Nikki, I have been questioning this for the last year and have not
>
been able to get a straight answer. It seems NICU staff and neonatologists
are just over looking the possibility of contamination.

------------------------------
>
> Date:    Wed, 27 Jun 2018 14:58:31 -0400
> From:    Nikki Lee <[log in to unmask]>
> Subject: Clarification sought about new ABM protocol
>
> Dear Lactnet Friends:
>
> The Academy of Breastfeeding Medicine published "ABM Clinical Protocol #12:
> Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive
> Care Unit to Home, Revised 2018."
>
> Three ways of fortifying human milk are listed, including this one:
> ​"​
> Option 2: Add powdered preterm discharge formula to expressed human milk
> feedings to enrich it to 22 kcal/30 mL27 (Table 3). This option will
> provide human milk with each feeding
> ​."
>
> ​As powdered formula is not sterile, and human milk will not be heated to
> 158 degrees Fahrenheit ​
> ​
> ​(as is recommended for mixing powdered infant formula by the FDA and the
> WHO) to kill spores in the powder. . . I am curious about the safety of
> this recommendation.
>
> Any practitioners of breastfeeding medicine care to comment?
>
> warmly,​
>
> --
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
> Reviews Editor,* Clinical Lactation*
> www.nikkileehealth.com
> https://www.facebook.com/nikkileehealth
> *Communications are confidential and meant only for whom they are
> addressed.*
>


-- 
Ilene Fabisch, IBCLC/RLC
A Gentle Beginning Lactation Assistance
Brockton, MA

"Each day is a blank canvas waiting for our unique brushstrokes to create a
masterpiece."

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