Human milk is necessary for the preterm infant, but it may not be  
sufficient for the very low birth weight (VLBW) infant.  Human milk IS  associated 
with better neurologic outcomes - but - virtually every study done in  the 
last 20 years was done with fortified human milk.  If you read the  study you 
quoted, you will find that mother's own milk did give higher IQs than  term 
formula and was done before fortifiers were used.  It  was not done with 
preterm formula.
 
Creamatocrits only measure fat and approximate calories.  They do not  
measure protein.  Hindmilk has more fat and therefore more calories, but  the 
same amount of protein (Valentine et al, JPGN, 1994).  Although a rare  mother 
may have a higher milk protein level, especially in the first 2-3 weeks  
after a preterm infant's birth, it does not approach the 3-4 g/kg/d needed for 
 the VLBW infant.
 
Research confirms that you cannot increase human milk calcium by increasing 
 maternal calcium intake.  
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Medical Director, Sharp HealthCare Lactation Services
San  Diego, CA 
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