Kathie says,
 
 
 
<<In our NCCU as the babies get closer to discharge, we use  powdered 
Neosure instead of HMF to fortify breast milk.  This is what they  go home on.  
We fortify it to 22 or 24 calories.>>


 
I'm curious --  do you routinely figure out what the caloric content of the 
mom's milk is before  you fortify it further?  What if the caloric content 
of her milk is already  24 or 25 cal/oz?  Aren't you then overfeeding this 
baby  unnecessarily?  What if it is only 17 cal/oz -- how do you know you are 
 putting enough neosure in the milk?  
 
I'm not flaming,  just wondering what the thinking process is....since we 
know that all mother's  milk is different, and isn't all 20 kcal/oz.
 
Jan Barger, RN,  MA, IBCLC, FILCA
Wheaton,  IL


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