Methodology: This comparative study was conducted in Bangladesh Shishu Hospital & Institute from May, 2022 to March, 2024. All infants with small bowel stoma were taken into consideration for the study and were allocated into MFR group and non-MFR group. MFR taught to and carried out by the mothers. Weight and distal intestinal width measurement (from distal loopogram) were taken after stoma formation and before stoma closure in each patient. Statistical analysis was done in SPSS 26.0.0 and p <0.05 considered to be significant.

Result: Total 33 patients (17 in MFR group, 16 in non MFR group) participated throughout the end of the study. Mean rate of weight gain in MFR and non-MFR group were 16.73 ± 9.68 and 0.28 ± 5.44 respectively (p=0.039). In gut width increment and incidence of anastomotic leak following closure the two groups did not show any significant difference. 

Dr. Umama Huq is a pediatric surgeon at Dhaka Medical College and Hospital, Bangladesh. She completed her MS in Pediatric Surgery in 2024 and is a Member of the Royal College of Surgeons (MRCS). Passionate about improving surgical care in resource-limited settings, she continuously refines her skills and embraces innovation to optimize pediatric patient outcomes. Beyond clinical practice, she is an active researcher dedicated to advancing pediatric surgical care. Her contributions to pediatric surgery have earned her multiple travel grants, including funding to attend the 6th World Congress of Pediatric Surgery and GICS V. She has participated in various international workshops and editorial roles to enhance surgical education,  and her long-term goal is to develop sustainable, cost-effective surgical solutions for low- and middle-income countries, ensuring that financial constraints do not limit access to quality pediatric surgical care.