Appendix 4. Daily amounts required for feeding
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 2000 g – < 2500 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, newborns whose birth weight is < 1500 g should receive only 10% glucose in continuous IV infusion for the first 48 hours of life, due to the very high risk of acute necrotising enterocolitis with rapid early enteral nutrition.
The table below shows how much milk and glucose to administer simultaneously by mouth, as a last resort – that is, only when it is impossible to administer a continuous infusion and the newborn cannot be transferred to a neonatal care unit.
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.