{"id":3605,"date":"2024-11-19T18:06:05","date_gmt":"2024-11-19T16:06:05","guid":{"rendered":"https:\/\/pagim.net\/?p=3605"},"modified":"2024-11-19T18:06:05","modified_gmt":"2024-11-19T16:06:05","slug":"%d7%aa%d7%96%d7%95%d7%a0%d7%aa-%d7%a4%d7%92%d7%99%d7%9d","status":"publish","type":"post","link":"https:\/\/pagim.net\/en\/%d7%9e%d7%90%d7%9e%d7%a8%d7%99%d7%9d-%d7%9e%d7%a7%d7%a6%d7%95%d7%a2%d7%99%d7%99%d7%9d\/%d7%aa%d7%96%d7%95%d7%a0%d7%aa-%d7%a4%d7%92%d7%99%d7%9d\/","title":{"rendered":"Premature infant nutrition"},"content":{"rendered":"<h2>What is important to know about premature baby nutrition?<\/h2>\n<p>During hospitalization in the neonatal intensive care unit, your children receive new feeding instructions every day, depending on their health condition and their ability, as directed by the doctors.<br \/>\nWhen you are discharged, the monitoring is no longer as close as for premature babies, but the needs and abilities of your children are very different from each other, and therefore there are no blanket guidelines that are correct for all discharged premature babies.<br \/>\nHowever, there are guidelines that can be very helpful and reduce concerns around nutrition:<\/p>\n<ul>\n<li>The discharge letter will usually have instructions for the first few days\/weeks\/weights, and these instructions are the definitive guidelines for this time.<\/li>\n<li>It is important to monitor laboratory indicators and growth (weight\/height\/head circumference) in an organized way at Titip Halav and with the attending physician, the child&#039;s development, according to the guidelines of the preterm labor ward.<\/li>\n<\/ul>\n<h3><strong>If possible, breast milk is the recommended nutrition for premature babies who thrive well.<\/strong><\/h3>\n<ul>\n<li>Breastfeeding: Unlike a premature baby, at home there is no need to weigh the baby before and after breastfeeding. The monitoring is less close, and if necessary, it is possible and advisable to consult with a certified lactation consultant with experience with premature babies.<\/li>\n<li>In some cases, instructions will be given upon release to the recipient.\u00a0<a href=\"https:\/\/pagim.net\/en\/%d7%91%d7%a0%d7%a7-%d7%97%d7%9c%d7%91-%d7%90%d7%9d\/\">Breast milk<\/a>\u00a0In a special supplement, HMF, human milk fortifier, which can be purchased directly from the company (Mead Johnson, phone: 1-800-226470) or ordered through the pharmacy (Similac), on the recommendation of a doctor (it should be taken into account that this supplement is expensive, and there is no participation by health funds. It is worth comparing prices before buying).<\/li>\n<\/ul>\n<h3><strong>For premature infants who are not breastfed\/fortified breast milk<\/strong><\/h3>\n<ul>\n<li>For premature babies whose weight is appropriate for their corrected age, who are thriving well and there is no special recommendation, they can be fed regular infant formula.<\/li>\n<li>For premature infants who are discharged with a weight that is not appropriate for their corrected age or who need enrichment for other reasons, it is recommended to use a special follow-on formula for premature infants after discharge (Similac NeoSure\/Maternal Sensitive Follow-on for Premature Infants) until about 6 months of age or, if necessary, until 9-12 months of age, according to the recommendation of the treating team.<\/li>\n<\/ul>\n<h3><strong>For premature babies, &quot;feeding on demand&quot; is recommended (breast milk\/fortified breast milk\/formula)<\/strong><\/h3>\n<ul>\n<li>When there are no longer any special recommendations regarding feeding times (feeding every 3-4 hours, etc.) and feeding can be done on demand, it is worth starting to get to know your children&#039;s hunger and satiety signals.<br \/>\n<strong>This stage may be accompanied by concerns since it is a stage in which control over quantities passes from the parent to the baby.<\/strong><\/li>\n<li>Giving the meal when hunger signals begin, and stopping the meal when the baby shows signs of satiety (stopping eating, turning his head away from the bottle\/breast, trying to move away from the bottle\/breast).<\/li>\n<li>In order to reduce concerns, regular weight monitoring can be conducted at the clinic\/Tipat Halav\/with the help of a dietitian. At the same time, it is worth paying attention to whether your baby is vital, responsive, and there is no significant decrease in the need to change diapers.