>>> I'm left wondering how the staff assisting the mothers were not more
>> careful to maximize their breastmilk supplies?  If a baby weighing, say 
>> 1000g were only receiving 100 ml/kg/day of his own mothers' milk, that 
>> would mean that the mother was only expressing/pumping 100 ml/day (or, 
>> say up to 300 ml/day by the time the baby achieved a normal sort of 
>> full-term weight) - this is grossly inadequate.  Surely there could have 
>> been provision of better lactation management for these mothers than 
>> that??
>
 Pam
 The mothers in the study may not necessarily have been producing small
 amounts of milk.  In our unit, the doctor works out the "formula".  The
 mother is supported to pump frequently and her milk supply is usually way
 ahead of her baby's needs.  It's such a pity that even "large", stable
 premies are put on HMF instead of providing larger quantities of EBM.  The
 mothers' freezers are bulging and sometimes the milk bank benefits.


 Jean Ridler  RN  RM  IBCLC
 South Africa   [log in to unmask]

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