Breastfeeding the Premature Infant

Amy Weekley
When your baby is born prematurely, you're undoubtedly worried and concerned for his health and well-being above all else. You want to do everything in your power to ensure that he grows up healthy and strong. One of the most important things you can do for your preemie's health is to breastfeed, yet many mothers of premature babies are discouraged from breastfeeding. Many doctors recommend that mothers of preemies give their babies special preemie formula, insisting that this formula is better equipped to nourish their baby's unique needs. But this is far from the truth. Premature infants need breastmilk even more than babies born at full-term.

Extra calories

When your baby is born prematurely, your body knows. Your body will compensate by making extra-rich breastmilk full of all the nutrition that your premature baby needs. Studies have shown that the milk produced by the mother of a premature infant is significantly different from that produced by the mother of a baby born at full-term.

Antibodies

Premature infants are especially susceptible to infection. Breastmilk is rich in antibodies that boost a baby's immune system and help him fight the germs that are bombarding him each day. Sometimes this extra immunity can be an absolute life-saver for a premature baby.

Extra nutrients

Breastmilk contains the exact combination of nutrients that a baby needs. This is especially true for premature babies. Infant formula contains synthetic replicas of many of these nutrients, and in many cases, these nutrients aren't well-utilized by the body. (Case in point: the iron in formula is not as easily absorbed as the iron in breastmilk, often resulting in constipation and anemia as well as other digestive problems.) There are many nutrients in breastmilk that have not yet been duplicated in a lab, and it is estimated that there are still hundreds more that have not yet even been identified, let alone replicated. By feeding your premature infant formula, you will deprive him of many of the nutrients that his body needs to develop to his fullest potential.

Skin-to-skin contact

You may have heard of the term "kangaroo care." This involves holding your baby to your bare chest so that he can feel your heartbeat and soak in your body heat. This is a very important practice for premature infants. Your body can warm him better than any incubator, and he needs to feel that closeness to give him the strength to survive. Breastfeeding is a great way to give him this contact, nourishing his spirit as well as his fragile body.

What if baby is unable to nurse?

This is often a very real concern for premature babies. Their suckling reflex isn't fully developed, and they often don't have the strength and stamina required to nurse. As a result, many premature babies are fed through a tube. But just because your baby can't physically suckle doesn't mean that you can't provide him with breastmilk. By hand expressing or pumping breastmilk, you can still provide him with nature's perfect nutrition.

You can also request that your baby be fed with a syringe or cup instead of a tube or bottle. There are instances in which this is not a good idea, but many premature babies can thrive on breastmilk administered this way. Using a small cup or syringe instead of a bottle will help prevent nipple confusion when you want to put the baby to breast later on. If you can feed your baby without a tube, you will be able to hold him more, which will help with the bonding that he so desperately needs. Feeding with a cup or syringe will take more time, so if the hospital staff seems unwilling to do this, offer to stay with your baby and handle feedings yourself.

Do everything you possibly can to get that wonderful breastmilk into your preemie. It is the absolute best choice you can make for his health.

Published by Amy Weekley

I'm a stay-at-home mother of two, loving every minute of it. Writing has long been my hobby, and I figure it's time to share my work with the rest of the world. Enjoy!  View profile

  • Breastmilk has antibodies to help boost your preemie's weak immune system.
  • Your breastmilk is specially formulated to meet your child's unique needs.
  • Skin-to-skin contact is extremely important for the premature infant.
Many doctors recommend that mothers preemies special formula, insisting that this formula is better equipped to nourish their baby's unique needs. But this is far from the truth. Premature infants need breastmilk even more than babies born at full-term.

15 Comments

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  • Melissa10/24/2008

    I just gave birth to a 36 weeker and insist on breastfeeding. He doesn't seem to be getting a lot but is trying. I have to supplement by pumping and couldn't believe how thick my milk looked compared to when I pumped for my older son. How exciting to see its because my body's producing the hgher calorie milk.

  • Lina Gerova-Wilson4/9/2008

    Great article!My 11 week old now baby was born full term and nursing beautifully but I have heard about preemies that were formula fed because they would not latch or because the mothers were advised they needed 'special' formula.I did not know about the milk of moms of preemies being different than the full term baby ones.Female nature never ceases to amaze me!

  • Angela Kastelic4/2/2008

    Amy, you're right about doctors not knowing about breastfeeding. As a nursing student, I was given a case study (based on an actual patient) of a mom who'd been in a car accident and had a splenectomy (removal of the spleen). She had a baby whom she was breastfeeding, but had stopped two days ago on her doctor's advice. There was absolutely no reason that this mother could not breastfeed, provided that she was careful about her recovery and informed her doctor that she was breastfeeding so that he/she could be certain that any medications she was on were safe. You're right, too, about the importance of breastfeeding preemies. NICU staff should be willing to help a mom who wants to breastfeed. Some facilities will have freezers or fridges where you can store breastmilk, and a baby can be gavage-fed breastmilk if necessary.

  • Melissa Bushman4/3/2007

    Great advice.

  • A. L. Fox3/31/2007

    Excellent article. My twins were full-term but quite small, and Jeremy had a few minor problems right after he was born. The nurses insisted he be fed formula and didn't believe he was nursing well. He was given formula a few times because of blood sugar issues, but as soon as those resolved he was nursing alongside Zac, and they both thrived. I love that you mentioned the skin-to-skin contact...that is essential. Great job.

  • Linda M. McCloud3/16/2007

    Thank you for the advice. I am sure this will be beneficial for many young mothers.

  • Veronika Fevers3/16/2007

    I enjoyed this piece..just goes to prove that again, nature knows best. :)

  • Question Everything3/16/2007

    Another great article. I had no idea women's bodies were so naturally in tune with meeting the needs of premature babies.

  • Amy Weekley3/15/2007

    It happens more than you'd realize, Carol. Most doctors know very little about breastfeeding. It's really a shame.

  • Carol Gilbert3/15/2007

    Infuriating to think a doctor would tell a woman not to breastfeed a preemie. Grrrrrrrr!

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