hello to neonatologists in the world.after Npo period in treatment of NEC which kind milk is better? what is your idea about neutramigen in NEC? thanks,dr.bita najafian tehran iran

Expressed breast milk is the best!

very thanks!if mother doesnt have milk ,non postorisated human milk is appropriate or premature formula?

If expressed breast milk not available, yes one can use preterm formula

i agree expressed breast milk is the first option then preterm

formula , sometimes hydrolysed formula are used

To restart feeding from NPO for NEC EBM is prefered.If EBM is not available then we can used regular formula feed with low osmotic load still baby tolerate it upto 100 ml/kg ,then we replace it either with preterm formula feed or fortify it with HMF/MCT oil to reach to fullfeed (160-170ml/kg/day

We keep infants null per os during NEC treatment , and solely use mother's own expressed milk or donated "bank" milk for VLBW infants before/after the NPO period.

If we need to use formula, we give preterm formula only, not Nutramigen.

We use EBM first, then donor BM or preterm formula if mother does not consent to donor.

my friends,thankyou so much!

We start with EBM .