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Date: | Fri, 24 Oct 2014 12:31:22 -0400 |
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Laura says,
The pediatrician wants the baby to gain faster. We actually think she may
have finally started to but the mom wants references to give to the
pediatrician of why it isn't best practice to add PIF to breastmilk to increase
calories in case the weight gain is still low. The mom really likes the pedi
and wants to keep a good relationship but is listening to me about solute
load and the other dangers of PIF. The pedi has shown herself to be open to
information.
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Two comments -- what of the dangers of destroying elements of breastmilk
(like lactoferrin) by adding iron fortified formula directly to the
breastmilk?
Second -- if the baby is a slow gainer, but is meeting developmental
milestones -- if the milk is available, but she doesn't want it -- shouldn't we
listen to the baby? I'd be a lot more concerned if she was FTT, but 3 to 4
ounces a week is slow, and slow can be OK.
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education Consultants
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