Thank you, Nancy. I have been waiting to hear from the so-called "other side." I was thinking that each case would be different and that I would have to make a judgment based on the needs of each patient. My impression from the literature is that protein supplementation is one of the things that has made it possible for us to have good outcomes with the teeny-tinies, whereas many years ago we simply couldn't give them the nutrition that would allow their little nervous systems to grow and overcome the disadvantage of being ex-utero too soon. Since I am not a neonatologist, I would certainly consult with my specialist colleagues for nutrition guidelines while facilitating the breastfeeding relationships of my patients. Thanks again for clarifying the issue for American practitioners. Bonny Cannell Nothern, RN, MSN, RNC, WHNP, IBCLC (please excuse me for including such an array of initials but I am figuring it might serve to reintroduce me to Lactnet after a long absence.) Boston, MA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html