Feeding Plan For Infants Born Before 38 Weeks Page 2

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• Encourage your infant to feed whenever they are giving hunger cues
(thrusting the tongue, licking lips, bringing hands to the mouth).
Crying is a late sign of hunger.
• Sometimes, it may be necessary to wake your infant if they do not give
hunger cues, which is not unusual in the late preterm infant. Your infant
should be breastfed 8-12 times per 24-hour period, or every 2-3 hours.
The following feeding plan will help ensure your infant is getting
enough milk:
• Use breast compression to help increase the flow of milk from your
breast. Listen for audible swallowing.
• Wake your infant and offer breastfeeding every 2-3 hours. Your infant
should latch well and suckle for at least 10-15 minutes.
• Your infant will need to be supplemented after breastfeeding with
expressed breast milk or formula until they are able to demonstrate signs
of effective feeding (strong suck with audible swallows).
• “After” each breastfeeding session, we recommend that you offer your
at least
infant
the following additional amounts of milk:
First 24
25-48
49 -72
73-96
hours of life
hours of life
hours of life
hours of life
5-10 ml
10-30 ml.
15-30 ml.
30 ml. or more
Every 2-3 hours
Every 2-3 hours
Every 2-3
every 2-3 hours
At least 8 times
At least 8 times
hours
At least 8 times a
a day
a day
At least 8
day
times a day
Increase as needed
If your infant still seems hungry after feeding, offer more
supplement
Department of Obstetrics and Gynecology
Feeding Plan For Infants Born Before 38 Weeks Gestation
- 2 -

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