Question to Nancy Wight:  in Europe where I've read they just increase the amount of breast milk given to preemies rather than fortify - do they have higher incidence of problems because of increased volumes?  If you increase protein by increasing volumes, are there other problems?  When you try to modify milks to make them different from naturally produced milk, are there no long-range consequences?   

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Tuesday, August 25, 2009 9:21 AM
Subject: Hindmilk

Almost always, poor growth in premies is due to lack of sufficient protein,  not calories.  "Hindmilk" is identical in protein to "foremilk".
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and Rady Children's  Hospital San Diego Medical Director, Sharp HealthCare Lactation  Services San Diego, CA [log in to unmask]


             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome