Gaining and Growing: Assuring Nutritional Care of preterm Infants in the Community

Decision Tree for Infant with Inadequate Weight Gain

 

Increased energy needs

Can the infant take an increased volume of formula or breastmilk?

Yes

No

 

If yes, infant can take increased volume, increase size or numbers of feedings.

 

If no, infant can't take increased volume and fluid status is adequate (ie greater than 120cc/kg/day) then increase caloric density of formula. See section on Concentrating Infant Formula

 

Start of Decision Tree for Infant with Inadequate Weight Gain