I am far from an expert on premie feeding, but I would think that the breastmilk from the adoptive mother, with fortifier, is probably the best thing possible for this baby. I asked Dr. Newman about this kind of thing, a while back, and he said that premies didn't necessarily need fortifier, but I certainly wouldn't know how to elaborate on what situations it would or wouldn't be needed. If this mom has been able to increase her milk production by adding pumping to nursing her bio baby, I would think that the composition of her milk would tend be more like a bio mom of a younger baby, but not like that of the mother of a newborn. Some adoptive mothers have some amount of secretion that resembles colostrum, and some don't, but I haven't heard of this happening except in someone who was starting to induce lactation from a point of not having been lactating at all. Does the adoptive mother have physical access to this baby? In the past, adoptive parents were often not even identified until a baby who needed to be in the NICU was ready for release from the hospital. However, I think most people, in general, now have more understanding for the need for a sick newborn to have a parent there, whether the birth parent or adoptive parents. Two of mine were in the NICU. I did get to see Thomas twice, there, but only for an hour each time. Fortunately, the nurses at the Landstuhl US Army Med Center's NICU were WONDERFUL! I have always felt like the love and affection they showered on this little biracial baby, who had arrived there just about at death's door, with no one asking about him, played a part in his remarkable recovery! With my daughter, Julia, I never even got to see her until she was six months old. Her birth parents had rarely visited her in the hospital, during her first four months. After they decided to give her up, the social workers saw no reason to try to get her placed for adoption in any hurry, although we were right there ready for her. I believe that, had I been able to be with her from birth, her recovery would have been so much easier that she would have needed only one traumatic surgical procedure, rather than three! Getting off track here, but I am just thrilled whenever I hear of some sick newborn who is being placed for adoption being able to have the love (and even the milk!) of an adoptive mother. This mom would be more than welcome to join the discussion at ABRW (www.fourfriends.com/abrw) . One of the photos on the home page of that site is of a mom tandem nursing both a bio toddler and an adopted baby, the fact of which is obvious, because the babies are two different races! Please give this mom my regards, too! Darillyn _________________________________________________________________ Express yourself instantly with MSN Messenger! Download today - it's FREE! http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/ *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html