Breast is Best in NICU By Dr Diane

Breast is Best in NICU By Dr. Diane Spatz Feeding tolerance is improved when we feed human milk only, and the milk protects the baby's eyes and brain. Human milk is a medical intervention Oral care is important when the baby does not get feeding ; - absorbing small proteins through the cheeks, for the baby's immune system - keeping the mouth coated with antimicrobial milk - preparing the infant for feeding at the breast.

ขนในการเลยงลกดวยนมแม ในเดกปวย 6: Nonnutritive Sucking at the Breast �������� 7: Transition to Breast and Technology to Support Breastfeeding 8: Measuring Milk Transfer 9: Preparation for Discharge 10: Appropriate Follow-up

Breastfeeding in Premature infant Photo © Nancy Wight, Copyright © 2003, Rev 2005 American

Breast milk and subsequent intelligence quotient in children born preterm Children who had consumed mother's milk in the early weeks of life had a significantly higher IQ at 7 1/2 -8 years than did those who received no maternal milk An 8. 3 point advantage (over half a standard deviation) This advantage was associated with being fed mother's milk by tube rather than with the process of breastfeeding. Lucas A et al, Lancet. 1992 Feb 1; 339(8788): 261 -4.

Tube feeding via syringe pump

Feeding methods A lot depends on types / extent of clefts Cleft palate has more difficulty Special device for large cleft Prosthetic feeding nay be needed Parents decide how to feed A satisfactory method meets nutrition need

Problems encountered in gastric feeding Interference with sucking and swallowing coordination Airway and pharyngeal irritation with hyper secretion Nasal septum irritation and nosocomial infection Frequent aspiration Frequent lung and ear infection

Challenges in feeding Longer feeding time Failure to get enough milk Swallowing too much air Loss of food through nose Coughing and choking

Feeding during first 5 -6 mo. Breast milk is the first ideal milk Not feed cow s milk Not add juice, water , glucose liquid