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What Causes Loss Of Weight In First Ten Days Of A Preterm Baby?

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Posted on Mon, 19 Jan 2015
Question: My wife give birth to baby boy at 35 weeks on 10 dec due to increase in blood pressure . baby weight is 1.5 kg at time of birth. he is kept in a incubator. Now he is taken out from incubator but baby weight is decreased by 100 grams. doc says it is decreased by two weeks then start to inrease. baby has left foot ctev. baby take medicine such as entergemino,calcium vitamins drops etc. Baby take milk about 16-18cc after each two hours. what are the ways to increase the baby weight? Baby blood test are done on first day test shows hb as 12.1. second blood test shows hb as 17.1 and reti count is about 18%. Neurosonograpy report was normal. please suggest. edd given is 9 XXXXXXX 2015
doctor
Answered by Dr. Deepak Kishore Kaltari (12 minutes later)
Brief Answer:
Breastfeeding will help gain weight

Detailed Answer:
Hi,
Welcome to Healthcaremagic
Greetings of the day

Dear Mr XXXXXXX

Following birth any baby either term baby or preterm baby looses 10 percent of body weight in 1st ten days of life. After this there is steady gain in weight.

Preterm baby as in your case there is usually catch up growth and weight will start increasing. The blood reports are normal and there is no cause for concern.

I would suggest you the following:

1. Ensure good intake of feeds : If the breast milk is adequate then either direct breast feeding or feeding the baby with expressed breast milk is advisable. Feeding should be on demand, sometimes the baby may want feed even after one hour. Capacity of stomach is 10 ml per kilogram of body weight, so the quantity of feed per feed should be atleast 15 ml. It can be slowly be increased.

2. Addition of Medium chain triglycerides : 4 to 6 drops of Simyl MCT drops can be added in feeds in consultation with your baby's Neonatologist.

3. Ensure adequate breast milk : Proper intake of fluids and food is important for mother to maintain milk output. Capsule Lactare for mother will help increase and maintain lactation. Also do add dried dates (Khajoor) in diet of mother.

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr Deepak Kaltari
Consultant Pediatric Surgeon
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Deepak Kishore Kaltari (31 minutes later)
Baby does not take breast feeding regularly. he cries for whole night and day sleeping. spoon feeding is done to baby.
doctor
Answered by Dr. Deepak Kishore Kaltari (40 minutes later)
Brief Answer:
Continue giving feeds using spoon

Detailed Answer:
Dear Mr XXXXXXX

Every baby has unique sleeping pattern. Some babies are active during night and sleep during day. If the baby is sleeping for 7 to 12 hours a day that is sufficient sleep.

Continue giving feeds using spoon or even traditional XXXXXXX paladay ( spoon used to feed newborn ) can be used. Adding medium chain triglycerides will be helpful.


Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Deepak Kishore Kaltari (31 minutes later)
U do not answer regarding Ctev deformity
doctor
Answered by Dr. Deepak Kishore Kaltari (19 minutes later)
Brief Answer:
Consult Orthopaedic Surgeon

Detailed Answer:
Dear Mr XXXXXXX

Further management of CTEV will depend on clinic-radiological assessment by Orthopaedic Surgeon. I would suggest you to see Orthopaedic Surgeon for further management.

Take Care


Regards
Dr Deepak
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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What Causes Loss Of Weight In First Ten Days Of A Preterm Baby?

Brief Answer: Breastfeeding will help gain weight Detailed Answer: Hi, Welcome to Healthcaremagic Greetings of the day Dear Mr XXXXXXX Following birth any baby either term baby or preterm baby looses 10 percent of body weight in 1st ten days of life. After this there is steady gain in weight. Preterm baby as in your case there is usually catch up growth and weight will start increasing. The blood reports are normal and there is no cause for concern. I would suggest you the following: 1. Ensure good intake of feeds : If the breast milk is adequate then either direct breast feeding or feeding the baby with expressed breast milk is advisable. Feeding should be on demand, sometimes the baby may want feed even after one hour. Capacity of stomach is 10 ml per kilogram of body weight, so the quantity of feed per feed should be atleast 15 ml. It can be slowly be increased. 2. Addition of Medium chain triglycerides : 4 to 6 drops of Simyl MCT drops can be added in feeds in consultation with your baby's Neonatologist. 3. Ensure adequate breast milk : Proper intake of fluids and food is important for mother to maintain milk output. Capsule Lactare for mother will help increase and maintain lactation. Also do add dried dates (Khajoor) in diet of mother. Do get back to me if you need any further assistance, will be glad to assist you. Take care Best regards Dr Deepak Kaltari Consultant Pediatric Surgeon