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1. Introduction
The goal of nutrition is to achieve as near to normal weight gain and growth as
possible.
Enteral feeding should be introduced as soon as possible. This means starting in
the labor room itself for the well infant.
Breast milk is the milk of choice. All mothers should be encourage to give breast
milk to their newborn babies.
The calorie requirement : Term infants 110 kcal/kg/day
Preterm infants 120 140 kcal/kg/day.
2. Type of milk for newborn feeding
There are three choices:
Expressed breast milk
Normal infant formula
Preterm infant formula
2.1 Breast Milk
Breast milk is preferred as studies have shown that babies on breast milk had
low risk for NEC and have better development quotient.1
However EBM might not be adequate for the nutritional needs of the very
preterm infant as it:.
Standard
formula
7.5
Preterm
formula
8.6
Mature
breastmilk
7.4
3.6
4.4
4.2
1.5
2.0
1.1
2:3
2:3
2:3
67
16
65
46
33
0.8
80
33
33
77
41
0.67
70
15
64
35
15
0.08
> 32 weeks
29 32 weeks
Well babies
Well babies
< 29 weeks
> 28 weeks
Sick babies
Term infant
4.
5.
6.
7.
8.
9.
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on early growth. Arch Dis Child 1984; 59: 722-730.
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2002
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Oxford: Update Software.
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Malcolm G, Ellwood D, Devonald K, Beilby R, Henderson-Smart D. Absent or reversed end
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