Hi friends

We are trying to change from a conservative to more aggressive feeding protocol based on current evidence on its safety. We will be using breast milk exclusively.  I have seen the previous post on this topic but looking for a formal protocol/algorithm on feeding and dealing with  gastric residuals.

Appreciate your help!

Mike sukumar MD

Neonatologist

Rockville MD

USA

We start breast milk firstly and if it not available we start formula 20cal/oz till 100ml/kg then switch to 24cal/oz