During my first year out as a non-nurse, hospital based lactation 
consultant, I have been challenged (and sometimes dismayed) by the reality 
of those breastfed babies who for whatever reason are not transfering milk 
well at the breast and need to be supplemented while we are working on the 
breastfeeding issues. I have made some steps forward at our hospital: 
quantities of supplement are now thought of in mls and tsps and not ounces 
(thank you especially Kay Hoover for the info on feeding amounts in the 
early days).  We have mothers pump or hand express (as they prefer) and 
offer expressed colostrum by alt. feeding method. But sometimes baby's lab 
work tells us he needs a little bit more...sometimes its a ped. who is 
nervous, sometimes the parents, or sometimes the nurse is concerned. I keep 
the ABM's guidelines on when suppl. is medically indicated posted and we 
refer to it frequently when we are concerned with how the bf. is going. But 
we all know the number one rule: feed the baby!
So I've thought, why not be able to offer these babies banked milk? Just 
until mother's milk comes in and baby is nursing well or mother is pumping. 
How hard could it be? I guess I am going to find out:  I just sent for the 
guidelines from HMBANA on starting a milk bank. Its my New Years resolution. 
Wish me luck!
Kristen Panzer MS IBCLC

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