2025 – PAGE 169 – NEONATOLOGY
FORMULA
When using formula, there is no need to sterilize bottles/water unless using well water. Use COLD tap water (less lead). Caloric content is approximately 20 kcal/oz. 1 oz = 30 cc or ml.
IRON SUPPLEMENTATION
Premature infants need iron supplementation by the time they are 1 month old. Full-term breast-fed babies need supplementation starting at 4 months, when their liver stores run out. Supplementation DOES NOT have to be in the form of drops, and it does NOT cause constipation. Formula-fed babies do not usually need iron supplementation. If using formula, make sure it contains at least 12 mg/L.
MNEMONICS: Use this 12 lb. IRON to help you remember iron should be in formula (12 mg/L). If that doesn’t work, imaging making a 12-EGG omelet on a hot IRON.
WHOLE MILK
- Whole milk should NOT be given to babies until they are 1 year of age. It can cause anemia, electrolyte abnormalities, such as hypocalcemia, and renal damage.
- Give whole milk from 1−2 years of age. The fat content helps with nervous system development. However, 2% milk is recommended for children who are at risk of being overweight or have a family history of obesity or cardiovascular disease.
- After 2 years of age, CHANGE to 1% or skim milk in order to LIMIT the fat content.