A preemie should typically drink 150-200 ml/kg of body weight per day, but consult a pediatrician for personalized feeding recommendations.
Feeding a premature baby can feel overwhelming, but understanding their nutritional needs is key to healthy growth. This guide provides detailed feeding recommendations, expert insights, and practical tips to help your preemie thrive.
Understanding Preemie Feeding Needs
Premature babies have different nutritional requirements than full-term infants. Their tiny stomachs and immature digestive systems need special care.
Daily Fluid Requirements
Most preemies need 120-180 ml of milk or formula per kilogram of body weight each day. This amount is typically divided into 8-12 feedings.
| Baby’s Weight | Daily Total (ml) | Per Feeding (8x/day) |
|---|---|---|
| 1.5 kg (3.3 lbs) | 180-270 ml | 22-34 ml |
| 2 kg (4.4 lbs) | 240-360 ml | 30-45 ml |
| 2.5 kg (5.5 lbs) | 300-450 ml | 38-56 ml |
Feeding Methods for Preemies
Depending on your baby’s gestational age and health status, different feeding methods may be used:
1. Intravenous Nutrition (TPN)
Used for very premature babies who can’t digest milk yet. Provides nutrients directly into the bloodstream.
2. Tube Feeding (Gavage)
A small tube delivers milk directly to the stomach. Allows feeding while baby develops sucking skills.
3. Bottle Feeding
Use slow-flow nipples designed for preemies to prevent choking. Specialized equipment can make feeding easier.
4. Breastfeeding
Possible once baby develops coordination (usually by 34-36 weeks). May require pumping initially.
Feeding Schedule Guidelines
Preemies typically need to eat every 2-4 hours. Watch for hunger cues like:
- Increased movement
- Rooting reflex
- Hand-to-mouth movements
According to Children’s Health, feedings should last no more than 30 minutes to prevent calorie burn.
Formula Preparation for Preemies
Most preemies need 20-27 calorie per ounce formula. Here’s how to prepare:
Concentrated Formula
- 20 cal/oz: 1 oz concentrate + 1 oz water
- 24 cal/oz: 3 oz concentrate + 2 oz water
Powdered Formula
- 20 cal/oz: 1 scoop + 2 oz water
- 24 cal/oz: 3 scoops + 5 oz water
For easy mixing, consider using a quality blender to ensure proper consistency.
Monitoring Your Preemie’s Progress
Watch these signs to ensure proper feeding:
- 6-8 wet diapers daily
- Steady weight gain (15-30g/day)
- Alertness during wake periods
The National Institutes of Health recommends weekly weight checks for preemies during the first months.
Transitioning to Solid Foods
Introduce solids when your baby reaches 4-6 months adjusted age (actual age minus weeks premature). Start with:
- Iron-fortified cereals
- Pureed fruits and vegetables
- Small amounts of protein
Always consult your pediatrician before making feeding changes. With proper nutrition and care, your preemie will continue to grow and thrive.
