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Abstract
The following study was conducted on 40 neonates in the neonatal intensive care unit (NICU) of Cairo University Pediatric Hospital (Abou El Riesh). A randomized controlled trial was conducted after obtaining parental consents. Forty preterm neonates were included in the study {u2264} 34 wks gestational age with no previous enteral feeding, either recovering from or free of any morbidity and fit to start enteral feeding. Neonates with major congenital anomalies, those with gastrointestinal malformations or those with sepsis or developed sepsis during inclusion in the study were excluded