Hello everyone.

I am going to a Pediatric meeting to answer questions/concerns re: using 
banked human milk for newborns needing supplement in the hospital.  This 
particular hospital has an absurd protocol that has a mandatory blood 
glucose checked on ALL newborns at 30 minutes of age, and if it is <40, 
(confirmed be "lab draw") they have to have an entire ounce of formula.  One 
of the LCs I work with also works at the hospital, and is very troubled by 
this.  We recently started keeping a stash of banked milk at the clinic I 
work in for the 3-5 day old who needs 12-24 hours of something until mom's 
milk shows up, and she suggested the hospital use banked milk in place of 
the formula.

They have many concerns...one of which is that it will take too long to thaw 
out a fraction of a 4-ounce bottle to give a kid, and the other that it may 
be "water" that thaws first.  (sheesh)  My obvious solution is to keep at 
least an ounce thawed at all times, but do any of you work in a place that 
routinely uses banked milk for "stat" supplementation?  Done any 
creamtocrits?

Thanks-

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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