Do you use it??

We use it a crazy lot 😀

After all preterm infants stop our probiotic (ProPrems BTW) at 34w PMA, I think almost a majority of preterm infants get the Junior version of macrogol product.

I am not very confident we do the best thing here, but this is how we do it...

On 4/16/2026 at 11:12 AM, Pototo said:

Do you use it??

We do not use it.

What is the indication?

2 hours ago, Dotan S said:

What is the indication?

We use it for laxation. I do not believe the level-3 NICUs uses it during the level-3 stay but many of our preterm patients get it when they go into more advanced post-menstrual ages, like ≥34 week.

But as said, I think this is like a "Stockholm tradition" and I personally do not feel comfortable this is the right thing to do... On the other hand, many parents report that infants get "less grumpy and have better gut movements", but this could potentially also be a placebo effect.

Use of Macrogol to Accelerate Feeding Advancement in Extremely Preterm Infants. Neonatology (2025) 112 (3): 350-359

I am very interested in this concern.

Here's the link to the paper: https://pubmed.ncbi.nlm.nih.gov/39900010/

Hi all, any ideas if these babies helped with macrogol are mainly formula-fed? I have to say I have not seen a baby fed breastmilk who gets constipated (unless surgical/Hirshprung's concerns).