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Date: | Thu, 25 Aug 2005 15:02:41 EDT |
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In a message dated 8/25/2005 5:53:26 AM Pacific Standard Time,
[log in to unmask] writes:
Perhaps Nancy Wight (if she isn't tired of this topic already) can speculate
on why this would crop
up in such a carefully controlled study that on the fact of things, tried to
equalize the nutrient
content.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
The study does not say anything about analyzing donor or mother's own milk
and trying to equalize the nutrition. I would doubt that they did it. Although
analyzing each mother's milk and supplementing individually with just what is
needed, might be ideal for the baby, it is extremely labor intensive and
expensive (the equipment to analyze just fat, protein and calories is >$100,000).
One of the reasons we have seen an increase in the use of mother's own milk
for preterm infants is that multi-nutrient fortifiers are EASY. Before the
commercial fortifiers, it was much easier to just give preterm formulas.
Please don't respond indignantly that we SHOULD be tailoring each infant's
milk to his/her exact needs! We don't yet know exactly what those needs are!
Each drug is not tailored to the individiual patient.
As new research as to the value of human milk is coming out, there are more
efforts to use it. If evidence suggests that analyzing mother's milk is
valuable and cost-effective for optimal short-term and long-term outcome, it will be
done. We are not there yet.
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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