Maturation of feeding skills and choice of initial feeding method in low birth weight infants

Maturation of feeding skillsInitial feeding method
< 28 weeksNo proper sucking efforts, No propulsive motility in the gutIntravenous fluids
28 – 31 weeksSucking bursts develop, No coordination between suck/swallow and breathingOro-gastric (or naso-gastric) tube feeding with occasional spoon feeding
32 – 34 weeksSlightly mature sucking pattern, Coordination between breathing and swallowing beginsFeeding by spoon / paladai / cup
> 34 weeksMature sucking pattern, More coordination between breathing and swallowingBreast feeding

Ghai Essential Pediatrics, 7th edition

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