i have read everything i could find in the archives and elsewhere re: the
controversy about human milk fortifier - i realize this was just discussed
in July.  However, I just received a call from a mom of a 34 week premie,
now 3 weeks post-delivery.  i have no details except baby just came home,
is on fortifier mixed with ebm, is constipated (true pellets, not just long
intervals) and mom wants to know if she must continue fortifier.  baby born
at 4#7oz, and at 3 weeks weighed 5#4oz.  don't know when fortifier was
started.    will talk to her tomorrow - we just exchanged messages.   i
couldn't find anything in the archives about whether fortifier is *ever*
necessary with a baby this age/size.  is it a protien issue at this size as
well, or just an energy/calorie issue.  would lacto-engineering and perhaps
an appropriate vitamin suffice?  i read all the posts by nancy wight and
others - very helpful and intersting, but none address this
age/size.  suggestions?

thanks!

Lyla Wolfenstein
LLLL and IBCLC 2002

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