Appendix 4. Daily amounts required for feeding

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    Birth weight ≥ 2500 g

     

    Total (ml/kg/day)

    Breast milk

    D1

    60

    8 x 23 ml

    D2

    80

    8 x 30 ml

    D3

    100

    8 x 38 ml

    D4

    120

    8 x 45 ml

    D5

    140

    8 x 53 ml

    D6

    160

    8 x 60 ml

    D7

    160-180

    8 x 60-68 ml

    D8 and after

    160-200*

    8 x 60-75 ml

    * Up to 220 ml/kg may be given, if necessary for growth.

    Birth weight 1500 g – < 2000 g

     

    Total (ml/kg/day)

    Breast milk

    D1

    60

    8 x 17 ml

    D2

    80

    8 x 23 ml

    D3

    100

    8 x 28 ml

    D4

    120

    8 x 34 ml

    D5

    140

    8 x 40 ml

    D6

    160

    8 x 45 ml

    D7

    160-180

    8 x 45-51 ml

    D8 and after

    160-200*

    8 x 45-56 ml

    * Up to 220 ml/kg may be given, if necessary for growth.

    Birth weight 1500 g – < 2000 g

     

    Total (ml/kg/day)

    Breast milk

    D1

    60

    8 x 13 ml

    D2

    80

    8 x 18 ml

    D3

    100

    8 x 22 ml

    D4

    120

    8 x 26 ml

    D5

    140

    8 x 31 ml

    D6

    160

    8 x 35 ml

    D7

    160-180

    8 x 35-39 ml

    D8 and after

    160-200*

    8 x 35-44 ml

    * Up to 220 ml/kg may be given, if necessary for growth.

    Birth weight 1250 g – < 1500 g

    In principle, neonates with a birth weight < 1500 g should receive 10% glucose in continuous IV infusion for the first 48 hours of life (Appendix 5). If the neonate is clinically stable, very small amounts of breast milk of 10 ml/kg per day can be started on D1 while awaiting transfer to a neonatal care unit.
    If it is not possible to administer an IV infusion or to transfer to a neonatal care unit, give expressed breast milk and 10% glucose together orally as per the tables below.

     

     

    Total (ml/kg/day)

    Breast milk

    10% glucose

    D1

    80

    12 x 5 ml

    12 x 4 ml

    D2

    100

    12 x 7 ml

    12 x 4 ml

    D3

    120

    12 x 10 ml

    12 x 4 ml

    D4

    140

    12 x 14 ml

    12 x 2 ml

    D5

    160

    12 x 18 ml

    D6

    160-180

    12 x 18-21 ml

    D7

    160-200

    12 x 18-23 ml

    D8 and after

    160-200*

    12 x 18-23 ml

    * Up to 220 ml/kg may be given, if necessary for growth.

    Birth weight 1000 g – < 1250 g

     

    Total (ml/kg/day)

    Breast milk

    10% glucose

    D1

    80

    12 x 5 ml

    12 x 3 ml

    D2

    100

    12 x 6 ml

    12 x 3 ml

    D3

    120

    12 x 8 ml

    12 x 3 ml

    D4

    140

    12 x 11 ml

    12 x 2 ml

    D5

    160

    12 x 15 ml

    D6

    160-180

    12 x 15-17 ml

    D7

    160-200

    12 x 15-19 ml

    D8 and after

    160-200*

    12 x 15-19 ml

    * Up to 220 ml/kg may be given, if necessary for growth.