Sounds like the paediatrician is working out this baby's intake at 
110 ml/kg/day at present - which would be a little high, in my 
experience. The doctors I have worked with have had slightly 
different protocols for sick newborns and pre-terms, but usually 
ordered expressed breastmilk at 60 ml/kg/day on Day 1, 90 ml/kg/day 
on Day 2, 120 ml/kg/day on Day 3, 150 ml/kg/day on Day 4 - Day 10, 
then 180 ml/kg/day from 10 days onwards - and going up from there if 
the baby is well.    However, if the eventual goal is 80 ml per feed, 
then for an 8 lb 2 oz baby (3.6 kg) this would be about right.

Pamela Morrison IBCLC
Rustington, England (formerly in Zimbabwe)

At 17:59 21/09/2007, you wrote:
>Date:    Fri, 21 Sep 2007 10:06:38 -0500
>From:    Lactatio <[log in to unmask]>
>Subject: Required intake
>
>Can anyone lead me to a reference for the required volume intake for =
>newborns?  Peds is saying the goal is 80ml/Kg/day.  Baby is just out of =
>Special Care for respiratory problems at 24 hours of age , 8 lb 2 oz, =
>AGA full term.  MD wants baby to have 48ml of breastmilk/ABM per =
>feeding.  Is there a reference anywhere for the first few days of life?  =
>Thanks in advance.
>Linda Anderegg, BSN, RNC, IBCLC
>
>Lactation Consultant
>Silver Cross Hospital
>1200 Maple Road
>Joliet, IL 60432
>[log in to unmask]
>(815)740-1234 ext. 7321

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