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GENERAL POLICIES
Infant with special needs requiring supplemental milk formula shall be purchased by the
hospital’s pharmacy department only.
SPECIFIC POLICIES
A. Pre-term, low birth weight infants (categorized as born weighing less than 1500 g and those
born less than 32 weeks gestational age)
1. Pre-term, low birth weight infants are frequently feed using breastmilk.
2. Use of expressed breastmilk from the infant’s mother is also recommended.
3. Use of fortifiers and formula in order to help the baby grow more rapidly shall be explained
to the mother and shall be documented in the patient’s chart.
4. If both breastmilk and formula are given, the formula should be mixed with breastmilk for
better absorption.
B. Physiological jaundice
1. Infants with cleft lip and palate shall be feed with expressed breastmilk from their mothers
using a cup.
1. Infants with Galactosemia shall be feed with a galactose free formula and it shall be
purchased by the hospital’s pharmacy department only.
2. Mothers of infants with Galactosemia shall be taught on how to prepare the said formula.
3. Preparation of the said formula shall be done only at the watcher’s pavilion.
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CLYDE CYRIL L. BACULIO, VICTORIA S. DAZO ALLEN GEOFFREY G. ESPAÑOLA,MD
RN,MAN Administrative Officer II Chief of Hospital
Nurse 1/QA Officer/MBFHI
Coord./Special Asst. to the COH
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