I used to think the same Valerie.

Certainly of the 34 weekers and older.  Then it was pointed out to me that
without 'science and medical intervention' the real tiny ones by nature
would never have survived.  So if we are resorting to 'science' for
deliverying and keeping the sick and tinnies around, then it's quite
possible that mums bodies/milks etc have to succumb to science as well.
Perhaps this is a case of evolution not catching up with our skills as
scientists.

I do however think that if these babies 'need' (and I feel that many may
not), then we should be looking more at 'lactoengineering' even if on a
simplistic basis of of skimming the fat from the expression of one breast
and adding it to the whole milk of the other, and not so much on the other
additives.  I am beginning to believe that more babies are being fed 'cows
milk fortifiers' than really need it because they are slightly 'early' of
need 'fattening up'.  We have to start here I feel and realy only use these
tools if absolutely necessary.

Thanks
Pam Lacey IBCLC

>>>>>>From:    "Valerie W. McClain, IBCLC" <[log in to unmask]>
Subject: human milk fortifiers and lactoengineering

If we believe that human milk is the gold standard, what is the basis for
belief in human milk fortifiers and lactoengineering of human milk?  Is it
human milk is the gold standard only in the full-term and/or healthy infant?
How do we rationalize this need to change this precious liquid into
something
science believes must be better for the compromised infant?



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