I have a premature 7 month baby. Doctor said i have to feed him 25 ml milk every after two hours, but baby sleeps all the time. Whenever he wakes, he sucks only about 10-15 ml. I’m afraid baby is not meeting his daily calorie intake requirements for building up fat and growing up. Anybody had experience with feeding premature babies? Any tips for taking care of premature babies? Thanks so much.
My son came home last November 1. He was born Oct. 21. Thanks.
If you are breastfeeding, it is much more difficult to determine how much he is taking. Can you hear a good transfer of milk, is he emptying at least one breast each time he feeds? If he is, and he has gained weight since you brought him home, then you have nothing to worry about.
If you are having to wake him up every two hours, then perhaps you should consider using more "cue based" feedings. This means that instead of you asking him to feed on an every 2 hour schedule, Allow a 2 hour to a 3 and a half hour window of time for him to wake up in between feedings. preterm infants need a great deal of sleep, and a two hour feeding schedule is often to strenuous for them to handle and as a result they end up losing too many calories in the attempt to feed, and they don’t fully wake up enough to take a good feeding.
Also, don’t get caught up in the amount that he has to take during EACH feeding, instead, make sure he takes a minimum amount during a 12 hour period. This means instead of 25ml every 2 hours, try aiming for a minimum of 150ml (5oz) during 12 hours. It’s not realistic to ask a preterm baby to respond the same way during each feeding.
If you are bottle feeding, then the NICU nurse that previously posted gave excellent rec’s for facilitation techniques that will help keep him awake, and allow him to have enough energy to finish his feeding.
DO NOT under any circumstance use a syringe to feed your baby…NEVER NEVER NEVER do that. It’s unsafe, and the quickest way to land your baby back in the hospital with aspiration pneumonia. I only say this in response to the poster who gave out this advice. I know people have resorted to this with feeding problems in the past, but please, please..just say no to drowning your baby!!
It sounds like he’s been home for 5 days, therefore he should have a follow up apt with his pediatrician already scheduled and happening really soon, you’ll know at that time if he did not gain weight or lost weight. If either of those two things happened, a good pediatrician should admit him to the hospital at that point for lab work and possibly IV fluids for dehydration.
Lastly, you mentioned that your baby was 7 months premature, That would mean that your baby was only 28 weeks old, but that can’t be the case because a 28 week old would be struggling to breath. If he is currently under 37weeks gestational age, then he needs extra care, especially when it comes to making sure that does not become dehydrated,or jaundice.
I could continue writing forever on this topic. I’m always alarmed by parents who end up with their preterm babies at home too soon after the delivery. The questions that you are asking should have been answered by your NICU nurses and therapist. I really hope you and your baby received good care where ever you delivered. And if not, then demand it from your health care providers.
