As far as I can tell the donor milk group was a mixed group of infants
fed  
variously fortified donor milk and preterm formula. Do we wonder why
the short  
term outcomes are questionable? Too bad there was not a clearer
delineation  
between study groups.
 
Marsha Walker, RN, IBCLC
Weston, MA

    
Thank you, Marsha!!  You have analyzed the flaws in this study so well.
 When I read the article for the second time, I realized what you
pointed out.  These babies didn't receive just donor milk, they
eventually were changed to preterm formula and were STILL designated as
being in the donor milk group.  So that proves NOTHING!  Your point
about the  powdered fortifiers is also a good one.  I worry about
extensive use of HMF, but it is so routine now.  Neonatologists and
dietitians get really bent out of shape when they don't see consistent
weight gain in the hospital.  That seems to be the bottom line so many
times and they won't let babies go home without getting to a certain
weight.  It makes you wonder if weight gain should be the main focus of
taking care of sick babies.  

Thank you again for your helpful insight.  This is great info to take
with me to the PharmD's presentation next week.
Ginger

Ginger Carney, RD, LDN, IBCLC
Clinical Nutriiton Mgr./Lactation Consultant
Le Bonheur Children's Medical Center
Memphis, TN  
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