PEDIATRIC NUTRITION CAREOptimizing Nutrition in the Neonatal Intensive Care Unit A Look at Enteral Nutrition and the Prevention of Necrotizing EnterocolitisBingham, Emily Moeller RD, CNSC, LDNAuthor Information Department of Clinical Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Correspondence: Emily Moeller Bingham, RD, CNSC, LDN, Department of Clinical Nutrition, The Children's Hospital of Philadelphia, 34th St, Civic Center Blvd, Philadelphia, PA 19104 ([email protected]). The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Topics in Clinical Nutrition: July/September 2012 - Volume 27 - Issue 3 - p 250-259 doi: 10.1097/TIN.0b013e318262cede Buy Metrics Abstract One serious problem related to prematurity is necrotizing enterocolitis. The development of necrotizing enterocolitis is thought to be related to many factors, although exact etiology is unknown. The risk increases with both decreased gestational age and lower birth weight. In the majority of cases, infants have been fed enterally. Factors related to enteral feeding are important because they can easily be manipulated whereas gestational age and birth weight cannot. Three manipulations related to enteral nutrition are discussed: trophic feedings; feeding advancement guidelines; and the use of human milk. © 2012 Lippincott Williams & Wilkins, Inc.