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Arch. Dis. Child. Fetal Neonatal Ed.. Published Online First: 31 August 2009. doi:10.1136/adc.2008.148197
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Review

What's new in enterally feeding the preterm?

Caroline King 1*

1 Hammersmith Hospital, United Kingdom

* To whom correspondence should be addressed. E-mail: caroline.king{at}imperial.nhs.uk.

Accepted 12 August 2009


Abstract

Along with most aspects of neonatal care how, when and what is given as enteral feeds has evolved considerably over the last 2 decades. Feeds are started earlier and advanced more rapidly and they are much more likely to be human milk. Steriod administration pre delivery and surfactant post delivery resulting in preterm babies needing less intensive respiratory support has in part allowed this more liberal approach. However increasing evidence that using the gut carefully and wherever possible with breast milk will aid adaption to extra uterine life has also helped.


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