The infant born small for gestational age faces feeding challenges; some of them unique and different than the preterm or near-term infant. A review of the literature explores the evidence-basis for caring for such infants while protecting exclusive breastfeeding to protect optimal growth and health outcomes. A case study of an SGA infant is provided, including videos, photos, and long-term follow-up.
Most lactation consultants are unaware of the special needs and concerns of the SGA infant. This comprehensive review of the issues emphasizes the critical nature of exclusive human milk feeds in this population of infants.