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In the care of a 3-day-old infant exhibiting signs of neonatal abstinence syndrome (NAS), encouraging bottle feeding should be approached with caution. Infants with NAS may struggle with feeding due to withdrawal symptoms, which can include poor feeding behavior, irritability, and difficulty coordinating suck and swallow. As a result, breastfeeding is typically preferred, as it can be soothing and help manage the symptoms of NAS. Breastfeeding also provides the infant with essential nutrients and can help foster a better feeding attachment.
Bottle feeding may not be the optimal choice for these infants as it can contribute to increased stress and feeding challenges. Infants experiencing NAS often require a sensitive and nurturing approach to feeding that allows for bonding and comfort, both of which can be better supported through breastfeeding.
Meanwhile, practices like encouraging skin-to-skin contact, providing a quiet environment, and monitoring weight gain are beneficial for an infant with NAS. These methods promote well-being, stability, and growth in infants, helping to alleviate some of the stress associated with withdrawal while enhancing overall developmental outcomes.