1 / 10

Newborn Nutrition

Newborn Nutrition. Dr. Twila Brown. Newborns’ Nutritional Needs. Calorie requirements 105 to 108 kcal/kg/day Fluid requirements 140 to 160 mL/kg/day Weight Breast fed gain birth weight by 14 days Gain 15 grams or 0.5 ounce per day Formula fed gain birth weight by 10 days

frieda
Download Presentation

Newborn Nutrition

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Newborn Nutrition Dr. Twila Brown

  2. Newborns’ Nutritional Needs • Calorie requirements • 105 to 108 kcal/kg/day • Fluid requirements • 140 to 160 mL/kg/day • Weight • Breast fed gain birth weight by 14 days • Gain 15 grams or 0.5 ounce per day • Formula fed gain birth weight by 10 days • Gain 30 grams or 1 ounce per day

  3. Stages of Breast Milk • Colostrum • More protein, fat-soluble vitamins, and minerals • Immunoglobulins for passive immunity • Transitional milk • More fat, lactose, water-soluble vitamins, calories • Mature milk • Foremilk: high in water, vitamins, protein • Hindmilk: higher fat concentration

  4. Breast Milk Advantages and Disadvantages • Recommended for first 6 to 12 months • Immunologic • Inhibit growth of bacteria and viruses • Decreases incidences of allergies • Nutritional • Facilitates digestion and absorption • Composition varies with gestational age • Iron better absorbed and adequate until 6 mos • Lower renal solute level

  5. Breast Milk Advantages and Disadvantages • Psychosocial • Maternal/infant bonding • Less expensive than formula • Pumping when mother is not available • Storage concerns: Room air, 6 hrs; refrigerator, 24 hrs; freezer, 6 mos • Contraindications • Breast cancer, HIV, AIDS, Medications

  6. Formula • No cow’s milk until after 1st year • Types • Cow’s milk protein or soy-protein • 20 kcal/oz (24 kcal/oz) • Preparation • Ready to feed, liquid concentrate, powder • Dilution • Storage

  7. Feeding Schedule • Initial Feeding • Signs of feeding readiness • Assess suck/swallow/breathing pattern • Assess for gagging and respiratory distress • Colostrum is not irritating if aspirated • On demand schedule • Feeding cues • Breast feed 8-12 times per 24 hrs • Formula feed 6-8 times per 24 hrs

  8. Breastfeeding Techniques • Physiology • Supply and demand • Oxytocin stimulates let-down reflex • Position baby • Baby’s body facing mom • Nose at breast with body in alignment • Latching on • Stimulate wide open mouth • Take in entire nipple with areola at gums • Prevent sore nipples

  9. Breastfeeding Techniques • Feeding • Hear swallowing, see milk at mouth • Empty each breast • Break suction • Alternate breast and change baby’s position • Warm stored milk with warm water • Avoid supplemental feedings • Avoid pacifiers/different nipples • Elimination • 6-8 wet diapers and several stools per day

  10. Bottle feeding • Hold baby for all feedings • Head elevated • Formula/milk in nipple • Newborn: 1-3 oz every 3-4 hrs • Birth to 2 mos: 2-4 oz at 6-8 a day • Preparation and storage • Clean bottles and water • Fresh bottle for each feeding • Use within 1 hour if not refrigerated • Prepare enough for only 24 hours

More Related