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. Author manuscript; available in PMC: 2013 Apr 1.
Published in final edited form as: Adv Neonatal Care. 2012 Apr;12(2):77–89. doi: 10.1097/ANC.0b013e31824cee94

TABLE 1.

Necrotizing Enterocolitis (NEC) Risk Differences by Gestation

Premature Infants Late Preterm and Full-Term Infants
Birth weight < 1000 g13,50 Cyanotic congenital heart disease4,81
Highest risk with lowest GA13,50 Polycythemia19
Feeding Intrauterine growth restriction1316
 Unstandardized approach to feeding and management of feeding intolerance63,65,66 Formula feeding12,14
 Formula feeding41,5659 Maternal hypertensive disease17
 Breast milk fortifier80 HIV-positive mother20
H2 blockers31 Umbilical catheters19
Chorioamnionitis18 Exchange transfusion19
Sepsis4,24 Perinatal asphyxia13
Number of infections28 Mechanical ventilation28
Prolonged (≥5 d) first course of antibiotics70 Sepsis12,14
Patent ductus arteriosus4,23,24 Maternal illicit drug use14
Indomethacin treatment23,26,50 Respiratory distress syndrome14
Glucocorticoids and Indomethacin in first week of life50 Apgar score < 7 at 5 min13,50
Absence of umbilical arterial catheter50
Mechanical ventilation4,21,28,50
Transfusions33,34
HIV-positive mother20
Antenatal cocaine use16
Perinatal asphyxia21
Apgar score < 7 at 5 min35
Black race28,50
Antenatal glucocorticoidsa50
Morphine infusion80
Vaginal delivery50

Abbreviations: GI, gastrointestinal; HIV, human immunodeficiency virus; NEC, necrotizing enterocolitis.