"Lactoengineering must then be based on the premise that human milk
is not good enough for certain babies and must be redesigned."
Valerie:
While I agree that human milk, just as it is, should be tried for most, if
not all babies, there are some infants (like the one with very short gut) who
simply do not have the physiologic capability of utilizing all the wonderful
components. With respect, I believe there is a role for lactoengineering for
the small subpopulation of infants who, before modern medicine, would have
died.  I trust nature, God, or whomever designed human milk for human babies,
but I also believe that nature never intended for some babies to survive (eg.
extreme premies and volvulus with 2/3rds of your small intestine
dead/removed) and did not design the milk for them.
Nancy

Nancy E. Wight MD, FAAP, IBCLC
Neonatologist, Children's Hospital & Sharp Mary Birch Hospital For Women
Medical Director, Sharp HealthCare Lactation Services
San Diego, California, USA
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