<prompt> All are complication of formula fed baby over human milk fed baby except :Necrotizing enterocolitisOtitis mediaHypocalcemiaVit K deficiency  <response>: Ans. is d i.e. Vit. K deficiency Formula feeds contain a host of vitamin and minerals, as well as trace elements zinc, mangnese, copper, iodine and electrolytes. in formula feeds vitamin K is added in higher levels than in breast milk to reduce the risk of hemorrhagic diseases in new born. So, vitamin K deficiency can never be a complication of formula fed babies. Now lets see what Ghai 6e. p 164 121. 177 has to say on the rest of options. Option a i.e. Necrotizing enterocolitis Ail iiust all panel neonatal necrotizing enterocolitis NEC are aificially fed prior to the onset of illness. Breast milk is protective for NEC. Option b i.e. Otitis media Otitis media is one of the most common infections of early childhood. Anatomic features which make this age group paicularly susceptible to ear infection include shoer, more horizontally placed and compliant eustachian tube, which permits reflux of nasopharyngeal secretions into the middle year. A high incidence of bacterial carriage in the adenoids may also contribute to the frequency of otitis media in children. Other risk factors include exposure to cigarette smoke, over crowding, bottle feeding, cleft palate, allergic rhinitis, Downs syndrome and disorders of mucocilliary transpo. Option c i.e. Hypocalcemia period there is transient hypoparathyroidism. As a result, less phosphate is excreted in the urine. Human milk is low in phosphate, but cows milk is rich in phosphate. Immature parathyroid in the neonates can not easily cope with excess phosphate in cows milk leading to hypocalcemia in top fed babies. 