Baby’s Only® Goat Milk Toddler Formula with DHA and ARA was designed to be used orally in place of milk in a toddler’s diet in conjunction with nutritious snacks and meals. If a child’s medical situation requires use of a tube for feeding formula as a sole source or supplemental source of nutrition, the specific amount to be fed per day and the caloric density of the formula will need to be determined and monitored by the child’s healthcare provider in consultation with a registered dietitian nutritionist to assure appropriate nutritional needs are met. Baby’s Only® Goat Milk Toddler Formula with DHA and ARA offers 20 Calories per ounce when prepared according to label instructions. Healthcare providers can obtain instructions for concentrating Baby’s Only® Goat Milk Toddler Formula with DHA and ARA to various caloric levels by contacting the registered dietitian nutritionist at Nature’s One at firstname.lastname@example.org.
Baby’s Only® Goat Milk Toddler Formula with DHA and ARA is available in powdered form only. Unlike ready-to-feed liquid formulas, powdered formulas are pasteurized, but not sterilized. Meticulous attention must be paid in handling and preparing a powdered formula to be used for tube feeding. Cleanliness and sterility of all mixing equipment and containers is necessary to avoid contamination. Purified, distilled, or sterile water should be used to prepare the formula. The formula needs to be well mixed with the water to avoid any clumping, which could clog the tube.
Consideration also needs to be made as to what type of tube placement the child has. Baby’s Only® Goat Milk Toddler Formula with DHA and ARA would be appropriate for nasogastric or gastrostomy tube feedings but is not appropriate for a child with a jejunostomy. The hang time for powdered reconstituted formulas used as tube feedings is currently recommended to be no more than 4 hours to avoid growth of bacteria.
As with all enteral feeding practices, please follow the Enteral Nutrition Practice Recommendations published on January 27, 2009, by the Enteral Nutrition Practice Recommendations Task Force and the A.S.P.E.N. Board of Directors. This publication can be found at: https://onlinelibrary.wiley.com/doi/pdf/10.1177/0148607108330314
Additional information on safe tube feeding practices can be found at: Boullata JI, Carrera AL, Harvey L, et al. “ASPEN Safe Practices for Enteral Nutrition Therapy,” JPEN; 2017, 41 (1):15.
Are there any new guidelines from ASPEN that need to be taken into consideration? [DW1]