praveen

Hi @Greice Batista , I work in a surgical nicu in UK and we have a very protective approach to feeding, similar to yours for preterm babies 30-33 weeks, especially IUGR with documented poor Antenatal Doppler flows. We stratify these babies into high risk, moderate risk and low risk depending on their background and occasionally preterm IUGR babies <1.2-1.4 kg would receive IV fluids/ TPN while we slowly increase enteral Maternal/Donor EBM feeds over 7-10 days. While I agree with @Stefan Johansson that there’s no strong evidence to support this practice, practically we have struggled with poor growth and abdominal concerns in the smaller IUGR babies, when we tried to push feeds in the past. I’m awaiting the results of the FEED1 trial RCT which compared rapid vs normal rate of feeding in 30+0 -32 week babies to find out more.

Is there any good quality evidence around probiotics and reduction or increase in infections in neonates?

Hi Katja, we use Metavision on our NICU, and also our PICU and Adult ICUs. I have used another version of the same software at another hospital in UK.When transitioning from paper notes to electronic notes, there are always some small sticking points, but the system’s adaptable and you can make changes. What are your main concerns?