Dear friends,
Whenever this item pops up, I just keep thinking: isn't science able to find an easy way to freeze-dry mom's own milk and add that to her fresh milk to fortify it? I can't imagine that that would be very difficult, would It? I mean, we can go to the moon and Mars, we can send boats miles deep into the ocean, but we can't dehydrolize mom's milk on the spot? How difficult can that be? O, wait, I suppose it costs money we rather spent on space investigation and war, not on the health of our precious little ones.
Warmly,
Gonneke, IBCLC in PP, LC lecturer, grumpy in southern Netherlads
--- On Mon, 3/15/10, [log in to unmask] <[log in to unmask]> wrote:
From: [log in to unmask] <[log in to unmask]>
Subject: [LACTNET] Human Milk in the NICU
To: [log in to unmask]
Date: Monday, March 15, 2010, 3:48 AM
Human milk is necessary for the preterm infant, but it may not be
sufficient for the very low birth weight (VLBW) infant. Human milk IS associated
with better neurologic outcomes - but - virtually every study done in the
last 20 years was done with fortified human milk. If you read the study you
quoted, you will find that mother's own milk did give higher IQs than term
formula and was done before fortifiers were used. It was not done with
preterm formula.
Creamatocrits only measure fat and approximate calories. They do not
measure protein. Hindmilk has more fat and therefore more calories, but the
same amount of protein (Valentine et al, JPGN, 1994). Although a rare mother
may have a higher milk protein level, especially in the first 2-3 weeks
after a preterm infant's birth, it does not approach the 3-4 g/kg/d needed for
the VLBW infant.
Research confirms that you cannot increase human milk calcium by increasing
maternal calcium intake.
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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