For all preterm neonates included in the study, gestational age was calculated based on the date of last menstrual period and confirmed by neonatal examination using the modified Ballard score . Enteral feeds were commenced at 10 to 20 mL/kg per day and increased by 10 to 30 mL/kg per day as tolerated, up to a maximum of 150 to 180 mL/kg per day. Patients were fed breast milk when available, and if not, they were fed artificial milk, Bebelac premature formula (Nutricia Cuijk B.V. Holland). We do not use breast milk fortifier and we do not practice breast milk donation. Feeding intolerance was defined when residual from nasogastric tube was >30% of previous feed which resulted in decreasing or fixing the amount of feed but not stopping it .
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