Does the hospital keep records of NEC cases?I would be afraid that you will see an increase. Tragic but important to monitor.

There's no basis for the 500mL; it's formula that should be no more than that by 12 months so that the child eats other food. I am seeing children drinking a litre, up to two, and not eating. 
As for iron fortification: if the child has a good supplementary diet the worry is likely to be that fortified cereals provide iron in excess, and that this negatively affects cognitive development increases oxidative risks which may include promoting cancer, and assists pathogens. Has the PHN been talking to a  formula rep and got the 500ml there, assumed breastmilk the same as formula?

Anyway, how is she to measure the 500ml when breastfeeding. DUH. Just offer three meals, 2 snacks as WHO suggests, and let baby decide what to eat. Good literature on complementary foods on WHO website and also First Steps Nutrition Trust in the UK.

Maureen Minchin

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