April issue of J Peds showed a significant difference in the incidence of surgical NEC between those who received bovine HMF and those who received PROLACTA a human milk based fortifier. The bovine group actually received higher amounts of mother's own milk but also had HMF based on bovine protein.
Prolacta is very expensive at this time, but may consider it if NEC incidence is high in their units or if babies are intolerant to cows milk protein.
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