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Subject:
From:
Jim & Winnie Mading <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 14 Dec 2002 17:17:42 -0600
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Pat says:
Well, this is my take on the fortifying issue. Sometime someone will

replicate that study and we will then know how the premies in
Pamela's
hospital and other places around the world are adequately fed with
their
mothers' milk and the premies in "my" hospital are not.

When I posted on how the micropremie may need some modification of
diet because it is only surviving due to technology, I was not
saying they need necessarily something artificial added.
Lactiengineering, as I understand it, is modifying mom's milk and
manipulating so baby gets more "hind" milk.  This is what Paula
Meier's work is showing.  This is certainly what should be done
first.  Will there still be a need to add something else?  Perhaps,
perhaps not.  The "science" of helping micropremies to survive and
thrive is still in it's infancy.  The "hind milk" approach does say
that human milk is still the Gold Standard and should be used before

determining that other or additional nutrients may be needed for
this tiny being.
The problem is when the premie has had a few weeks to catch up and
has reached the gestational age when it would have had a good chance

of surviving without intervention had it been born then.  It seems
that there is an attitude that they all need fortification until
they reach 40 weeks post-conception.  This, IMO does go against
nature.

Winnie

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