HomeAnswersPediatricspremature babyI bottle-feed my baby. Will it cause nipple confusion?

Can bottle feeding in premature baby cause nipple confusion?

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Published At July 4, 2023
Reviewed AtOctober 11, 2023

Patient's Query

Hi doctor,

My baby was delivered at 29 weeks, and he is currently in the NICU. The doctor said everything is fine. How long he will need to stay in the NICU? I am currently giving him pumped breast milk, but I am not sure if he will be able to breastfeed once he leaves the NICU. Should I continue bottle feeding until he reaches 38 weeks, so he can grow well? What questions should I ask my pediatrician when he is discharged from the NICU?

Thank you.

Hi,

I am glad you chose icliniq for your medical related queries.

I understand your concern and will try to help you with it.

The length of stay in the neonatal intensive care unit (NICU) can vary depending on various factors, such as the baby's overall health, growth, and ability to feed. Babies born at 29 weeks gestation often require some time in the NICU to receive specialized care and support. The doctors and nurses in the NICU will closely monitor your baby's progress and provide you with updates on their condition. They will assess their ability to breathe on their own, regulate body temperature, feed orally, and reach other developmental milestones. Every baby is unique, so it is challenging to predict an exact duration of stay. Some babies may need a few weeks, while others may require a longer stay.

Regarding feeding, premature babies often start with tube feedings or bottle feedings of pumped breast milk. As your baby grows stronger and develops their suckling reflex, it may transition to breastfeeding. The NICU staff will guide you through this process and provide support and advice on feeding methods. It is essential to consult with the NICU team and follow their recommendations based on your baby's individual needs. When your baby is ready for discharge from the NICU, it is a good idea to discuss the following topics with your pediatrician:

  1. Feeding plan: Ask about the recommended feeding method, whether it is breastfeeding, bottle feeding, or a combination of both. Discuss any concerns or challenges you may have.
  2. Developmental milestones: Inquire about the expected milestones and whether there are any specific exercises or activities you should engage in to support your baby's development.
  3. Follow-up care: Understand the schedule for regular check-ups and vaccinations. Discuss any potential long-term health considerations related to your baby's prematurity.
  4. Growth and weight gain: Ask about the expected growth trajectory for your baby and any specific dietary recommendations or supplements to ensure healthy weight gain.
  5. Red flags and warning signs: Learn about the signs and symptoms that may indicate a need for immediate medical attention. This knowledge will help you monitor your baby's well-being at home.

Remember that your pediatrician and the NICU staff are there to provide guidance and support. They have extensive experience in caring for premature babies and can address your concerns and questions more accurately based on your baby's specific needs.

I hope your query got resolved.

Please feel free to reach me again, in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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