How can trial solutions be given enterally?
When the infant is to be given the trial solutions enterally we suggest that the appropriate quantity of the trial solution is added to 4 hours worth of expressed breast milk or formula, depending on feeding regime. For example, nursing staff caring for the infant should decant 4 hours worth of milk into a sterile container, such as an EBM pot, and add the supplement to this. The container should be labelled to show the addition of the supplement, and the milk administered over the next 4 hours according to the infant’s feeding regime i.e. 1, 2, 3 or 4 hourly feeds. This follows the same routine as adding for instance breast milk fortifier.