Rachel, what you describe tickles me no end too!  Since exclusive 
breastfeeding for premies seems to be so very rarely recorded, is there any 
chance at all that you - or someone - is able to carefully document what 
happens to these babies - exactly what is fed to them, (how much EBM per 
kilo per day, from birth to hospital discharge, exactly what vit/mineral 
supplements they receive) and record their growth and outcome (weight gain, 
infections if any) for the benefit of future preterm babies (so that 
evidence can inform futore protocol)??  It seems that the addition of human 
milk fortifier has become so common as to be the current standard of care, 
with the accompanying belief that these very small babies cannot grow 
"properly" without it.  I have worked with hundreds of preterm babies who 
received only exclusive breastmilk-feeding plus the addition of specific 
minerals and vitamins, as you describe, so I know that they survive and 
thrive, and go on to gain as much as 70g/day.  But it is not documented - 
well, it was, but my notes no longer exist. This seems to be another window 
of opportunity to prove that it can be done - an observational study.  Any 
chance of this??

Best wishes to these babies - they will do so well!

Pamela Morrison IBCLC
Rustington, England
[log in to unmask]

At 16:13 04/11/2005, you wrote:
>From:    Rachel Myr <[log in to unmask]>
>Subject: exclusively breastfed premies
>
>This week I have had the pleasure of working with several mothers whose babies
>were small or extremely small at birth.  By small I mean 1700 g or under,
>v.small is well under 1000 g.  All started expressing immediately; the older
>babies have not had anything but their own mother's milk since about day 2 -
>one had gotten 11 ml, or less than one tablespoon, of banked milk before 
>mother
>had enough.
>The two larger babies have not gotten fortifier added to their mothers' milk.
>They get multivitamins and iron and folate according to protocols in place for
>our hospital, but nothing else.  Their growth and development has been 
>right on
>target so that at term, they are normal term size.  Don't know whether this is
>typical here, but it tickles me no end.
>
>Rachel Myr
>Kristiansand, Norway

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