Mothers’ own milk is the optimal food for infants of all gestations. However, for the preterm infant, nutritional supplementation may be required if such infants are not to develop postnatal growth deficits.

The use of fortification of human milk is widespread within UK neonatal units. It seems likely that with current paucity of national or international guidance on breast milk fortifier (BMF) use that practice may well be variable. As with all scientific advances where there are perceived benefits, which in the case of fortifier include increased growth of the smallest and most vulnerable infants, there may yet be unintended consequences.

One unintended consequence may be that the use of BMF may impact upon the establishment and continuation of breastfeeding. With this survey we hope to answer questions about our current use of BMF within the UK, and if such use may or could have an effect on supporting breastfeeding.

* 1. Is there a standardised feeding guideline for preterm infants (<36/40) in your unit?

* 2. Regarding the use of breast milk fortifier in preterm infants:

* 3. Regarding the use of breast milk fortifier in preterm infants: At discharge, if a baby is receiving human milk plus breast milk fortifier, do you:

* 4. Regarding breast milk fortifier, please tick which of the following statements you believe to be true (tick as many as apply)

* 5. On a scale 1-5, please rate your agreement with the following statement (1 being completely disagree, 5 completely agree): “Poor postnatal growth is a common problem in premature infants on my unit”

* 6. On a scale 1-5, please rate your agreement with the following statement (1 being completely disagree, 5 completely agree):  “Postnatal growth is relevant to outcomes in premature infants”

* 7. On a scale 1-5, please rate your agreement with the following statement (1 being completely disagree, 5 completely agree): “Breastfeeding and expressing is well supported on my unit”

* 8. Our neonatal service has access to (tick as many as apply)

* 9. Please give  the following details of your name, job title, organisation; and an email address if you are happy to be contacted for further information about the answers you have given.

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