Regarding the mother who was told to put a scoop of formula in two ounces of 
breast milk. This seems very excessive to me and could be dangerous for the 
baby due to an overload of some of the nutrients. What is normal for formula 
is a scoop of powder into 2 ounces of WATER.

What is being done down here is that premie or heart defect babies (upon 
discharge to the home) are told to put 1 teaspoon formula into 2 ounces of 
human milk. Some put 1/2 teaspoon of formula into 2 ounces of human milk. 
Very rarely are premies sent home on "just" human milk. Even the ones who 
seem to have a good weight gain are told to do this. I have seen premie 
babies that gain 12 ounces a week on this diet and are very round and fat 
and sleepy. Most mothers then will not breastfeed because of the 
supplementation "needs" of the baby. WIC is usually buying special formula 
for these babies, too.

Kathy Eng, BSW, IBCLC 

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