Hi All, this is one of my pet peeves. WHY does anyone think it makes any sense to feed a premie on EBM no more often than every 4 hours? If a term BF baby needs to eat every 2 hrs or so, then why wouldn't a premie? I have had to counsel more parents than I can count on how to tactfully insist that their baby be fed more than q4 hrs while in the NICU. I tell them that the best they can do is talk to the Dr and insist on upping the feed schedule as best they can. SOmetimes the Drs here go for it, most times they don't. (The baby simply doesn't get hungry that often...they say. ????) We have been able to get some to increase to q 3 hrs, but there are a lot of irritated nurses when it does happen. I tell the parents that the schedule is for the nurses bc they have so many babies to take care of, and if they had to feed each and every one on demand, they'd never get anything done. SO they set a schedule and stick to it. Sadly, the babies don't seem to understand that they must stick to the schedule! I understand that demand feeds are an imporbability in the NICU setting, but it would seem that maybe going from a 4 hr to 3 hr schedule wouldn't be so improbable, would it? If we all know that it takes longer for AIM to digest (therefore making the time between feeds a bit longer) then why don't the hosp Drs understand that you simply cannot expect a EBM fed baby to feed on the same schedule as an AIM fed baby? Small steps day by day to make a much needed change in the best interests of the health of our children..... Jay Jay Simpson, CLE Sacramento, CA "No Miracles performed here, just a lot of love and hard work."