#asktheexpert when can a preterm baby be allowed to latch whose weight is 1.3 kg?

Question

Accepted Answer

A preterm baby weighing 1.3 kg can usually begin attempting to latch once they are stable and meet certain health milestones. The readiness for breastfeeding depends on the baby’s overall health, development, and ability to suck and swallow effectively. Typically, preterm babies can start latching when:

1. They are stable: The baby’s vital signs (heart rate, breathing, temperature) should be stable.

2. They can coordinate sucking, swallowing, and breathing: This ability usually develops around 32-34 weeks of gestational age, but it can vary for each baby.

3. They have the strength: Preterm babies need enough energy to breastfeed, so weight gain and overall strength are important factors.

4. They can regulate body temperature: Babies need to be able to maintain their body temperature without external support (like an incubator).

For very low birth weight babies (under 1.5 kg), feeding may initially involve tube feeding until they gain enough strength to latch. Breastfeeding sessions may need to be short initially to avoid tiring the baby. It's essential to work closely with a neonatologist or lactation consultant who can guide you through this process based on your baby’s specific health condition and progress.