To the collective brain,  I have done an archival search and have some info
but I was hoping to get a little more.  I am working with a 2 month old
breastfeeding very well, but she has essentially a single functional
ventricle,  treated similar to a hypoplastic left heart.  She is on meds, but
is still symptomatic with resp problems, sweating,etc during feeds.  Obvious
signs of fluid overload.  She sees  Cardiologist on thursday, so I need
prompt reply if able.  Cardio wants to have mom stop bfdg and begin pumping
and giving all EBM with fortifier in bottle.  Hopefully more calories, less
fluid.  They are of course assuming 20kcal breastmilk only.  My question,
for preemies, I know we have lots of documentation on bfdg vs bottle fdg,
re:  sats and calorie expenditure, but what about an older child?  I hope to
present some hard evidence to my ped and the cardiologist to cont bfdg at the
breast.  I think pumping every feeding is too much for this mom but I want to
do what is best for kid.  Giving formula was never a discussed option, they
KNOW they want to use EBM!!  Thanks in advance!


Humbly,
Cheryl Parrott RN, BSN
Kokomo, IN

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