Tag Archives: Necrotising Enterocolitis

Why is MOM best? part 2

MOM is best, because it leads to the lowest incidence of NEC; but why? (if you didn’t read part 1, MOM is Mother’s Own Milk) The impacts of milk processing which create the differences in milk composition, detailed in my … Continue reading

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Why is MOM best?

Mother’s Own Milk (MOM) seems to be the best base for enteral nutrition of the preterm infant, in terms of the risk of infection, the risk of Enterocolitis (NEC) and, probably, long term neurodevelopment. Reasonably good data show that replacing … Continue reading

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Measure gastric residuals? Safe to stop?

A new RCT published in JAMA pediatrics compared growth and other clinical outcomes between infants <33 weeks gestation and <1250g who were managed with routine gastric residual measurements or without. (Parker LA, et al. Effect of Gastric Residual Evaluation on … Continue reading

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Do transfusions trigger NEC? or does anemia?

I am still unconvinced that transfusion associated NEC is a real thing, I think it is possibly a real phenomenon, but I am not sure how to know for sure. Some of the best evidence I think comes from the … Continue reading

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Prebiotics and preterms and probiotics.

A selection of recent publications, regarding the issues in the title, that I find interesting and which seem to tell a consistent story. From Nick Embleton’s group the following interesting study (Stewart CJ, et al. Longitudinal development of the gut … Continue reading

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All that pneumatoses is not NEC

OK, I know pneumatose is not a verb, but I thought it was a cute title. What is NEC, anyway? Necrotizing Enterocolitis, of course, you might reply. But it’s not as simple as that. The very preterm baby who deteriorates … Continue reading

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Oxygen for preterm infants, what dose of this toxic drug is the right dose? #NeoEBM

The NeoProm primary publication is the result of a prolonged gestation; I remember meetings over 15 years ago when Cynthia Cole from Boston was suggesting the idea, and although she was not, I think, finally an author on any of … Continue reading

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Even more thoughts on breast milk fortification

I thought I would discuss the new study by O’Connor and colleagues in a little more detail (O’Connor DL, et al. Nutrient enrichment of human milk with human and bovine milk-based fortifiers for infants born weighing <1250 g: a randomized … Continue reading

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More on breast milk fortification

The trial that I mentioned in my previous post on this topic, that I said had not been published, has now been published! O’Connor DL, et al. Nutrient enrichment of human milk with human and bovine milk-based fortifiers for infants … Continue reading

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PAS 2108 No4: you little SCAMP!

In the part of England where I was born and spent the early years of my life, and where my parents are from, the Manchester region, ‘scamp’ was a sort of affectionate term for a young child who had done … Continue reading

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