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Use of donor breast milk in neonatal units in the UK
  1. Christos S Zipitis1,2,
  2. Jonathan Ward2,
  3. Rohini Bajaj2
  1. 1Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK
  2. 2Neonatal Unit, Wrightington Wigan & Leigh NHS Foundation Trust, Wigan, UK
  1. Correspondence to Dr Christos S Zipitis, Neonatal Unit, Royal Albert Edward Infirmary, Wrightington Wigan and Leigh NHS Foundation Trust, Wigan Lane, Wigan, WN1 2NN, UK

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Maternal breast milk is the best source of enteral nutrition for preterm or low birthweight infants. With insufficient volumes of maternal breast milk, donor-expressed breast milk (DEBM) or artificial formula are two common alternatives. Despite publication of a recently updated Cochrane review1 demonstrating a decrease in the risk of necrotising enterocolitis (NEC) in babies receiving DEBM compared with those receiving formula, concerns about the methodological quality of some of the included studies, their applicability to current neonatal practices (the majority of included trials were carried out in the 70 s and 80 s), the slower in-hospital growth rates of those on DEBM and the fact that growth-restricted premature infants as well as unwell infants were generally excluded …

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