Late preterm baby feeding adequacy

2025-12-16 07:06:17
Hello Doctor, My baby was born at 34 weeks 3 days (late preterm) via normal delivery, birth weight 2.2 kg. Delivery was early due to maternal ICP with itching. In the first few days after birth, my baby had two episodes of low blood sugar (46–47 mg/dL), which stabilized with feeding. Since discharge, we are not checking sugar at home as advised, but we remain anxious due to the past history. The baby is on exclusive breastfeeding, but he often falls asleep while feeding, feeds for short durations, and needs frequent stimulation. He does not cry strongly for feeds, so we are unsure if he is taking adequate milk. Please guide on: How to know if a breastfed baby is getting enough milk at home Normal signs (urine, stools, weight gain, behavior) that indicate good feeding Is sleepiness during feeds normal in late-preterm babies, and how long does it last? Warning signs to watch for, considering past low sugar episodes Whether home sugar monitoring is needed or not Thank you.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. Contact me on Practo or WhatsApp chat. Contact number: 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology

Answered2025-12-24 02:40:52

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Indications of adequate feed 1. 2-3 hrs sleep after feed 2. Passes urine 4-6 times a day 3. Adequate weight gain, 30g/day for 1st 3 months starting from 10th day Yes sleepiness during feeds is normal Warning signs: lethargic, convulsions Watch for danger signs and weight gain even if u don’t monitor sugars

Answered2025-12-20 04:42:40

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Greetings of the baby is not active or sweating then check sugars otherwise no need as routine

Answered2025-12-18 12:45:43

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