sorry, i must diagree strongly that "one or two feedings of abm" should be
the standard of care treatment for a newborn with hypoglycemia. if someone
fed it to my child because of presumed hypoglycemia, i would sue. DONOR
BREAST MILK is the standard food for a newborn whose mother does not have
enough colostrum/milk to satisfy volume requirements to "fix'" that sugar
level.

here's my bottom line on this subject: donor milk is available in the 48
continental states of the united states, the milk bank in vancouver is NOT
closed, and any institution that is not familiar with how to get, when to use
it, and why to use it (this last point being the most important) is behind
the times and needs to "update your hospital's . . . policy."

i would also not consider one or two doses of ABM to be a "temporary setback"
and that i was "exclusively breastfeeding" my baby if it had already received
ABM, almost always delivered in a bottle with a nipple. any institution that
considers it not to be a problem to use ABM for anything less than a life and
death situation (come on now, exactly WHAT situation would make it best to
use ABM - let's be truthful - it is almost always a matter of convenience.
convenience for the staff, convenience for the HCP to not have to know about
donor milk, how to prescribe it, etc.)

as long as many of us in this profession continue to view ABM as equivalent
to breastmilk, we need to think carefully about what that means. what does it
mean? for one thing, it means we are on the side of the ABM manufacturers.
and don't tell me you don't believe ABM is the equivalent of breastmilk, if
your institution is full of ABM and has no donor milk around.

how many patients do we give fake blood to?

carol brussel IBCLC

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