It sounds to me that Human Milk Fortifier is being added to the mom's br.milk.  I know it is used routinely where I work.  I'm not an NICU nurse, but I have often wondered if it is something really necessary.  I feel that it gives the wrong message to mother's who are pumping or trying to est. br.fdng:  their br.milk isn't good enough.  I don't recall ever having a mother tell me her baby isn't tolerating the feeds once the fortifier is added, but it makes sense to me.  I was always under the impression that the br. milk produced for preemies was specific to their needs.  Maybe Dr. J. could shed a little info. on this?  Sincerely, Bonnie, RN IBCLC, in Wpg., Mb. Can.

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