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Comment & Response
November 2016

Supplemental Feedings for High-Risk Preterm Infants

Author Affiliations
  • 1Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh
  • 2Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California
  • 3Division of Neonatology, WakeMed Health and Hospitals, Raleigh, North Carolina
JAMA Pediatr. 2016;170(11):1112. doi:10.1001/jamapediatrics.2016.2352

To the Editor The literature shows that the use of a predominately human milk diet (≥98%) in very low-birth-weight infants supports appropriate growth and development, decreases rates of necrotizing enterocolitis (NEC), decreases overall patient care costs, allows for earlier discharge, reduces patient risk of readmittance, and increases human milk consumption postdischarge.14 In their article, Corpeleijn et al5 conclude that feeding premature infants a diet of pasteurized donor milk during the first few days of life had no significant effect on preventing adverse health events. When considering how this study will affect clinical practice, we would like to encourage health care professionals to pay close attention to the following aspects: participant characteristics, duration of study, dose of donor milk or formula, and high rates of NEC observed.

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