{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T15:12:35Z","timestamp":1773241955230,"version":"3.50.1"},"reference-count":19,"publisher":"IMR Press","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2021,3,2]]},"abstract":"<jats:p>Infants born prematurely are often discharged from hospital before 37 weeks post-menstrual age. While breastfeeding will meet all the nutritional requirements of full-term infants, these preterm infants may need enhanced levels of protein, minerals and possibly energy to ensure optimum growth, bone mineralisation and neurological development. To meet these additional nutrient needs in the neonatal unit, it is currently recommended that multinutrient breast milk fortifier is added to maternal breast milk. There may also be benefits in continuing to provide fortified milk after discharge, potentially including improved growth and preserving breastfeeding, and this is increasingly becoming a recognised practice in some neonatal units. This article presents the discussion and consensus of a multidisciplinary panel of neonatologists, neonatal dietitians, a GP and a neonatal outreach sister. The aim is to develop guidance on providing safe and effective nutritional supplementation for preterm infants after discharge in order to maintain optimal growth. This guidance is aimed at community healthcare staff and is based on the limited evidence available, using shared best practice and expertise.<\/jats:p>","DOI":"10.12968\/hmed.2021.0101","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T11:46:29Z","timestamp":1615290389000},"page":"42-48","source":"Crossref","is-referenced-by-count":6,"title":["The role of breast milk fortifier in the post-discharge nutrition of preterm infants"],"prefix":"10.31083","volume":"82","author":[{"given":"Kenny","family":"McCormick","sequence":"first","affiliation":[{"name":"Consultant Neonatologist, John Radcliffe Hospital, Oxford"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"King","sequence":"additional","affiliation":[{"name":"Neonatal Dietitian, Imperial NHS Trust, London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Clarke","sequence":"additional","affiliation":[{"name":"Senior Specialist Neonatal Network Dietitian, West Midlands Neonatal ODN, Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Jarvis","sequence":"additional","affiliation":[{"name":"Retired Specialist Neonatal Dietitian, Nottingham University Hospitals NHS Trust, Nottingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Johnson","sequence":"additional","affiliation":[{"name":"Consultant Neonatologist and Honorary Senior Lecturer in Neonatal Medicine, Department of Neonatal Medicine, University Hospital Southampton"},{"name":"National Institute for Health Research Biomedical Research Centre Southampton, University Hospital Southampton and University of Southampton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen M","family":"Parretti","sequence":"additional","affiliation":[{"name":"Consultant Clinical Senior Lecturer in Primary Care, University of East Anglia, Norwich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora","family":"Greene","sequence":"additional","affiliation":[{"name":"Neonatal Outreach Sister, Nottingham City Hospital, Nottingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Males","sequence":"additional","affiliation":[{"name":"Lead Paediatric Dietitian, Dorset County Hospital, Dorchester, Dorset"},{"name":"Former Neonatal Dietitian, Aneurin Bevan University Health Board, Gwent, Wales conflicts of interest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"issue":"1","key":"B1","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/MPG.0b013e3181adaee0","volume":"50","author":"Agostoni C","year":"2010","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"4","key":"B2","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1097\/MPG.0b013e31819bc94b","volume":"49","author":"Aimone A","year":"2009","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"B3","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3389\/fped.2019.00076","volume":"7","author":"Arslanoglu S","year":"2019","journal-title":"Front Pediatr"},{"key":"B4","first-page":"CD000343","volume":"6","author":"Brown JV","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"issue":"15","key":"B5","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1056\/NEJMoa1816654","volume":"381","author":"Dorling J","year":"2019","journal-title":"N Engl J Med"},{"key":"B7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1159\/000358455","volume":"1101","author":"Ehrenkranz RA.","year":"2014","journal-title":"World Rev Nutr Diet"},{"issue":"2","key":"B8","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1093\/ajcn.81.2.480","volume":"81","author":"Euser AM","year":"2005","journal-title":"Am J Clin Nutr"},{"issue":"6","key":"B9","first-page":"319","volume":"70","author":"Euser AM","year":"2008","journal-title":"Horm Res"},{"key":"B10","first-page":"A47","volume":"99","author":"King C.","year":"2014","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"B11","doi-asserted-by":"crossref","first-page":"A80","DOI":"10.1136\/archdischild-2013-303710","volume":"99","author":"King C","year":"2014","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"B12","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1159\/000360195","volume":"110","author":"Koletzko B","year":"2014","journal-title":"World Rev Nutr Diet"},{"issue":"3","key":"B13","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1089\/bfm.2017.0188","volume":"13","author":"Maayan-Metzger A","year":"2018","journal-title":"Breastfeed Med"},{"issue":"10","key":"B14","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1136\/archdischild-2018-315951","volume":"104","author":"Marino LV","year":"2019","journal-title":"Arch Dis Child"},{"key":"B15","doi-asserted-by":"crossref","first-page":"S16","DOI":"10.1097\/01.mpg.0000471460.08792.4d","volume":"61","author":"Moro GE","year":"2015","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"4","key":"B18","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1542\/peds.2007-0054","volume":"121","author":"O'Connor DL","year":"2008","journal-title":"Pediatrics"},{"issue":"3","key":"B19","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/0148607111414026","volume":"36","author":"O'Connor DL","year":"2012","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"2","key":"B21","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1161\/CIRCULATIONAHA.106.617811","volume":"115","author":"Singhal A","year":"2007","journal-title":"Circulation"},{"issue":"1","key":"B23","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/pai.12981","volume":"30","author":"Toftlund LH","year":"2019","journal-title":"Pediatr Allergy Immunol"},{"issue":"4","key":"B24","doi-asserted-by":"crossref","first-page":"e995","DOI":"10.1542\/peds.2010-0723","volume":"127","author":"Zachariassen G","year":"2011","journal-title":"Pediatrics"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2021.0101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:02:04Z","timestamp":1770372124000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/82\/3\/10.12968\/hmed.2021.0101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,2]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3,2]]}},"alternative-id":["10.12968\/hmed.2021.0101"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2021.0101","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,2]]}}}