Dear Colleagues, A question came to me from a friend working with a lactation support nurse in Cambodia and as I do the research I wanted your thoughts as well. The baby is 34 weeks, on mixed feeds by ng tube. When a mother is offering mixed feeds - expressed breastmilk (EBM) plus formula - is it preferable to do EBM first then the formula or to mix and feed? I know the practice in the NICU in the hospital where I work is to do breastmilk first then "top off" with formula if needed. This supports my personal thought - to give the EBM first to coat the gut and assure none is lost if the baby doesn't take the entire volume. I need to find a reference for her to back that up and that has not been easy to do. Many thanks, Cindy Garrison BS IBCLC practicing in Pittsburgh, PA *********************************************** 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