Nikki, I understand that the prolacta costs $5 to $6.25 per ml. Interesting.
Gail
Gail S. Hertz, MD, IBCLC
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----- Original Message ----- 
From: "Nikki Lee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 12, 2010 10:08 AM
Subject: Re: SGA premie


> Dear Folks:
>
> Liz Brooks was referring to the Prolacta company, that makes truly human
> milk derived products for the NICU population.
>
> Their products are expensive, just as any blood products are expensive. 
> The
> testing required to ensure safety and the processing (the milk comes in 4
> different caloric strengths)  make it so. Would you want to be given cow
> blood in the ER because the human blood was too expensive? There isn't 
> much
> difference between blood and milk.
>
> The challenge here in the US is that the NICU budget drives the healthcare
> staff to use cheaper powdered fortifiers in human milk. Can you believe
> NICUs use powdered fortifiers that are not sterile, after the WHO
> recommendation in 2004, that premature and immunocompromised infants never
> receive powdered formula? The label of the powdered formula fortifier from
> Ross states "Allergy information: Contains Milk and Soy 
> Ingredients"...just
> what you'd want your fragile premature infant to receive. Are parents 
> given
> this information??
>
> The other barrier is that the money an exclusively  human-milk fed 
> premature
> will save (from earlier discharge, and reduced risk of various acute and
> chronic illnesses over its entire life span) does not go show up in the 
> NICU
> budget. The savings go to the insurance money or the tax payers over a
> period of years, a problem of a fragmented system.
>
> warmly,
>
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
> craniosacral therapy practitioner
> www.breastfeedingalwaysbest.com
>
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