Return-Path: <[log in to unmask]> Received: from relay28.mx.aol.com (relay28.mail.aol.com [172.31.109.28]) by air17.mail.aol.com (v40.16) with SMTP; Mon, 30 Mar 1998 22:51:12 1900 Received: from node21.frontiernet.net (node21.frontiernet.net [209.130.129.196]) by relay28.mx.aol.com (8.8.5/8.8.5/AOL-4.0.0) with ESMTP id WAA24742 for <[log in to unmask]>; Mon, 30 Mar 1998 22:51:11 -0500 (EST) Received: from hal (as5200-5-10.hgl.ny.frontiernet.net [209.130.140.208]) by node21.frontiernet.net (8.8.8/8.8.8) with ESMTP id WAA71934 for <[log in to unmask]>; Mon, 30 Mar 1998 22:03:51 -0500 Message-Id: <[log in to unmask]> Reply-To: <[log in to unmask]> 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 X-MSMail-Priority: Normal X-Priority: 3 X-Mailer: Microsoft Internet Mail 4.70.1161 Mime-Version: 1.0 Content-type: text/plain; charset=ISO-8859-1 Content-transfer-encoding: quoted-printable 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 >