Adding powdered formula to ebm would not be considered safe here because
guidelines are that powdered formula needs to be added to water which has
boiled and then cooled to no less than 70 deg C, in order to make the
powder safer (formula powder may contain bacteria esp salmonella and
chronobacter).

Heather Welford Neil, UK


On 26 August 2013 13:38, Jan Barger <[log in to unmask]> wrote:

> Jean writes:
>
>
> <<I was just hoping for some personal reassurance for me as  to whether it
> has been proven, in widespread practice, or formal research,  that the
> addition of powdered formula to EBM is without known harm (beyond its
>  effect on
> gut flora and effect of the iron on normal iron mechanisms of the  EBM,
> that
> is).>>
>
>
> ***************************************************************************
> Jean, I really wish there were some clear, specific answers for  this.
> What we've heard on several occasions on this list and elsewhere is  that
> "we
> do this frequently - all the time -- often -- in our NICU or for babies
> going home" -- therefore, ergo, it must be the right and scientific thing
> to
> do.  But the question is, where is the reality that this really IS the best
> thing to do for our babies.  What does powdered formula actually DO to the
> EBM?  Has anyone actually done a study to look at the components of
> breastmilk and see what happens when the AIM is added?  If adding AIM to
>  water (as
> directed) gives X, Y, Z amounts of minerals, calories, etc, then what
> happens to that concentration of minerals when it is added to something
> that
> already HAS minerals?  Is the mother's milk ever tested to look and see
>  what
> the caloric value of her milk is, or is an assumption made that ALL
>  mothers'
> milk is ALWAYS 20 kcal/ounce?
>
> It is interesting  to me that it seems that if the "experiment" involves
> AIM, the assumption is  that it is OK to do whether or not we have the
> evidence to back it up that it is  not only "safe" but beneficial.
>
> Musing on Jean's  thoughts and really wondering what the actual evidence
> shows...
>
> Jan Barger, RN, MA,  IBCLC, FILCA
>
>
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