Hi all
I cannot find the reference I was thinking of but I found these and hope
they will be useful.
 
Ewer AK. Yu VY. Gastric emptying in pre-term infants: the effect of breast
milk fortifier. [Journal Article] Acta Paediatrica. 85(9):1112-5, 1996 Sep. 
Fortifying milk with bovine fortifiers inreases gastric emptying time by a
factor of two.
 
Hallstrom M. Koivisto AM. Janas M. Tammela O. Frequency of and risk factors
for necrotizing enterocolitis in infants born before 33 weeks of gestation.
[Journal Article] Acta Paediatrica. 92(1):111-3, 2003. 
IM: To investigate the frequency of and risk factors for necrotizing
enterocolitis (NEC) among infants of <33 wk of gestation. METHODS:
Prospective follow-up of 140 inpatients. RESULTS: 26 (18.6%) subjects
developed NEC stage I-III and 12 (8.6%) severe NEC (stage II-III). Breast
milk fortifier and duration of morphine infusion emerged as the
statistically significant factors associated with NEC stage I-III, but only
the latter had a significant association with severe NEC. CONCLUSION: Future
studies are needed to be established whether morphine is a causative factor
in NEC.


Kuschel, CA. Harding, JE. Multicomponent fortified human milk for promoting
growth in preterm infants. [Systematic Review] Cochrane Neonatal Group
Cochrane Database of Systematic Reviews. 1, 2006. 
Multicomponent fortification of human milk is associated with short-term
improvements in weight gain, linear and head growth. Despite the absence of
evidence of long-term benefit and insufficient evidence to be reassured that
there are no deleterious effects, it is unlikely that further studies
evaluating fortification of human milk versus no supplementation will be
performed. Further research should be directed toward comparisons between
different proprietary preparations and evaluating both short-term and
long-term outcomes in search of the "optimal" composition of fortifiers.

I find this final conclusion to be chilling.  It would seem to demonstrate
the power of the commercial (or proprietary) interests in infant feeding.
(In spite of unproven safety and an absence of evidence of long term
benefit, fortification will continue to be standard practice ....)
Nina Berry BA/Bed(Hons) Dip Arts(Phil)
Breastfeeding Counsellor
PhD Candidate - "Ethical Issues in the marketing of 'Toddler Milks'" 


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