1. What Are the Dangers of Feeding? ........................................................................... 219
2. Which Babies Are At Risk for Developing Feeding Problems? ............................... 219
3. What Type of Milk Should Be Used? ......................................................................... 220
4. How Do You Know How Much Milk an Appropriate-for-
Gestational-Age Baby Needs? ................................................................................... 221
5. How Do You Know How Much Milk a Small-for-Gestational-
Age Baby Needs? ........................................................................................................ 223
6. How Can You Tell if a Baby Is Growing Satisfactorily? ............................................. 225
7. How Do You Track a Baby’s Growth? ......................................................................... 229
8. Does a Low Birth Weight Baby Need Multivitamin Supplementation? ................ 230
9. Does a Low Birth Weight Baby Need Iron Supplementation? ............................... 230
Part 2: Tube Feeding ........................................................................................................... 232
Objectives ........................................................................................................................... 232
1. What Is Tube Feeding?................................................................................................ 233
2. When Are Tube Feedings Required? .......................................................................... 233
3. How Do You Decide Whether to Use a Nasogastric Tube
or an Orogastric Tube? ................................................................................................ 234
4. How Are Tube Feedings Given? ................................................................................. 234
5. How Are Tube Feedings Managed? ........................................................................... 235
6. When Are Tube Feedings Stopped? ........................................................................... 235
7. Are Any Other Techniques Used to Feed Preterm Babies? ...................................... 235
Tables and Figures
Table 6.1. Feeding Risk Factors and Recommended Responses............................. 219
Table 6.2. Contraindications to Breastfeeding ...................................................... 220
Table 6.3. Feeding Guidelines for Appropriate-for-Gestational Age Babies ........... 222
Table 6.4. Guidelines for Increasing Feedings for Preterm Babies.......................... 223
Figure 6.1A. Intrauterine Growth Curves for Girls Born at Gestational
Ages of 23 to 41 Weeks ........................................................................ 226
Figure 6.1B. Intrauterine Growth Curves for Boys Born at Gestational
Ages of 23 to 41 Weeks ........................................................................ 227
Figure 6.2. Growth Curves for 10 Categories of Very Low Birth Weight
Babies Managed at National Institute of Child Health
and Human Development Network Tertiary Centers............................ 228
Recommended Routines ................................................................................................. 237
Skill Unit: Nasogastric Tube Feedings ............................................................................ 241
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