Nutrition for Neonates with Congenital Heart Disease Clinical Pathway — CICU
Nutrition for Neonates with Congenital Heart Disease Clinical Pathway — CICU
Special Considerations for the Exclusively Breastfed Infant
- For mothers who want to breastfeed ONLY, delay the introduction of the bottle as long as possible.
- Follow Enteral Advance but administer ordered amount by NG only.
- Infant may breastfeed on demand ad lib in addition to the NG advance.
- Breastfeed intake does not need to be quantified during the feeding advance.
- Mother should continue pumping and should NOT count breastfeeding sessions towards her total pump goal of 8-10 pumping sessions per day.
- Perform pre/post weights when the infant is successfully latching onto the breast and swallowing with sustained sucking for at least 5 minutes as evaluated by lactation.
- Once mother’s milk supply is 30% more than the infant’s diet order in a 24-hour period, suggest to the mother to start fractionating to feed infant hindmilk. Separating Hindmilk to Help Your Baby Grow
- Breastfeeding mothers can pump first to remove foremilk and then directly breastfeed hind milk. Separating Hindmilk to Help Your Baby Grow
- Hindmilk may not be appropriate for continuous feeding regimens because of fat loss through the feeding tube.