----- Original Message -----
From: "laurie wheeler" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, December 14, 2007 4:32 AM
Subject: [LACTNET] neonatologists and breastfeeding
**Hello Laurie,
(snip)
> I think I also said in that post that this issue has been archived and
> there
> are pros and cons to use of the fortifiers. I'm not saying what side is
> right, however I think I recall some posts on liberalizing volume for
> "well"
> premies or "feeders and growers" as we call them, giving more than the
> usual
> mls/kg with good outcomes.
(snip)
**As a volunteer, I mainly deal with healthy, term babies, so I do not have
experience with premies, but I have a question. I'm still studying and a
while ago, came across the statement (in Riordan) that premies ought to get
more mls than are usually given, as breastmilk is so well digested, that
they can manage to deal with bigger quantities. This fact would, to a
certain extent, explain why premies grow more slowly on EBM than on formula:
they just don't get enough. Therefore it was supposed to be advisable to
simply encourage moms to pump more cc's, in order to administer more to the
babies, without having to expose them to formula. Hind-hindmilk could do a
lot of good work in this respect. Did I understand well? What is your and
Nancy's opinion on this? Does hind-hindmilk, to a degree, compensate for
fortifier? And what about human milk fortifier? I heard about it at the
Donor Milk Symposium I attended had in Nijmegen on November 9th; Prolacta
Science was there. I haven't been able yet to study in depth what the
pp-handout said. I'm interested in your views, esp. bacause, like Cathy
Watson said, it would be great to really reach exclusive breastfeeding, even
for premies, but not when it compromises them.
Regards,
Marianne Vanderveen, Netherlands
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