| General Recommendations |
Initial Management |
|
|
- Additional lactation support is often required
|
- Infants are at risk for failure to thrive due to increased metabolic rate during withdrawal
|
- Caloric needs may be as high as 150 - 250 kcal/kg/day
|
- Frequent small volumes of hypercaloric formula may help minimize hunger
|
- Frequent/cluster feedings are common and acceptable feeding patterns
- The infant should not be considered unable to do the element of “eat” if taking frequent small volume feeds/cluster feeds
- Feeding volumes should reflect normal amounts of colostrum, be based on cues, and provider should be aware formula fed infants may be overfed
- Recommended feeding Volumes
Age/hrs
0 - 24
24 - 48
48 - 72
72 - 96
|
mL/feed
2 - 10
5 - 15
15 - 30
30 - 60
|
|
- Minimal evidence to support specialized formula to ameliorate GI related withdrawal symptoms e.g Low lactose/“gentle” formulas
|
- Specialized formulas are NOT recommended
|