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Subject:
From:
"K. Jean Cotterman" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 25 Aug 2013 18:19:52 -0400
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Does anyone know of reliable articles in professional health care literature about the safety of adding carefully measured amounts of powdered formula to EBM to increase calories for a full term baby with cardiac and multiple other anomalies who is not gaining weight at the approved rate??


My granddaughter is caring for her baby at home, with visiting nurse visits. She has been following the directions given her by the surgical/pediatric staff in a major medical center, but reports that as soon as the fluid gets into the stomach via orogastric tube, her baby becomes and remains restless and fussy, and various noises in the gut begin right away, and continue for a while till there is finally a somewhat forceful exit of stool from his colostomy. She didn't report the color of the stool. Weight gain is hard to follow because he is also on a diuretic. If per chance it is being moved through the stomach and small intestine too rapidly for proper digestion and absorption, how is that supposed to result in weight gain? Maybe just enriching the calorie count of the stool?


Somehow it seems as if the concentration of the fluid made by adding the directed amount of plain commercial powdered formula to the measured amount of breastmilk might make a solution so concentrated that it is somehow injurious to the kidneys themselves??? Or the gut??? An internet search turns up all kinds of impressions from parents themselves, plus directions that sound suspiciously influenced by formula companies, etc. I would like to know from professionals in the forefront of actual care whether babies given such supplementation are later having any kidney or GI problems as a result.

Does anyone know about the feasibility of increasing calories by skimming off cream from EBM and adding it to straight EBM? Is there professional literature on it? Somehow, that seems like something that would be easier on the kidneys and gut.


K. Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC      Dayton OH

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