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)

Minimal enteral feeds (trophic feeds) are small volumes given to preterm babies to gently wake and mature the immature gut without providing full nutrition. The main idea is to stimulate gut motility, enhance mucosal integrity, and promote enzyme activity and barrier function, which helps prevent gut atrophy and supports faster progression to full enteral feeds. They’re started early when the infant is clinically stable and are typically advanced as tolerated. Using human milk is preferred because it offers additional protective benefits. This approach is associated with improved feeding tolerance and a shorter time to reach full enteral feeds. Importantly, minimal enteral feeds do not increase NEC risk; in fact, when started appropriately, they are not linked to higher NEC and may reduce risk. The statement that feeds increase NEC risk does not describe their use.