Irene,

All I can say is that this is common practice in the pediatric ICU/CCU where I
used to work. I also see our neonatologists use this. I think it is a situation
where you are darned if you do and darned if you don't because a cardiac baby's
energy needs are high but his ability to handle fluids is low.

IMHO, this is not a place where the standard rules can be insisted upon. If 22
or 24 cal. breastmilk will get these kids to the OR faster because it helps them
grow...that is what is needed. Honestly, I've given up to 32 cal. breastmilk in
cases where babies were seriously fluid restricted.

Susan




ifab <[log in to unmask]> on 05/30/2000 02:13:00 PM

Please respond to Lactation Information and Discussion
      <[log in to unmask]>

To:   [log in to unmask]
cc:    (bcc: Susan J Keith-Hergert/MGCR/CHP)

Subject:  ABM to BM?




I have a mom whose baby has a "heart defect" and mom was told to add 1
tsp of ABM to 4oz of BM.  I don't get it.  I assume they are trying to
increase caloric intake so baby can undergo surgery , I know this isn't
the best way but what I'm really curious about is aren't they throwing
off osmolality as well and putting kidneys and such at risk or isn't the
1 tsp a big deal ( of course it's a big deal but I mean in this respect)?
 Geez, talk about a run on sentence.

Ilene Fabisch, IBCLC, LLLL
WIC Bfing Coordinator
Brockton, MA

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