Dear Lactnet Friends:

The Academy of Breastfeeding Medicine published "ABM Clinical Protocol #12:
Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive
Care Unit to Home, Revised 2018."

Three ways of fortifying human milk are listed, including this one:
​"​
Option 2: Add powdered preterm discharge formula to expressed human milk
feedings to enrich it to 22 kcal/30 mL27 (Table 3). This option will
provide human milk with each feeding
​."

​As powdered formula is not sterile, and human milk will not be heated to
158 degrees Fahrenheit ​
​
​(as is recommended for mixing powdered infant formula by the FDA and the
WHO) to kill spores in the powder. . . I am curious about the safety of
this recommendation.

Any practitioners of breastfeeding medicine care to comment?

warmly,​

-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
Reviews Editor,* Clinical Lactation*
www.nikkileehealth.com
https://www.facebook.com/nikkileehealth
*Communications are confidential and meant only for whom they are
addressed.*

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