Many years ago in US hospitals they had what were called milk kitchens or formula kitchens. It was in these special formula kitchens where ingredients were mixed together to make infant formula, long before we had the ready-to-feed 3 oz bottles from the formula companies. There were strict sanitary specifications for these kitechens and some states still have these guidelines in their hospital regulations. You might start with making sure that the pharmacy and your Risk Management Department are made aware of the FDA alert on not feeding preterm infants powdered formula. This is exactly what the FDA warns against doing. While banked human milk would be a better option for this baby, why weren't other safer options looked at such as human milk fortifiers, special liquid preterm formula? Are the parents aware of this potentially dangerous action being taken with their infant?

Marsha Walker, RN, IBCLC
Weston, MA


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