There are some families where the arrival of a new baby has put them in a state of worry ever since, because their baby suffers from congenital heart disease. Congenital heart disease children commonly have feeding difficulties, malnutrition and growth retardation, the reasons for this include objective congenital cardiovascular malformations caused by changes in the systemic nutrition supply, subjective, poor nutrition and mother’s feeding behavior is closely related, more than 50% of the mother has more or less feeding misconceptions. Feeding skills for children with precardiac disease 1, non-breastfeeding After delivery, because the child’s condition needs to be transferred to the neonatal care unit for observation and treatment, the mother was not able to open the milk in time, or give up breastfeeding for reasons such as poor sucking power of the baby, reduced milk and more difficult breastfeeding. Breast milk is the most nutritious food, can improve the baby’s immunity, and the oxygen saturation during breastfeeding is higher than bottle feeding, therefore, the mother should breastfeed as much as possible, a small amount of more meals, segmented feeding, the middle to give rest and exhaust time, feeding on demand. 2, lying down feeding Feeding position is best to pick up the baby, half sitting lying (45o) on the mother’s lap, cyanotic children with knee-chest position (knee near the chest), which helps to increase the sucking force and promote digestion. While feeding, pay attention to the baby’s signs changes, appear shortness of breath, cyanosis, choking and coughing, to immediately stop, if necessary, sent to the hospital. After feeding, pick up and pat the back for about 10 minutes to help exhaust, after which the right side of the bed, elevate the head of the bed to prevent overflowing milk. 3. Inappropriate feeding utensils Although pacifiers with large apertures are easier to suck, they are also likely to cause choking and coughing in children and even aspiration pneumonia. A pacifier with too small an aperture will make it hard for the child to suck and increase oxygen consumption. The size, texture, hardness, and shape of the pacifier should be carefully considered, depending on the child’s sucking power and swallowing ability, so as not to cause choking and sucking effort. If the sucking power is low or if there is breath-holding or bruising when sucking, use a small spoon to feed, put the spoon close to the side of the child’s mouth and slowly make the milk flow into the mouth. 4, do not add supplementary food in time Parents refuse or delay to add supplementary food in order to increase the intake of dairy products or because they are worried about the intestinal disorder caused by the complex diet, which is also a wrong concept. Precocious babies should be the same as normal babies 4 to 6 months to gradually add complementary foods, complementary foods added to the principles of: from less to more, from thin to thick, fine to coarse, from one to many, in the baby’s health digestive function is normal. 5, bad eating habits In order to make the child eat more, parents can let the child eat while playing, chasing and feeding, a variety of snacks are available, which is likely to cause indigestion, picky eating, poor absorption and other problems. On the one hand, the diet of a baby with prediabetes should be given extra care and attention, but on the other hand, its eating habits should be treated like a normal baby, or even more strictly. Parents who feed inappropriately can have an impact on the child’s condition. The following are some practical feeding tips for parents: 1, supplement more calories Precocious children need more calories every day to meet the needs of growth and development because their basal metabolic rate is higher than that of normal children of the same age. Note: Calorie supplementation should be done under the guidance of a health care provider. For small breastfed babies, formula or special breast milk additives can be added to breast milk to increase the calories to 80~90 kcal/100ml (67 kcal/100ml for exclusive breast milk). For non-breastfed and mixed-fed children, high-calorie formula should be used (80~100 kcal/100ml), such as formula for preterm babies with low weight. 2. Patience is needed when breastfeeding Children are easily tired and gasping when breastfeeding. The mother should adapt to the child’s need to eat and stop, and should give a certain number of breaks and exhausts in between. If sucking is difficult, use a dropper or syringe to drip in. 3.Watch the child’s face when breastfeeding Mom should pay close attention to the changes in the child’s signs when breastfeeding, and stop breastfeeding immediately if there is rapid breathing, choking, or blue lips, and send to hospital if necessary. 4. Pat your back after breastfeeding to prevent overflow After feeding, first pat your child’s back to help exhaust. Then put down the child, keep the right side lying position, raise the head of the bed and observe whether the child has milk spillage. How to pat the child’s back: Sit the child on the mother’s lap, hold the pillow and the back of the neck with one hand, bend the other hand into a hollow palm and pat the child on the back. You can also hold the child upright, let the head rest on the mother’s shoulder, pat the back and exhaust for 10 minutes, and hear the hiccups at the end of the row. 5.Treatment of vomiting During feeding, if vomiting occurs, first turn the child’s head to the side, pat its back, let the residual milk flow out of the mouth, and quickly clean the mouth (gauze wrapped fingers into the mouth) to prevent choking and coughing causing aspiration pneumonia, hypoxia and other serious situations. 6. Special cases Children with combined cardiac insufficiency and gastroesophageal reflux can be fed in small amounts, several times, while reducing or controlling the amount of water consumed to reduce the burden on the heart. For children of toddler and child age, encourage the intake of foods containing high protein, high carbohydrate and high fat, drink more milk as appropriate, and avoid or drink less calorie-free beverages. Warm tips Children with precardiac disease who have obvious feeding difficulties, no weight gain or slow growth suggest that conservative treatment or medical treatment is not effective and should be treated early with interventional treatment or surgery. Generally, after surgery, the child will eat significantly more and gain weight rapidly to catch up with children of the same age.