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Nancy,
I just want to understand you clearly on the question of prescribing neosure
powdered formula as a fortifier added to human milk during the nicu stay and
after.
Does the need outweigh the risks?
Do you recommend it?
Thanks,
Zena Kay Gresham, IBCLC
Las Vegas, Nevada, USA
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Wednesday, October 13, 2010 9:00 PM
To: [log in to unmask]
Subject: [LACTNET] Premie nutrition
The Sullivan study had many flaws - the most glaring of which was that ALL
the babies got mostly their own mother's milk (which is a GOOD thing - but
compromised the study). I believe Lucas's study was the ONLY one done
without fortification. Yes, human milk improved IQ -over regular formula -
not over preterm formula. In most studies IQ is proportional to growth,
especially early growth in the hospital.
I agree that human milk is necessary - but it is not sufficient (per
research) to meet the nutritional needs of VLBW infants. I would love to
use
only mother's own milk. Until we figure out a way to concentrate the
nutrients appropriate to the needs of each preterm infant (and to pay for
it), we
have to get the nutrients in however we can.
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and Newborns
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
[log in to unmask]
In a message dated 10/13/2010 8:38:54 P.M. Pacific Daylight Time,
[log in to unmask] writes:
Sullivan S et al, 2010 Pediatrics 156(4):562. Exclusive human milkk and
NEC - 77 % less NEC if baby received human milk with human milk fortifier.
Long term??? I think the original IQ studies showd higher IQs in breast
milk
fed premature infants. Pat in SNJ
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