A clinical quality improvement bundle on early nutrition supplementation is developed to improving the clinical outcomes (including growth, organ function, and neurodevelopment outcomes) of extremely and/or very preterm infants. This bundle consists of three aspects: individualized and precise human milk feeding, early enteral zinc supplementation, and routine parenteral carnitine supplementation.
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The z-score of weight change from birth to discharge
Timeframe: At baseline and at discharge, approximately corrected gestational age of 36 to 42 weeks