Abstract

The use of minimal enteral nutrition (MEN) in newborns with hypoxic-ischemic encephalopathy (HIE) receiving therapeutic hypothermia (TH) represents a much-debated topic in neonatology. A recent survey among UK neonatal units reported that only 31% of the responding units had feeding guidelines in HIE and 37% of them are used to providing intravenous dextrose fluids without feeds.(1) At present, it is common practice to withhold enteral feeding due to the risk of developing feeding intolerance or necrotizing enterocolitis (NEC), the foremost gastrointestinal complication.

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