#asktheexpert
Dr. my baby was preterm he was born on 23feb nd now he is 2 months old nd his weight is 3.080kg his birth weight was 1410grm...is his weight gain is ok till now or its less???

Question

#asktheexpert 
Dr. my baby was preterm he was born on 23feb nd now he is 2 months old nd his weight is 3.080kg his birth weight was 1410grm...is his weight gain is ok till now or its less???

Accepted Answer

Gaining weight for a preterm (premature) baby can be a gradual process that requires careful attention to nutrition and feeding. Here are some key steps to help support weight gain for your preterm baby:

1. Continue Breastfeeding or Formula Feeding: Breast milk is highly recommended for preterm babies as it provides essential nutrients and antibodies that support their immune system and growth. If breastfeeding is not possible or sufficient, high-calorie preterm infant formula is a good alternative. Frequent Feedings: Preterm babies often need to be fed more frequently, as their stomachs are small and they burn calories quickly. Aim for every 2-3 hours, including overnight, to ensure they are getting enough nutrition. 2. Monitor Milk Intake: Preterm babies may have trouble feeding efficiently, so try pumping breast milk to ensure your baby is getting enough if breastfeeding directly is difficult. If using formula, ensure the baby is drinking the recommended quantity. Sometimes, your pediatrician might recommend fortified milk to provide extra calories and nutrients. 3. Add Extra Calories: Talk to your pediatrician about fortifying breast milk or formula with caloric enhancers. These are special powders that you can add to breast milk or formula to increase the calorie content without increasing the volume. Some babies may benefit from higher-calorie formulas if they have trouble gaining weight with regular formulas. 4. Monitor Weight and Growth: Keep track of your baby’s weight regularly, as premature babies tend to have a slower growth pattern compared to full-term babies. Regular check-ups with your pediatrician will help ensure your baby is growing at an appropriate pace. Preterm babies may follow a different growth curve, so it's important to compare their progress to a growth chart specific for premature infants. 5. Address Feeding Issues: If your baby is having trouble sucking, swallowing, or coordinating feeding, pediatric speech therapy or a feeding specialist can help improve the feeding technique. Sometimes, babies may need tube feeding temporarily if they are unable to get enough nourishment through breastfeeding or bottle feeding. 6. Offer High-Calorie, Nutrient-Dense Foods (for older preterm babies): Once your baby is around 6 months old and is ready for solids, you can introduce nutrient-rich, high-calorie foods such as avocados, pureed fruits, vegetables, oatmeal, and full-fat yogurt (if age-appropriate). Make sure to start with smooth textures and gradually progress as they become more comfortable with eating solids. 7. Ensure Proper Sleep: Adequate rest and sleep are also critical for growth and development. Ensure your baby is sleeping well, as sleep is when growth hormones are active. 8. Consult with a Pediatrician or Specialist: Since premature babies have unique needs, it's important to consult with a pediatrician or pediatric nutritionist who can create a tailored feeding plan. They will provide the most accurate guidance for your baby's specific situation.

In most cases, with the right nutrition and care, premature babies will catch up to their peers over time. However, this may take time and gradual support from healthcare providers.

#asktheexpert Dr. my baby was preterm he was born on 23feb nd now he is 2 months old nd his weight is 3.080kg his birth weight was 1410grm...is his weight gain is ok till now or its less???