A 32-week, 1400g neonate is born to a primigravida. The baby did not require resuscitation and showed stable vitals. The baby was transferred to the NICU. How will you manage the feeding of the patient?
Feeding of preterm neonate Gestational age Preferred initial mode of feeding <28 weeks IV Fluids +/- TPN (TPN: Total parental nutrition) 28-31 weeks Orogastric tube feeding 32-34 weeks Katori spoon feeding or Paladai feeding >34 weeks Direct breast feeding As the neonate in the question is born at 32 weeks and is vitally stable, sta with total enteral feeding. IV fluids and IV nutrition and minimal enteral nutrition in this neoante is indicated if the neonate has hemodynamic compromise or is unstable.
Sta total enteral feeding & IV nutrition not required
Sta IV nutrition with minimal enteral feeding
Sta IV nutrition and introduce feeds on 2nd day of life
Sta parenteral nutrition and institute oral feeding on 2nd day of life
IUGR and Feeding of Preterm Neonate