I am a bit behind, so this is a belated response to an earlier post.
Thank you, Esther Grunis, for posting the informative references on
the subject of bottle vs. breast for premies. The first study she
cited found that ELBW babies have better physiologic response with
breastfeeding, but have a greater mean weight gain with bottle
feeding. It concludes that breastfeeding might need supplementation to
achieve optimal weight gain.
My question is this -- how is optimum weight gain determined for ELBW
babies? Since we have learned that full-term, formula-fed babies who
gained the most weight in the first week are at greater risk of later
obesity, do we even know what optimum weight gain is in the full-term
infant? What about with the premature infant? I am writing this with
very little knowledge or experience with ELBW babies, so if there is
an obvious answer please let me know.
The other obvious question is what is the best method of
supplementation for these babies?
I look forward to learning more about this.
Lisa Mandell, LLLL
waiting for exam results . . .
References:
Breastfeeding infants who were extremely low birth weight.
Blaymore Bier JA, Ferguson AE, Morales Y, Liebling JA, Oh W, Vohr BR.
Pediatrics. 1997 Dec;100(6):E3.
Weight Gain in the First Week of Life and Overweight in Adulthood: A
Cohort Study of European American Subjects Fed Infant Formula.
Nicolas Stettler, Virginia A. Stallings, Andrea B. Troxel, Jing Zhao,
Rita Schinnar, Steven E. Nelson, Ekhard E. Ziegler, and Brian L.
Strom.
Circulation 2005 111:1897 - 1903 (April 19).
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