FEEDING THE HIGH RISK

NEWBORN
PREPARED BY
MS. ANNU PANCHAL
ASSISTANT PROFESSOR
WHAT IS HIGH RISK NEONATE ?
 DEFINITION
High risk newborn can be defined as newborn,
regardless of birth weight, size or gestational
age has a greater than average chance of
morbidity especially within the first 28 days
What they are ?
Premature birth
Low birth weight baby
Hyperthermia
Hypo thermia
Hypoglycemia
Diabetic mother
Neonatal Sepsis
Hyperbilirubinemia
Respiratory distress syndrome
Cleft lip & Palate
FEEDING METHODS
The method used for feeding depends o the size and
vigor of the infants and his ability to suck and
swallow
TUBE FEEDING DROPPER,
BOWL,SPOON
FEEDING

BOTTLE FEEDING INTRAVENOUS

FEEDING
 TUBE FEEDING
(Gavage Feeding)
 Size: 5 French catheter
Size of 5 French catheter is required for
NASOGASTRIC TUBE

OROGASTRIC TUBE
FOR NASOGASTRIC
INSERTION
 The catheter is
measured from
external nose to the
tragus of the ear &
from there to
Xiphisternum
 The length of
the tube should
be inserted from
nose
FOR OROGASTRIC
INSERTION
Distance is measured from angle
of mouth to the tragus & from
there to Xiphisternum
• During Nasogastric
or Orogastric tube
insertion, the head is
slightly raised and a
wet catheter is
passed gently
through nose or
mouth into
esophagus & then to
stomach
• Position of
nasogastric tube is
verified by aspirate
• The tube is then fixed through the adhesive
tape
 At the time of
feeding 0.5 or 10
ml syringe
without plunger,
is attached to the
tube & milk is
given through it
 AN
After feeding Or aso
be o gas gas
place the baby in lef t
right lateral t i tric tu ric &
nsi be
7d t u can
position ays r uf o
pto

There is no need
to burp the baby
after Gavage
feed
 DROPPER,
BOWL,SPOON
FEEDING
This can be done when baby is
able
Swallow
Suck
TECHNIQUES
• The item should washed thoroughly &
boiled for 10 mints,to sterilize all the parts.
• Take required amount of feed in the cup
and keep it covered.
• Change the soiled diapers.
• Wash hands and hold the baby in semi
upright position in lap & wrap soft cloth
around the neck.
• Feed is given, the first bolus is allowed to
swallow before the next is given.
 Feed from the corner
of the mouth and
constantly. Observe the
baby to prevent
aspiration and control
feeding.
After the feed

Burp the baby

Wipe the
mouth

Right lateral
position
BOTTLE FEEDING
 SUCK

SWALLOW
• A prolonged feeding may lead to baby bottle
tooth decay
• At the time of bottle is contaminated or
inadequately cleaned or resulting in
gastrointestinal infection causing
DIARRHOEA
 Techniques of bottle feeding
• After cleaning the bottle, it should be
sterilized and keep covered.
• Prepare the formula as per
requirement, when the baby is hungry.
• Change soiled diaper and make the
baby comfortable.
• Wash hand and test flow of milk and
its temperature by sprinkling a few
drops on inner aspects of wrist
• Sit in a comfortable
position with baby in
lap. Head of the baby
should be higher than
rest of the baby.
• If any medication is to
be administered, it
should be given before
feeding
• The teat should be touched to the corner of the
baby’s mouth and when baby opens mouth,
teat should be inserted in the mouth.
• The teat is completely filled and there is no by
is in the teat.
• The baby should be burped after the feeds.
• After burping, make the baby lies in right
lateral position
INTERAVENOUS
FLUID THERAPY
Monitoring of fluid
is done by
measuring
Body weight
Urine output
Urine specific
gravity
Serum sodium