Breast Milk and NEC Prevention — RACP Paediatrics MCQ

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EasyNeonatologyBreast Milk and NEC PreventionRACP Paediatrics

A preterm infant at 32 weeks is being fed expressed breast milk. What single intervention most reduces the risk of necrotising enterocolitis?

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Correct answer: C — Feeding with mother's own breast milk

Mother's own breast milk (or donor breast milk if unavailable) is the single most important intervention for NEC prevention. Breast milk provides IgA, lactoferrin, prebiotics, and anti-inflammatory factors. The risk of NEC is 6-10 times higher with exclusive formula feeding.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: NEC Prevention