-----Original Message-----
From: Rachel Myr [mailto:[log in to unmask]]
Sent: Tuesday, August 23, 2005 3:37 PM
To: Mathews, Lois
Subject: RE: breastfeeding an adopted premie,while nursing another


Hi Lois,
Please re-send this to the whole list, at 
[log in to unmask]

You used the listmother address.  Even though we are pretty wonderful, I
imagine you wanted to get input from all the subscribers :-)
Here's my 30 ml - how small is this 'small' premature?  What is current
corrected age?  Would this baby be getting fortifier if it were the birth
mother supplying the milk?  Would it be an option to let the baby go on just
her milk for a week or so, and see how growth was, or is this a really
fragile newborn?  It seems they should use the same guidelines as for any
breastfed baby in determining the need for possible supplementary nutrition.
Rachel

-----Original Message-----
From: Mathews, Lois [mailto:[log in to unmask]] 
Sent: 23. august 2005 21:13
To: [log in to unmask]
Subject: breastfeeding an adopted premie,while nursing another

Dear Lactnetters, need help here. Our large NICU has a small premature that
has been adopted by a mom who is nursing a one year old. The question is
will the milk contain all the nutrients a premature needs? Volume is not an
issue. The Neo's are concerened about growth and development. They are
giving the milk with fortifier added and are very willing to allow the
mother to furnish the milk. Has anyone had this situation before and what
did you do. I am inclined to think that the milk may revert back to
colostrum since she is pumping just as it would for another baby but with
her not experiencing a preg. will it be the same.
Lois Mathews,R.N. IBCLC-RLC
St. Marys Medical Center
West Palm Beach Fl.
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