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Feeding guideline for infants admitted with congestive heart failure with minimal weight gain

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Cardiology feeding guidelines for breastfed and formula fed infants admitted with congestive heart failure with minimal weight gain

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Cardiology

  • Take feeding history: duration of each feed or amount taking at each feed, frequency of feeding, any supplements (e.g. Calogen)

  • Observe and record feed intake via daily feed record chart or fluid balance chart

  • Consider referral to lactation consultant for breastfeeding support if relevant / concerns about quality of feeding or maternal milk supply

  • Maximise bottle feeding technique if formula fed and consider referral to SLT if concerns

  • Medical team to determine maximum feed volume allowance (ml/kg/day) to guide intervention strategies

Guideline for breastfed infants

Guideline for formula fed infants

Oral fluid requirements for term infants

Ageml/kg/day
First week80 - 100
Second week125 -150
Up to 6 months

150 - 200

6 to 9 months

120 - 150

One year90 - 100

Maximum volume per medical team: _________ml/kg/day

Expected weight change and growth

Expected post-natal weight loss

  • Term infant <10%

  • Pre-term <15%

Birthweight is usually regained by 2 weeks of age in term infants.

Expected weight gain for pre-term infants

Good growth for preterm babies is 15 - 20g per kg body weight per day.
As they approach 40 weeks gestational age, weight gain will slow to 150 to 200g per week.

Expected weight gain for term infants

Target weight gain to maintain growth along their current centile:

GIRLS9th centile50th centile91st centile
Ageg/dayg/weekg/dayg/weekg/dayg/week
0 to 2 months261842920335242
2 to 4 months19

132

2215325173
4 to 6 months1286149816115
6 to 8 months96311751392
8 to 10 months7529601069
10 to 12 months7468551069

 

BOYS9th centile50th centile91st centile
Ageg/dayg/weekg/dayg/weekg/dayg/week
0 to 2 months312153423739274
2 to 4 months211502416626184
4 to 6 months14981510817121
6 to 8 months106911761286
8 to 10 months75210691175
10 to 12 months7467521069

 

References

  1. Krause MV, Mahan LK. Food, Nutrition and Diet Therapy. 7th ed. Philadelphia: W.B. Saunders Co; 1984.

  2. Katrine K, Anthropometric Assessment In: Groh-Wargo S, Thompson M, Hovasi Cox J, Hartline J. Nutritional Care for High-Risk Newborns, 3rd Edition, Illinois, Precept Press, 2000:11 - 12

  3. Koletzko, B., Poindexter, B. & Uauy, R. (2014) Nutritional care of preterm infants: Scientific basis and practical guidelines, 110. Basel, Switzerland: Karger Medical and Scientific Publishers.

  4. Cole TJ, Williams AF & Wright CM (2011) Revised birth centiles for weight, length and head circumference in the UK-WHO growth charts, Annals of Human Biology, 38:1, 7-11, DOI: 10.3109/03014460.2011.544139

  5. UK-WHO Low Birthweight Growth Charts (accessed 26/8/2020, at www.rcpch.ac.uk/resources/ uk-who-growth-charts-0-4-years)

 

Document Control

Clinical Guideline
Starship Child Health
2 year(s)
Ana Kennedy, Nicole Hill
Marion Hamer

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