Dear lactnetters,
   
   I had posted my concern last week about mixing powder formula with breast Milk. Baby I was taking care of (33wk1513g preme), I asked mom to get hind milk. Started to feed hind milk. Baby was gaining well 20-30g/day. Doc on call had started mixing powder formula when I went back to work next time.
   
  No labs were done to make sure the biochemical Markers are on normal limits. we don;t  keep very many preme in our hospital so this kind of tests is not done here.
   
   Question, 
  Eventhough baby is gaining weight well, acting good, everything looks ok, 
  do we need to get concerned about phosphorus,alkaline phosphatase,urea etc??
  does baby really need extra stuff from formula??
   
   
  I told my coworker physician why can;t we leave this baby on hindmilk. He said hind milk calorie is not enough for the baby. It could be lower than 20cal/oz. And Other stuff baby needs. I mentioned about lysozyme effect etc.. 
  I was amazed. 
  Doesn;t hind milk have more cal? . and this mom;s hind milk definitly looked thick, rich.
   
  how much all these minerals are in hind milk??phosphorus,alkaline phosphatase?
  I do not have Riordan's book.
   
   
  thank you,
   
   
   
   
   
   
   
   
   
   
   


Seema Karki,RN, Mother to 3
Nursing momma
 New IBCLC
The only way to nurture your baby ....is .....breastfeeding.







		
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