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Breastfeeding rates at discharge: don’t blame the fortifier! A national survey of practice and comparison with NNAP data
  1. Samantha Stiles,
  2. Laura de Rooy
  1. Neonatal Unit, St George’s Hospital, London, UK
  1. Correspondence to Dr Laura de Rooy, Neonatal Unit, St George’s Hospital, London, SW17 0QT, UK; Laura.DeRooy{at}stgeorges.nhs.uk

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The number of babies being discharged in the UK receiving any mother’s milk is reportedly only 58% (National Neonatal Audit Programme (NNAP) 2015).1 It is has been postulated2 that the reduction in breast feeding at discharge for preterm infants might be linked to the use of breast milk fortifier (BMF).

BMF has been in use for many years. There is considerable variation in practice with regards to its use in the UK and internationally. Despite lack of evidence demonstrating a clear association, many still have concerns that BMF use may be linked to the onset of necrotising enterocolitis (NEC). All research into NEC is limited by the fact severe NEC is fortunately …

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