It would be interesting if you could skim off the higher fat hindmilk
from pumped milk and use that for the n-g feeds, or in the supplemental
bottles.   Paula Meir recently published an article concluding that many
preemies actually obtain more milk when using a nipple
shield............if mom is open this is an option...........OTOH one
more intervention may be confusing to mom and baby both.  Perhaps a
feeding tube along side mom's breast or in a nipple shield with
hindmilk????  Is mom pumping and how is her supply?
     Thanks for any updates.
     Susan in Minnesota   rn ibclc
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