NEC Prevention Feeding Strategy — RACP Paediatrics MCQ

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ModerateGastroenterologyNEC Prevention Feeding StrategyRACP Paediatrics

A premature infant at 29 weeks is started on enteral feeds. What evidence-based strategy reduces the risk of necrotising enterocolitis?

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Correct answer: C — Standardised slow feeding advancement protocol with preferential use of breast milk

Standardised feeding protocols with slow, incremental advancement of enteral feeds (15-30 mL/kg/day) combined with preferential use of mother's own breast milk (or donor breast milk) significantly reduce NEC risk. Trophic feeds (minimal enteral nutrition) can be commenced early.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Enteral Feeding in Preterm Infants