> Rebecca Garcia, RNC,IBCLC, wrote:
> My question has to do with the pedi today instructing the Mom to mix one
> scoop of powdered formula with 4 oz of EBM and feed this to baby two
> times a day.  I set her up with an SNS, called the dr. to be sure this
> was what she wanted, questioned her about adding the powdered formula..
> It was really what she wanted, stating that that much formula would be
> ok in 4 oz of breastmilk.  I seem to remember that formula needs to be
> always diluted with the perscribed amount of water, and had never heard
> of this action, but thought I would ask you wise-ones.
> Thanks for all your support--I learn so much from this.

and from Pat:
> I don't have my little formula here at home, but there is a way to
increase
> the caloric value of formula to 22 or 24 oz.  Sounds like pedi is trying
to
> increase caloric value of breastmilk.  This is a little iffy, can put an
> undue burden on baby's kidneys, especially when you really don't know what
> baby's problem is.

I wouldn't feel comfortable adding formula to EBM, nor to advice parents,
nor for my own child (should I still have a breastfed one). I think Pat is
right that it could mean to much of a burden for the childs kidneys.
But I could imagin using Paula Meiers' lactoengineering technique (in short
that is to only use the hindmilk or even hind-hindmilk) to increase the fat
content of the EBM given to the baby. It will increase caloric value, but
does not add extra minerals and protein, nor nonhuman nutrients.

Gonneke van Veldhuizen, IBCLC, Maaseik, Belgium
 - one who gives birth is partly mother, one who nurses is fully mother
                                                                  - Jacob
Cats, 17th century

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