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Subject:	SGA premie
From:	[log in to unmask]
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Mon, 11 Oct 2010 15:00:49 EDT
Content-Type:	text/plain
Parts/Attachments:	text/plain (27 lines)

There is not enough protein, calcium or phosphorus in human milk to meet  
the needs of a 32 week, SGA premie.  I also doubt this infant is capable of  
transferring the 180-250 mL/kg/day of breastmilk needed for the other  
nutrients.  I have my neonatal dietician calculate the protein needs for  EACH 
infant, then have Mom breastfeed ad lib, but add between 1-3 feeds of  
enriched artificial milk (NeoSure or EnfaCare), based on those  calculations.  Have 
Dad or Grandma give the bottles while Mom pumps.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and  Newborns
Medical Director, Sharp HealthCare Lactation Services
San Diego,  CA 
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