Yes, Ilene, it *is* a big deal and it will change the baby's intestinal
environment. A baby approaching surgery needs optimal health and abm is not
the way to attain it.

If I have a client whose baby needs more calories, I have her pump after a
feeding, put the milk in the refrigerator in a bowl, then skim the fat off
after it has risen to the top.  Baby can take the hige-quality fat with a
spoon. Mom can do this as often as needed to increase the calorie intake.

Pat Gima, IBCLC
Milwaukee, Wisconsin
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