Susan

Obviously supplementation is needed until the milk comes in.  Just remember
how everyone in the world developed non functional kidneys before formula
became non-lethal.  Seriously, what are these people thinking?  If human
milk was insufficient for most healthy human newborns, WE WOULD BE EXTINCT!

Linda Pohl, IBCLC
Phoenix AZ

-----Original Message-----
From:   Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Susan Leston
Sent:   Monday, November 09, 1998 6:24 AM
To:     [log in to unmask]
Subject:        supplementing in the NICU

Working in a NICU of a suburban hospital has become very challenging lately.
Supplementation of term newborns receiving formula until their mothers milk
is
in is being practiced without really questioning if this needs to be
practiced.  The patient type being referred to is mainly term and on
antibiotics for treatment for possible sepsis. The patient type is otherwise
stable.  When talking to physicians and nurses about this subject the usual
response is that sufficient oral intake is required to keep up kidney
function.  What is considered sufficient?  If the infant is truely nrsg well
with audable swallows would this not be considered sufficient?  Data is
needed
to support this arguement.  If anyone could offer any advice it would be
greatly appreciated.      Thanks.   Susan Leston RN, IBCLC