I have a bad feeling about the company wanting to buy/sell human milk to 
have it available to VLBW infants. It seems this will entice mothers to sell 
their own milk rather than BF their babies and then discourage mothers of 
VLBW infants to provide their own ebm, because donor milk will be available 
in the hospital for their infants. Once they go home, then what? Taxpayers, 
too, I fear,will bear the brunt of the costs. That is the least of it, 
though. I feel it will further undermine mothers providing their own milk to 
their own babies whenever they can.

Study re no difference in outcome for infants fed donor milk vs preterm 
formula: I wonder if these infants were exclusively fed the donor milk or 
did they get any first feeds of water or formula? I find at my hospital the 
neo orders feeds to start and before the mom can express anything the baby 
has been fed some formula. When milk is not available in the nursery, some 
nurses ask the mom for more, call the mom, but some do not. they grab the 
formula and give it and use the ebm *if* they have it.


Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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