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From: "The Zucker Family" <[log in to unmask]>
To: "CarolRNLC" <[log in to unmask]>
Subject: Re: Another bone to toss around:  Human Milk Fortifier
Date: Mon, 30 Mar 1998 21:39:10 -0500
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Carol

I am having trouble posting to the list-so I'm just responding privately.

I remember reading about someone who increased the calories of her milk b=
y
expressing her milk and allowing it to stand for a couple of hours, then
adding the "cream" that floated to the top to another full bottle of
freshly expressed milk.  Does this make sense?  It sounds like a good ide=
a
to me.  What do you think?  Feel free to share with the list, if you
want--I don't know why my posts have been bumping back to me.  Maybe it's=
 a
message that I should just shut up for a while!

Barbara Leshin-Zucker, IBCLC
Breastfeeding Coordinator
Morrisania WIC, Bronx, NY

----------
> From: CarolRNLC <[log in to unmask]>
> To:
> Subject: Another bone to toss around:  Human Milk Fortifier
> Date: Tuesday, March 24, 1998 12:44 PM
>
> OK, Lactnuts,
>
> Here's another controversy for y'all to tangle with:
>
> Our local BF task force had a wonderful in-service yesterday on BF &
premies,
> led by 3 NICU nurses from different hospitals.  ALL of them mentioned
Human
> Milk Fortifier as a "given" for very-low-birthweight babies, along with
> vitamin & mineral supplementation as well.
>
> When I brought up my concern about the milk-protein content of HMF, fro=
m
my
> perspective as a woman with milk allergies wanting to avoid same in my
> children,  they all agreed "that might be a problem", but none of them
knew
> what to do about it.  One suggested using dried human milk, but said th=
at
it
> was scarce, expensive, "& still doesn't provide all the minerals needed=
".
>
> I then asked if they got signed consent to add HMF to expressed breast
milk, &
> was told "no".
>
> My points to ponder:
>
> Is there a liability issue here?  What if these kids develop milk
allergy,
> NEC, etc. on down the road?  What if HMF is NOT used, & the kids develo=
p
bone
> deficiencies, failure to thrive, or whatever?
>
> Is there an alternative to HMF, that these NICUs & neonatologists/nurse=
s
> aren't aware of?
>
> Our task force waits with baited (non-milk!) breath for your collective
words
> of wisdom!
>
> Carol in St. Louis
>