Which milk is better in extremely premature babies when there is not human or mothermilk?

[Theodoros Gkouvas]

Hello everyone! I would like to ask about the choice of milk you do for an extremely premature neonate when there is not human milk or mothermilk. Here, in Greece some NICU's give EHF instead and when the baby achieves full enteral feeding they change it to premature formula. 

Thanx in advance 

[ppachi]

In our NICU, in the absence of breast or human milk, we use formula for premature babies in extremely preterm babies. There is no support in the literature for the use of partially or extensively hydrolyzed formulas or amino acids. Post-enteritis, the use of an extensively hydrolyzed formula can be considered, but it is not our routine.

[M C Fadous Khalife]

I agree with Paulo. We have the same attitude

[sselim]

I agree in case no EBM, We can use partial hydrolyzed formula in such situations. 

[gmavrogeorgos]

The problems with any formula other than preterm formula are lower calories, lower amount of protein, Ca, P etc PLUS the lack of evidence to do so.