I am really, really tired of the assumption that NICU doctors, nurses, nutritionists, etc. either don't know about risks to infants or don't care! This is simply not true and incredibly unfair. Preterm infants are not normal, were never meant to survive, and you cannot apply rules for full-term infants to their care. EVERYTHING we do in the NICU to save infants' live incurs risk. We are constantly balancing the risk of any treatment/medication/procedure against the risk of NOT doing it. The very ventilators and oxygen we use to save lives cause damage to lungs and eyes. Similarly, fortifiers we use to save brains and other organs, have risks as well. Powdered follow-up formulas are used for healthy growing premature infants to provide the appropriate levels of nutrients for their stage of development. We do not, at this point, have other alternatives with proven safety and efficacy. In 30 years in the NICU, and hundreds of thousands of infants cared for, I have yet to see a case of enterbacter sakazakii sepsis from powdered formula. Does it happen? - yes. Are their babies who die from group B streptococcus in mother's breastmilk?-yes Does it happen in Norway? - yes. We are constantly looking for and testing other ways to improve ALL we do in the NICU. We all want the best outcomes, including nutritional outcomes, for our infants, and spend an incredible number of unpaid hours in continuous quality improvement efforts like VON, iNICQ, CPQCC, writing articles and books. I am very disappointed at some of the cavalier statements on LACTNET by otherwise intelligent, responsible people. Nancy Nancy E. Wight MD, IBCLC, FABM, FAAP Neonatologist Sharp Mary Birch Hospital for Women and Rady Children's Hospital San Diego Medical Director, Sharp HealthCare Lactation Services San Diego, CA [log in to unmask] **************Get the Moviefone Toolbar. Showtimes, theaters, movie news & more!(http://pr.atwola.com/promoclk/100000075x1212774565x1200812037/aol?redir=htt p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown00000001) *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome