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guidelines for premie weight gains



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Apr 18, 2009 03:58 AM

guidelines for premie weight gains


How much should a premie be gaining per day to be classified as good weight gain for a premie? I have 30 wk gestation premie patient weighing 5lbs, 7.5 oz at 7 weeks old. Is 2-3 oz every 3 hours enough for him to gain weight or should he consume more? Is there a reference chart for weight gain, intake recomendations for premies somewhere? thanks.


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from janfrn
Old Apr 18, 2009, 02:36 PM

Default Re: guidelines for premie weight gains
Prems who gain 30 gm or 1 oz per day are doing quite well. Sometimes when they're still really new, they have trouble feeding for enough calories when balanced against the calorie expenditure of getting the milk in. The harder they have to work, the slower their weight gain. That's why most NICU/IMCN babies are weighed daily. And why they might need gavage feeds for some time before they get up to speed.

The usual total daily fluid requirement for neonates and young infants is about 150-165 mL/kg.

The baby in your question weighs about 2.5 kg, so let's do the math:
150 x 2.5 = 375 mL/day or
165 x 2.5 = 413 mL/day.

There are 8 feeds in a day at q3h so
375 / 8 = ~47 mL which is ~1 1/2 oz and
413 / 8 = ~52 mL which is just under 2 oz.

So yes, this baby is getting enough to grow.
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