It looked like she was refusing

Ari was offered a full feed but could manage only a small part by mouth before she stopped. We thought she needed to become hungrier. What she actually needed was stamina.

Sucking, swallowing and breathing in the right order is hard work for a baby born early. She was not being difficult. She was tired.

The daily numbers bounced around

One day she took more and we celebrated. The next day she took less and we felt crushed. Looking across a week told us far more than staring at one feed.

Tests, baths and busy days also used energy she might otherwise have spent feeding. Once we understood that, a smaller feed did not automatically feel like a disaster.

We followed her cues

Within the NICU plan, feeding when she was alert helped. So did letting her stop when she showed she was finished rather than turning every last millilitre into a battle.

When Papa first fed Ari, he was very excited—and then she suddenly went still and seemed to switch off. Papa thought she had lost consciousness. The NICU nurses stepped in, explained that she had become exhausted and showed him how to pace the feed: let her drink, lower or remove the teat for a breathing break, then continue only when she was ready.That was normal for Ari in that supervised NICU moment, not something to assume is harmless at home. If a baby becomes unresponsive, changes colour or struggles to breathe during a feed, stop and get urgent help.

We asked about teat flow and positioning too. Premature feeding is individual, so the NICU nurses and doctors are the right people to guide volumes, pacing and when a tube is still needed.

Call your doctor if

  • She's taking noticeably less by mouth than she was
  • She goes pale, or her breathing changes during feeds
  • She's not gaining weight as expected
  • She's very sleepy and hard to wake for feeds