Hi Jennifer,
I'd suggest a testing the waters approach and start by attempting to gradually change across. If the baby seems to have no problems accepting the breastmilk then she can speed up, if not, go slower. Then she can get to work on the bottle! 
Karleen Gribble
Australia
On 14/10/2012, at 6:34 PM, Mario Viola wrote:

> 
> 
> 
> Dear Colleagues,
> 
> I have permission to post from a friend who lives in Uganda and is adopting a 4-5 month old, bringing her home in the next few days.  She has induced lactation and pumps over 30 oz per day!  She has learned that the infant is fed cow's milk with sugar added by bottle with large hole in the nipple about every 1.5 hours or so.  On one occasion recently, the infant refused formula by bottle.
> 
> Question is, how should this mother go about changing infant's diet from cow's milk to breast milk?  Would like to hear from LCs with some expertise in adoptive nursing.  Is it better to try a gradual approach or is the cow's milk/sugar harmful enough to warrant a cold turkey change in diet.  Keep in mind the infant will be traumatized by the sudden change in caregivers, language and environment as well.
> 
> Thanks for your input,
> Jennifer Cooper, RN, BSN, IBCLC
> Aviano AB, Italy
> 
>             ***********************************************
> 
> 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