So, if growth and development of premature infants is not about crematocrit, how can it be that the early studies by Paula Meier showed hugely increased growth and accelerated development (especially in lung function) with only the use of high-crematocrit own mother's milk? If sufficient growth and develoment can be established with the sole use of mother's own (and/or donor) milk, I would strongly discourage the use of any non-human milk based substitute or supplement or complement. In my not very humble opinion the risks associated with the use of non-human milk for human baby's, especially the very vulnerable ones like premature, dysmature and sick, and both on the short and long term, by far outweight those of the possible risks of not using them.
If fortifiers would still be needed I'd opt for the human milk based options, even if they are manufactured by a commercial entity. Bovine HMF are made by manufacturers who are evenly or more commercial and unethical.
Warmly,
Gonneke, IBCLC in PP, LC lecturer in southern Netherlands
Twitter @eurolacpuntnet
>________________________________
>From: laurie wheeler <[log in to unmask]>
>To: [log in to unmask]
>Sent: Friday, August 26, 2011 6:38 AM
>Subject: creamatocrit is not the answer
>
>I found this site and I can't tell whose site it is, some of the refs
>are old, but it gave a pretty good simple explanation of the
>differences in various formula, and what population they might be used
>for. Also there is a chart showing the protein and mineral
>differences.
>
>http://vuneo.org/npentnutformu2.htm
>
>I have found this kind of info to be useful over the years, as it
>seems that lactation consultants really do need to know something
>about infant formula. Mainly to defend breastmilk and breastfeeding to
>others who really don't understand the appropriate use of formula, and
>that it should not be replacing breastmilk.
>
>I've said this on lactnet before, but I have seen many times a
>pediatrician who is trying to get a breastfeeding or partially bf
>feeder/grower premie to gain weight, and the only strategy is to use a
>22 calorie formula. An example would be a baby who eats about 20 mls
>every 3 hours. If you add 2 cals/oz you will be adding about 11
>cals/day to his diet. So, in my opinion, this is someone who is not
>thinking this through, or really does not understand the use of these
>formulas.
>
>Please don't take this as a flame or in any way promoting the use of
>formula. But if a baby is on formula, or is to be supplemented or
>treated with formula in any way, there should be an understanding of
>the various kinds and indications or contraindications.
>
>Laurie Wheeler RN MN IBCLC
>Mississippi USA
>
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