%0 Journal Article %T Guidelines for Feeding Very Low Birth Weight Infants %A Sourabh Dutta %A Balpreet Singh %A Lorraine Chessell %A Jennifer Wilson %A Marianne Janes %A Kimberley McDonald %A Shaneela Shahid %A Victoria A. Gardner %A Aune Hjartarson %A Margaret Purcha %A Jennifer Watson %A Chris de Boer %A Barbara Gaal %A Christoph Fusch %J Nutrients %P 423-442 %D 2015 %I MDPI AG %R 10.3390/nu7010423 %X Despite the fact that feeding a very low birth weight (VLBW) neonate is a fundamental and inevitable part of its management, this is a field which is beset with controversies. Optimal nutrition improves growth and neurological outcomes, and reduces the incidence of sepsis and possibly even retinopathy of prematurity. There is a great deal of heterogeneity of practice among neonatologists and pediatricians regarding feeding VLBW infants. A working group on feeding guidelines for VLBW infants was constituted in McMaster University, Canada. The group listed a number of important questions that had to be answered with respect to feeding VLBW infants, systematically reviewed the literature, critically appraised the level of evidence, and generated a comprehensive set of guidelines. These guidelines form the basis of this state-of-art review. The review touches upon trophic feeding, nutritional feeding, fortification, feeding in special circumstances, assessment of feed tolerance, and management of gastric residuals, gastro-esophageal reflux, and glycerin enemas. %K feeding %K very low birth weight %K neonate %K review %U http://www.mdpi.com/2072-6643/7/1/423