Kalori

1. Maintain weight
a. 50-60 kcal/kg/day (60 nonprotein kcal/kg/day)
2. Induce weight gain
a. 100-120 kcal/kg/day utk term infant (gain 15-30
g/day)
b. 110-140 kcal/kg/day utk prematur infant (70-90
nonprotein kcal/kg/day).
3. Gizi
Karbohidrat10-30 g/kg/day40-50% total kalori
Protein2.25-4.0 g/kg/day7-16% total kalori
Fats5-7g/kg/day (max 40% total kalori)
4. Vit dan mineral
Term(/day Stable
)
preterm LBW
(dose/kg)
Vit A
700 mcg
700-1500
2000 IU
mcg
Vit D
400 IU
400 IU
400 IU
Vit E
7 IU
6-12 IU
Vit K
200 mcg
8 -10 mcg
Vit C
80 mg
18-24 mg
80 mg
Vit B1
1,2 mg
0,18-0,24 mg 1 mg
(thiamin)
Vit B2
1,4 mg
0,25-0,36 mg 1,2 mg
(riboflavin)
Vit B6
1,0 mg
0,15-0,20 mg 1 mg
(pyridoxine)
Vit B12
1,0 mcg
0,3 mcg
2 mcg

Principles infant feeding-yg sehat dan aterm harus lsng di

breastfed ASAP
No history excesive oral sekresi(muntah,aspirasi)
Nondistended abdomen dg normal bowel sound
RR <60 breath/min utk oral, <80/min utk OGT
PrematurInitiated as soon as possibledimulai 3 hari
ptama dgn tujuan 2-3 minggu udah full enteral feed
o Stable,large premature neonate (>1500g)makanan
within 24 jam ptama
General Guideline
1. Initial feedingbreastfeed plg bagus, kalo ga ad cari donor,
kalo susu formula6-10x incidence NEC
2. Subsequent feedingdilanjutkan bila yg ptama ditoleransi.
Knaikan 10-30mL/kg/hari. Bisa dari 1x/hari jadi 2x/hari.
3. Minimal enteral feeding(trophic feeding)kasi small feed to
supplement parental nutrition
a. Cegah GIT atrofi, fasilitasi maturasi GIT, turunin
kolestasis, metabolik bone dz, NEC
b. Utamanya pake Breastmilk, kalo ga pk formula
c. Volumenya range dr 0,1-24 mL/kg/day
d. Feeding pake orogastric/nasogastric
e. Utk yg extreme BBLR (<1000g,<28 weeks) pake 1020 ml/kg/hari tiap 2 jam ssuai toleransi.
4. Ssuai weight based on birth weight dan gestational age
<1200 g; GA <30 minggu