#asktheexpert my baby born at 36 weeks 1 days with 2080gm body weight on 31 august. Soctor advised to breatfeed every 2 hours. But our baby doest take feed every 2 hours

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Accepted Answer

For a baby born at 36 weeks and weighing 2080 grams, establishing a regular feeding routine can be challenging but crucial for healthy growth and development. Here are some steps and tips to help with feeding:

### Why Regular Feeding Is Important:
- **Nutritional Needs**: Preterm babies have higher nutritional needs to catch up on growth and development. Frequent feeding helps meet these needs.
- **Weight Gain**: Regular feedings help ensure that your baby gains weight steadily and gets the necessary calories and nutrients.
- **Milk Supply**: Frequent breastfeeding or pumping helps establish and maintain your milk supply.

### Tips for Feeding a Preterm Baby:
1. **Feed on Demand**: While the doctor advised feeding every 2 hours, it’s important to follow your baby's cues. Preterm babies might not always follow a strict schedule, so be flexible and feed when your baby shows signs of hunger.

2. **Wake to Feed**: If your baby is not waking up every 2 hours, you may need to gently wake them for feeding. Establish a routine where you wake your baby every 2-3 hours during the day for feeds. Avoid letting them go longer than 3-4 hours between feeds, especially during the early weeks.

3. **Monitor Weight Gain**: Regularly track your baby's weight gain to ensure they are growing appropriately. If there are concerns about weight or feeding, consult your pediatrician.

4. **Use Feeding Cues**: Watch for signs that your baby is hungry, such as rooting, smacking lips, or sucking on their hands. Respond to these cues to help with feeding.

5. **Feed Duration**: Allow your baby to feed as long as they want on each breast. Some preterm babies may need more time to get used to breastfeeding. Ensure that they are getting enough milk by monitoring their sucking and swallowing patterns.

6. **Pumping and Supplementing**: If your baby is not feeding effectively, you might need to pump milk and offer it in a bottle. This can also help you keep track of how much your baby is consuming.

7. **Consult a Lactation Consultant**: A lactation consultant can offer personalized advice and support, especially for preterm babies. They can help with latch issues, feeding techniques, and establishing a feeding routine.

8. **Monitor Diapers**: Ensure your baby is having enough wet and dirty diapers, as this indicates they are getting enough milk. Aim for about 6-8 wet diapers and at least 2-3 bowel movements a day.

### When to Seek Medical Advice:
- **Feeding Difficulties**: If your baby consistently refuses to feed or struggles to latch, consult a pediatrician or lactation consultant.
- **Weight Concerns**: If your baby is not gaining weight or losing weight, seek advice from your healthcare provider.
- **Health Issues**: If your baby shows signs of illness, dehydration, or other health concerns, contact your healthcare provider immediately.

Preterm babies may take a bit longer to establish a feeding routine, but with patience and support, they typically catch up. Regular follow-ups with your pediatrician will help ensure that your baby’s feeding and growth are on track.