Enteral feeding practices for very preterm infants remain variable despite widespread use of both continuous and intermittent feeding strategies. This national survey explored contemporary feeding practices across tertiary neonatal units in the UK and Ireland and compared current practice with previously published international survey data. The findings demonstrate that intermittent bolus feeding is now the predominant feeding strategy in most tertiary neonatal units, while routine continuous feeding has become uncommon. The study highlights ongoing variation in practice and supports the need for contemporary multicentre trials evaluating optimal feeding strategies in very preterm infants.

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Respiratory instability in premature infants is often exacerbated by feeding-related events, including gastro-oesophageal reflux and aspiration. This study aimed to evaluate the effect of transpyloric feeding on respiratory parameters in a contemporary single-centre cohort of infants. The objective of this study was to evaluate the effect of transpyloric feeding on respiratory parameters in neonates.

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This case report explores the role of nature-based environments as an adjunct to neonatal intensive care, particularly within a treatment plan for palliative care. It examines how access to outdoor or fresh air spaces may improve parental experience, support memory-making and align with national guidance and family-integrated care principles. A pragmatic framework focusing on the right patient, right place and right time is presented, alongside risk-mitigation strategies. The importance of capturing feedback to evaluate impact and inform practice is highlighted.

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Diagnostic overshadowing in early infancy can delay the identification of rare congenital neurological disorders. This case highlights the clinical challenge of distinguishing atypical paroxysmal events from benign infant phenomena, the critical role of neuroimaging in unexplained neurological signs, and the multidisciplinary management required for complex cortical malformations

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