43 Gestational age Method of feeding Explanation <32 weeks Tube (Gavage) feeding Sucking and swallowing abilities are present at birth but are not mature. 32-34 weeks Palladai feeding Swallowing and breathing are coordinated by 32 weeks, hence palladai feeding can be given. >34 weeks Direct breastfeeding + palladai feeding By 34 weeks, babies can coordinate sucking, swallowing, and breathing, so direct breastfeeding can begin. But, the small baby may tire easily, and so it is necessary to offer palladai feeding after feeding directly. The signs of good attachment are: More areola is visible above the baby’s mouth than below. The baby’s mouth is wide open. The lower lip is turned out. The chin is touching the breast. Good attachment Preferred ways of feeding as per gestational age
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