Formula FeedingMs. Ahdab Faisal Eskandar

Applied Medical Sciences collageNursing department Pediatric Nursing course

Introduction to bottle feeding Purpose of bottle feeding Notes to be remember Equipment Procedure conclusion

Outlines:

Artificial method used for feeding in addition to breast feeding or alone.

Formula can be easily prepared by mother or nurse.

Formula composition is similar to breast milk but do not replace it .

Iron fortified formula is recommended by all pediatrician nowadays.

Introduction

I. Provide infant with adequate fluid and

caloric intake for appropriate growth.

II. Supplement breast feeding with formula.

III. Give additional fluid intake between

feedings.

Purposes of bottle feeding:

The nipple should be plain, bulb ended with flange on base not soft and not to firm.

It has3 holes and number of drops when bottle is upside down should be about 16 per minute .

Bottle should be plain , graduated , wide opening ,made of glass or Pyrex.

Notes to be Remembered

Procedure

Equipments: Feeding bottle contains Formula milk

(prepared according company instructions) Nipple Tissue Gown or apron

Rational Nursing Action

- Reduce transmission of micro-organism

1- Perform hand washing

2-Take standard precautions and prepare the feeding bottle

- Test the milk temperature and flow of milk letting a few drops fall on inner side of the wrist

3-Warm formula to body temperature by placing it in pan of water at 48 Cᵒ for 10 minutes

- Check the intake and output chart

4- Check the infant formula name and amount before the feeding

- Do not contaminate the bubble of the nipple

5-Take the bottle to the bedside and put on gown or apron

Rational Nursing Action

-to direct the infant toward the bottle

6-Place bib under infant chin.

- To prevent aspiration 7-Hold infant in nearly up-right position with his head above the crook elbow .If contraindicated raise head only.

-Be comfortable and relax during feeding

8-Induce sucking reflex by placing the nipple over lips, infant will soon grasp it.

-do not leave infant with empty bottle

9-Hold nipple at right angle to infants mouth so that the neck of bottle is always filled with milk.

Rational Nursing Action

-pull the nipple and put you’re the tip of finger gently remove it

10-Take nipple out of mouth slowly

-to get ride of gases and prevent colic

11-Burp the infant during and after the feeding

-if the infant vomited he would not aspirate

12-Wip infant mouth with the tissue , place infant in curdle on his right side with head elevated foe 20 minutes

Rational Nursing Action

-Time saving

-Feeding time should not exceed 30 minutes

- Reduce transmission of micro -organism

13-remove gown or apron and replace articles so all are ready for next feeding

14- wash the bottle with soap and water and boil it

15-Record on the chart: * type and amount of formula taken *length of feeding time *how feeding was tolerated * any regurgitation or emesis

16-Perform hand washing

Sterilizing In pot put all plastic or Pyrex bottle except

nipple. Fill the pot with water Boil it for 15 minutes or according to

manufactures instructions In the last 3 minutes add the nipple Take the bottle out on stand or towel to dry

conclusionAny questions?

Thank you