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Date: | Fri, 19 Aug 2005 08:08:52 EDT |
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Ginger has asked about the article in the August issue of Pediatrics
regarding an interesting conclusion that donor human milk offers no advantage over
preterm formula for very low birthweight babies. Take a closer look at how the
study samples were defined. Mother's milk and donor milk were both
fortified. 21% of the babies in the donor milk group were switched to preterm formula
due to insufficient weight gain but were kept in the donor milk group for
analysis! Hello there!!!! Mostly this study looks at the difference in short
term outcome of infants receiving various amounts of human milk mixed with
various amounts of fortifiers and formula. They switched the brand of fortifiers
part way through the study from one known to contain a high iron content that
significantly reduced the anti-infective properties of human milk to a
different fortifier with less iron. They totally ignore the fact that using donor
milk avoids the use of any powdered formula which is not sterile and which the
FDA has warned not to use in the NICU. The fortifiers are powdered and
contain cow's milk protein, iron, and are not sterile.
As far as I can tell the donor milk group was a mixed group of infants fed
variously fortified donor milk and preterm formula. Do we wonder why the short
term outcomes are questionable? Too bad there was not a clearer delineation
between study groups.
Marsha Walker, RN, IBCLC
Weston, MA
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