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Lactation Information and Discussion <[log in to unmask]>
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Wed, 13 Oct 2010 23:59:41 EDT
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The Sullivan study had many flaws - the most glaring of which was that ALL  
the babies got mostly their own mother's milk (which is a GOOD thing - but  
compromised the study).   I believe Lucas's study was the ONLY one  done 
without fortification. Yes, human milk improved IQ -over regular  formula - 
not over preterm formula. In most studies IQ is proportional to  growth, 
especially early growth in the hospital.
 
I agree that human milk is necessary - but it is not sufficient (per  
research) to meet the nutritional needs of VLBW infants.  I would love to  use 
only mother's own milk.  Until we figure out a way to concentrate the  
nutrients appropriate to the needs of each preterm infant (and to pay for it),  we 
have to get the nutrients in however we can.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and  Newborns
Medical Director, Sharp HealthCare Lactation Services
San Diego,  CA 
[log in to unmask]  

 
In a message dated 10/13/2010 8:38:54 P.M. Pacific Daylight Time,  
[log in to unmask] writes:

Sullivan  S et al, 2010 Pediatrics 156(4):562.  Exclusive human milkk and 
NEC -  77 % less NEC if baby received human milk with human milk fortifier. 
Long  term??? I think the original IQ studies showd higher IQs in breast 
milk  
fed premature infants.  Pat in  SNJ




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