Nutrition & Feeding

What is your opinion about intermittant OG feeding in preterms to prevent GO reflux ( replacement of tube before every feeding period and then remove tube) ? How is your practice? If the baby needs to feed with tube, my practice is to keep tube and to change every 2-3 days in preterms.

בס"ד Copper content in Similac Special Care 24 is 250-400 mcg/100Kcal, while the maximal recommended content in the literature is 250 mcg/100Kcal. Any comments, explanations? Yoram Bental M.D. NICU Laniado Hospital Israel

Have a full term newborn (uneventful antenatal period, well nourished mother) LSCS B.Wt 3.3 kg, mild resuscitation required at birth (Bag & Mask) APGAR's 6/10 & 9/10 needing ventilation with 22/6 FiO2 50%. CXR showing a little fluid. 2-D ECHO Color Doppler Normal. No apparent obstructive lesion on direct laryngoscopy. Developed generalized edema on day 3. s-Albumin 2gm% and s-Calcium 5.6 mg% with with normal LFT, normal RFT, No urinary loss of proteins, no ascites or effusions. No sepsis. The child is on full orogastric tube feeds since day 3 of life. Cannot not figure out the cause of the Hypoalbuminemia.