<\/li>\n<li><strong>Feeding against the baby&#039;s will is not recommended and may even lead to undesirable results.<\/strong><\/li>\n<\/ul>\n<p>If there is concern about the amount of food eaten or the growth rate, it is recommended to consult a doctor\/dietitian in the community who, if necessary, can assist in enriching the food without the need to increase the quantities.<br \/>\n<strong>Food tasting<\/strong><\/p>\n<ul>\n<li>For premature babies, the guideline to start tasting foods at 4-6 months of age is often not relevant. Usually, the start of tasting will be closer to the corrected age.<\/li>\n<li>Do not replace a breastfed\/formula meal before 6 months of age (chronologically or in the revised direction). Tastes are in the amount of up to 2 teaspoons a day (you can do it with your finger, you don&#039;t have to use a spoon), in the morning\/afternoon, each new food separately and at least 3 times before you are sure there is no allergic reaction (if several foods are given at the same time and there is a reaction, we won&#039;t know which of the foods!!!).<\/li>\n<li>When there are no contraindications, the signs of readiness for tasting are:<\/li>\n<li>Head control (when the baby is held by the parent\/caregiver, the head does not swing, the head and upper back are stable).<\/li>\n<li>Bringing your hands to your mouth, reaching for an object and putting it in your mouth.<\/li>\n<li>Expressing curiosity, exploration, and interest in eating when food is brought near the baby using the parent\/caregiver&#039;s fingers.<\/li>\n<li>The baby is able to move the food in his mouth from side to side.<\/li>\n<li>For children with special needs or various developmental delays, it is worth consulting with the care team regarding starting solid foods.<\/li>\n<\/ul>\n<p>With appetite,<br \/>\nYael Shmaiya, Dietitian<br \/>\nPagiat HaEmek Medical Center, Afula<br \/>\nand a premature baby follow-up clinic at the Child Development Institute,<br \/>\nSheba Tel Hashomer<\/p>","protected":false},"excerpt":{"rendered":"<p>\u05de\u05d4 \u05d7\u05e9\u05d5\u05d1 \u05dc\u05d3\u05e2\u05ea \u05e2\u05dc \u05ea\u05d6\u05d5\u05e0\u05ea \u05e4\u05d2\u05d9\u05dd \u05d1\u05de\u05d4\u05dc\u05da \u05d4\u05d0\u05e9\u05e4\u05d5\u05d6 \u05d1\u05e4\u05d2\u05d9\u05d4 \u05d9\u05dc\u05d3\u05d9\u05db\u05dd \u05de\u05e7\u05d1\u05dc\u05d9\u05dd \u05d4\u05d5\u05e8\u05d0\u05d5\u05ea \u05d7\u05d3\u05e9\u05d5\u05ea \u05dc\u05d4\u05d6\u05e0\u05d4 \u05d1\u05db\u05dc \u05d9\u05d5\u05dd, \u05d1\u05d4\u05ea\u05d0\u05dd \u05dc\u05de\u05e6\u05d1\u05dd \u05d4\u05d1\u05e8\u05d9\u05d0\u05d5\u05ea\u05d9 \u05d5\u05d1\u05d4\u05ea\u05d0\u05dd \u05dc\u05d9\u05db\u05d5\u05dc\u05ea \u05e9\u05dc\u05d4\u05dd, \u05dc\u05e4\u05d9 \u05d4\u05e0\u05d7\u05d9\u05d9\u05ea \u05d4\u05e8\u05d5\u05e4\u05d0\u05d9\u05dd. \u05db\u05d0\u05e9\u05e8 \u05d4\u05e0\u05db\u05dd \u05de\u05e9\u05ea\u05d7\u05e8\u05e8\u05d9\u05dd, \u05d4\u05de\u05e2\u05e7\u05d1 \u05db\u05d1\u05e8 \u05d0\u05d9\u05e0\u05d5 \u05e6\u05de\u05d5\u05d3 \u05db\u05d1\u05e4\u05d2\u05d9\u05d9\u05d4 \u05d0\u05da \u05d4\u05e6\u05e8\u05db\u05d9\u05dd \u05d5\u05d4\u05d9\u05db\u05d5\u05dc\u05d5\u05ea \u05e9\u05dc \u05d9\u05dc\u05d3\u05d9\u05db\u05dd \u05e9\u05d5\u05e0\u05d9\u05dd \u05de\u05d0\u05d5\u05d3 \u05d6\u05d4 \u05de\u05d6\u05d4 \u05d5\u05e2\u05dc \u05db\u05df \u05d0\u05d9\u05df \u05d4\u05e0\u05d7\u05d9\u05d5\u05ea \u05d2\u05d5\u05e8\u05e4\u05d5\u05ea \u05d4\u05e0\u05db\u05d5\u05e0\u05d5\u05ea \u05dc\u05db\u05dc\u05dc \u05d4\u05e4\u05d2\u05d9\u05dd \u05d4\u05de\u05e9\u05d5\u05d7\u05e8\u05e8\u05d9\u05dd. \u05e2\u05dd \u05d6\u05d0\u05ea, \u05d9\u05e9\u05e0\u05dd \u05e7\u05d5\u05d5\u05d9\u05dd [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[73],"tags":[],"class_list":["post-3605","post","type-post","status-publish","format-standard","hentry","category-73"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u05de\u05d4 \u05d7\u05e9\u05d5\u05d1 \u05dc\u05d3\u05e2\u05ea \u05e2\u05dc \u05ea\u05d6\u05d5\u05e0\u05ea \u05e4\u05d2\u05d9\u05dd \u05d1\u05de\u05d4\u05dc\u05da \u05d4\u05d0\u05e9\u05e4\u05d5\u05d6 \u05d1\u05e4\u05d2\u05d9\u05d4 \u05d9\u05dc\u05d3\u05d9\u05db\u05dd \u05de\u05e7\u05d1\u05dc\u05d9\u05dd \u05d4\u05d5\u05e8\u05d0\u05d5\u05ea \u05d7\u05d3\u05e9\u05d5\u05ea \u05dc\u05d4\u05d6\u05e0\u05d4 \u05d1\u05db\u05dc \u05d9\u05d5\u05dd, \u05d1\u05d4\u05ea\u05d0\u05dd 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