Hello,
If this is what the MD told the mother, he must have slept through the nutrition lecture. Of course if there were not
written instructions, there also could be a miscommunication.
I am sure that one of the dieticians on the list could tell us much more, but this could cause serious health problems for the baby.
It is very important to not give milk that has a high osmolality (concentration of particles in a solution). It is very hard on the baby's
gut and kidneys. I did find that the AAP recommends that formula not exceed a certain level (400mOsm/L (450mOsm/kg).
I did find a parent teaching handout for increasing the calories in breastmilk http://www.childrensmn.org/Manuals/PFS/Nutr/018728.pdf
This handout states to add 1 teaspoon to 3 ounces of breastmilk to increase the calorie count to 24cal/ounce. Standard powdered formula
is mixed at one scoop/2 ounces of water to produce 20cal formula.
I think I understand the problem now. The doctor thinks that mom's milk has turned to water. ;-)
Silly me. I was worried about technical things like osmolality (or is it osmolarity), excessive protein and kidney damage.
I think that the cold weather has disrupted my brain.
Just call me "Frozen in Minnesota"
Rachel Wahl RN IBCLC
> Date: Sat, 27 Nov 2010 08:27:11 -0500
> From: [log in to unmask]
> Subject: LACTNET Digest - 26 Nov 2010 to 27 Nov 2010 - Special issue (#2010-937)
> Date: Sat, 27 Nov 2010 02:05:56 -0500
> From: Suzie Owens <[log in to unmask]>
> Subject: Mixing powdered formula into ebm
>
> Dear wonderful people of Lactnet,
>
> I worked with a mom recently who was told by her pediatrician to mix powdered formula into her expressed breastmilk to help the baby gain weight. It's not a matter of adding a little bit of ABM powder to the breastmilk to fortify, but rather adding the full amount of ABM powder as if the EBM was water. This mom has an ample supply and has been freezing her excess breastmilk. I've searched the archives and found nothing. It is the first time I've heard of this, but knowing what I know about formula preparation and breastmilk composition it seems like it might be a dangerous practice, not to mention the lactoferrin binding with the iron fortification in the ABM. Anyone have any knowledge of this? I want to call the pediatrician and ask about the suggestion, but it's a pedi I'm not familiar with, in another part of town, so I would like to be armed with some evidence based information.
>
> Suzie Owens, IBCLC, RLC
> Fighting the good fight on a chilly Las Vegas night.
> Date: Sat, 27 Nov 2010 09:36:43 +0000
> From: Morgan Gallagher <[log in to unmask]>
> Subject: Re: Mixing powdered formula into ebm
>
> It's difficult to come up with research that proves stupidity is stupid.
>
> You could say lots of things to him - about the contamination risks,
> risks from too thick a mix, aspiration issues, likelyhod of obesity.
>
> But as the paed in question, can't walk and chew gum, hard to be
> listened too! You cannot prove a negative, and you can't find research
> to disprove a personal reccomendation that is simply batshit crazy.
>
> I suppose the only real question to ask, is why he reccomended it? Does
> the baby have weight gain issues at all?
>
> Morgan Gallagher
> Date: Sat, 27 Nov 2010 02:41:04 -0800
> From: gonneke van veldhuizen <[log in to unmask]>
> Subject: Re: Mixing powdered formula into ebm
>
> A friend of mine would sigh in cases like this, that the HCP in question is ''not bothered by any means of non-existent knowldge''.
>
> Warmly,
>
> Gonneke, IBCLC in PP, LC lecturer, taking a sunny saturday off in Southern Netherlands
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
