How can I make it easier to feed my premature baby?

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  1. Intermountain Healthcare
     

    Your near-term baby needs to eat often -- at least 8 times every 24 hours. That means every 2½ hours during the day, or every 4 hours at night. A good rule of thumb is that if your baby is awake, he should be eating.

    But what if your baby doesn’t wake up to eat? Or what if he gets distracted, or falls asleep too fast while eating? Here are some tips to find or create the right moment to feed your baby:

    • Have your baby sleep in your room with you. This helps you see your     baby’s feeding cues more quickly. Watch for your baby to:

    1.  bring his hands to his mouth
    2. move his mouth and tongue
    3. move around quietly

    • Gently help your baby wake up when it’s time to eat:

    1. Sing to your baby or call his name.
    2. Slowly change your baby’s whole body position. Roll him slowly 
           side-to-side on a pillow on your lap. Sit your baby up and down
           a few times.
    3. Change your baby’s diaper, undress him, and put him next to you,
           near your breast. Have him in the right position as you start
           feeding, so you don’t have to move him around while he’s
           eating.
    4. Try to be patient if your baby is slow to wake up. Wait for your
           baby to open his mouth at the touch of your breast or the
           bottle. This is better than pushing or pulling his jaw down.
    • Keep things calm and quiet while you feed your baby. You may need
       to turn off the TV and bright lights. Ask visitors to leave and ask
       children to sit quietly. You want your baby to be awake, but not
       distracted.
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  2.  Sandra Carroll
     
    Sandra Carroll answered:

    Preemies come with a unique set of feeding problems. Differences arise depending upon what gestational age they were born, as well as their hospital course.

    Breastfeeding is the best way, and may even be an easier way to feed the premature baby. 

    Here are some tips on making feeding a safe, nurturing experience.

    • Environment: Make sure it is as quiet as possible, with dim lights. This helps the baby to "organize" their brain and body to do the work of feeding.
    • Position: Sometimes, if feeding with a bottle, it is better to place the baby in an elevated side-lying position. So the bottle would be parallel with the floor, and the head of the baby would be a little higher than their bottom. Always make sure the baby's trunk and head are supported well and that their tummy isn't being "smooshed up" by too much curving in their back.
    • Flow: Making sure that you are choosing the correct flow of bottle/nipple is a very important factor. Many times, a slower flow nipple will be a better solution - making it easier for the baby to coordinate their suck/swallow/breathe pattern. If you are nursing, make sure you aren't having a big let-down that could overwhelm the baby.

    ENJOY your little miracle!

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    Preemies come with a unique set of feeding problems. Differences arise depending upon what gestational age they were born, as well as their hospital course. Breastfeeding is the best way, and may even be an easier way to feed the premature... More