I  did talk to our neonatal dietician yesterday and she gave an article to
copy re: evidence-based info on adding adding formula to EBM. I  haven't
had a chance to look at it yet but will and send another response to the
group.
On Aug 26, 2013 4:38 AM, "Jan Barger" <[log in to unmask]> wrote:

> Jean writes:
>
>
> <<I was just hoping for some personal reassurance for me as  to whether it
> has been proven, in widespread practice, or formal research,  that the
> addition of powdered formula to EBM is without known harm (beyond its
>  effect on
> gut flora and effect of the iron on normal iron mechanisms of the  EBM,
> that
> is).>>
>
>
> ***************************************************************************
> Jean, I really wish there were some clear, specific answers for  this.
> What we've heard on several occasions on this list and elsewhere is  that
> "we
> do this frequently - all the time -- often -- in our NICU or for babies
> going home" -- therefore, ergo, it must be the right and scientific thing
> to
> do.  But the question is, where is the reality that this really IS the best
> thing to do for our babies.  What does powdered formula actually DO to the
> EBM?  Has anyone actually done a study to look at the components of
> breastmilk and see what happens when the AIM is added?  If adding AIM to
>  water (as
> directed) gives X, Y, Z amounts of minerals, calories, etc, then what
> happens to that concentration of minerals when it is added to something
> that
> already HAS minerals?  Is the mother's milk ever tested to look and see
>  what
> the caloric value of her milk is, or is an assumption made that ALL
>  mothers'
> milk is ALWAYS 20 kcal/ounce?
>
> It is interesting  to me that it seems that if the "experiment" involves
> AIM, the assumption is  that it is OK to do whether or not we have the
> evidence to back it up that it is  not only "safe" but beneficial.
>
> Musing on Jean's  thoughts and really wondering what the actual evidence
> shows...
>
> Jan Barger, RN, MA,  IBCLC, FILCA
>
>
>              ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email:
> set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome