1. Ms. Ahdab Faisal Eskandar Applied Medical Sciences collage Nursing department Pediatric Nursing course

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

3.  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.

4. 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.

5.  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.

7.  Feeding bottle contains Formula milk (prepared according company instructions)  Nipple  Tissue  Gown or apron

8. RationalNursing 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 C 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

10. RationalNursing Action -to direct the infant toward the bottle 6-Place bib under infant chin. - To prevent aspiration7-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.

12. RationalNursing 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

13. RationalNursing 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

15.  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

16. Any questions?