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A randomized controlled trial comparing the effect of fortification of human


milk with an infant formula powder versus unfortified human milk on the

Article  in  Journal of Maternal-Fetal and Neonatal Medicine · February 2019


DOI: 10.1080/14767058.2019.1580260

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Viraraghavan vadakkencherry Ramaswamy


Lady Hardinge Medical College
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The Journal of Maternal-Fetal & Neonatal Medicine

ISSN: 1476-7058 (Print) 1476-4954 (Online) Journal homepage: https://www.tandfonline.com/loi/ijmf20

A randomized controlled trial comparing the


effect of fortification of human milk with an infant
formula powder versus unfortified human milk
on the growth of preterm very low birth weight
infants

Viraraghavan Vadakkencherry Ramaswamy

To cite this article: Viraraghavan Vadakkencherry Ramaswamy (2019): A randomized controlled


trial comparing the effect of fortification of human milk with an infant formula powder versus
unfortified human milk on the growth of preterm very low birth weight infants, The Journal of
Maternal-Fetal & Neonatal Medicine, DOI: 10.1080/14767058.2019.1580260

To link to this article: https://doi.org/10.1080/14767058.2019.1580260

Published online: 20 Feb 2019.

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THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
https://doi.org/10.1080/14767058.2019.1580260

LETTER TO THE EDITOR

A randomized controlled trial comparing the effect of fortification of human


milk with an infant formula powder versus unfortified human milk on the
growth of preterm very low birth weight infants

Sir, ORCID
The original research titled “A randomized controlled trial Viraraghavan Vadakkencherry Ramaswamy http://orci-
comparing the effect of fortification of human milk with d.org/0000-0001-7092-3597
an infant formula powder versus unfortified human milk
on the growth of preterm very low birth weight infants”
published recently in your very well read journal was
indeed a very pertinent study and a commendable
References
effort [1]. I congratulate the authors for publishing this [1] Gupta V, Rebekah G, Sudhakar Y, et al. A randomized con-
Randomized Controlled Trial in an esteemed journal as trolled trial comparing the effect of fortification of human
that of yours. milk with an infant formula powder versus unfortified human
milk on the growth of preterm very low birth weight infants.
The authors have mentioned that the WHO guidelines J Maternfetal Neonat Med. 2018 [cited Nov 28]; [171 p.]. DOI:
for low birth weight infant feeding does not recommend 10.1080/14767058.2018.1554046
the routine use of human milk fortifiers (HMF) in very [2] WHO. Guidelines on optimal feeding of low birth-weight
low-birth weight (VLBW) neonates [2]. However, it is men- infants in low- and middle-income countries. Geneva: World
tioned in the same guidelines that though routine use of Health Organization; 2011. Available from: http://www.who.
int/maternal_child_adolescent/documents/infant_feeding_
HMF is not recommended, HMF use should be restricted low_bw/en/.
to VLBW neonates who do not gain weight adequately,
despite reaching full enteral feeds even in resource lim- Viraraghavan Vadakkencherry Ramaswamy
ited settings [2]. Did the feeds of the VLBW neonates in Department of Neonatology, Nori Multi-Speciality Hospital,
the control arm who were not supplemented with forti- Vijayawada, India
fiers and who did not gain weight adequately were sup- 19.vira@gmail.com
plemented with HMF or preterm human milk powder?
I thank the Editor for giving me an opportunity to Received 4 December 2018; accepted 5 February 2019
express my views. ß 2019 Informa UK Limited, trading as Taylor & Francis Group
Thanking you,

Disclosure statement
No potential conflict of interest was reported by the author.

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