Which of the following does NOT describe the use of minimum enteral feeds in preterm neonates?

• A. Prevents gut atrophy
• B. Increases the risk of necrotizing enterocolitis
• C. Improves feeding tolerance and time to full enteral feeds
• D. Should be started as soon as medically feasible

Answer: (B)

Minimum enteral feeds (trophic feeds) are given in tiny volumes to gently stimulate the immature gut, with the aim of preserving gut mucosa, promoting motility, and supporting maturation so that the infant can progress to full enteral feeds sooner while on parenteral nutrition.

The statement that these feeds increase the risk of necrotizing enterocolitis does not fit with how this approach is used. In practice, trophic feeds help maintain the gut lining and barrier function and are associated with improved feeding tolerance and a shorter time to reach full feeds, especially when started early and advanced carefully. They are started as soon as the infant is stable enough to receive minimal feeds.

Thus, the description that minimum enteral feeds increase NEC risk does not describe their use, while the other statements accurately reflect their role and benefits.