I recently gave the nurses a refresher course in breastfeeding in the
first 3 days.  We discussed what to do with those babies who just do not
breastfeed in the first few days, and agreed that spoon feeding
colostrum was a good alternative until the baby was ready to latch.  I
told them that it was not a good idea to spoon feed artificial milk for
fear of aspiration.  
Today one of the head peds wanted to know why that is.  After all, she
thinks that there really is not much difference between artificial and
breast milk.  Does anyone have the references which talked about the
danger of aspirating artificial milk as opposed to aspirating breast
milk?  I can't find anything.  I know I did not make this up.  It is
probably from my LLL days.  Anyone???
Do any of you in hospitals have a protocol on spoon feeding colostrum?
Is artificial milk mentioned?
TIA. 
 
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
 

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