Subject: | |
From: | |
Reply To: | |
Date: | Thu, 8 Jun 2006 08:07:09 -0400 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
I think there is a lot of research supporting the use of donor milk over formula, including the
study on pooled human donor milk that was randomly allocated to premature infants in Great
Britain which showed a 10 IQ point difference among those lucky babies than got the donor milk
rather than the formula. Since this was a totally random study, that evidence is very strong. I don't
have the reference, but the previous post should give you good references.
At the same time, I would highly suggest a simultaneous review of ethical practices in setting up
the milk bank so that it is set up in such a way as to not interfere with mother's producing as
much of their own milk as possible as well as not interfering with the health and wellbeing of
mothers who donate. Norway has what I consider the best model for this so I would read Rachel
Myr's postings on the topic.
My posting on the Schanler study was to illustrate that this clearly confirms other research that
went into the WHO rankings of mother's own mllk first, followed by human donor milk. If you look
closely rather than just reading the abstract, the data also suggest but don't have the same size to
confirm what you will find in the other research that was suggested to you that formula should be
at the very rock bottom of the rankings. As I mentioned in many postings before, the sample size
of the Schanler study was not sufficient to reveal what look like biologically substantial differences
between the human donor milk and the formula group in Necrotising enterocolotis and Late onset
sepsis. The differences were about a 3 times greater risk in the donor milk group versus a 5 times
greater risk in the mother's own milk group. For such serious illnesses, this is a huge difference,
but the low sample size means we can't say if this just due to chance alone. Moreover, the groups
were not "pure". As part of the protocol of this study, formula was given to a fair proportion of
the infants in the human donor milk and the breastfeeding group so there may have been a
greater difference in some of their outcome measures had they been able to reduce the use of
formula in the MM and DM groups while still maintaining these infant's growth. Fortunately,
there are more articles out there that will give you ammunition for starting a milk bank in an
ethical manner.
Best regards and good luck with your project!
Susan Burger
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
|
|