Dear Friends:
    Summer asks about a formula for a mother with  primary lactation failure,
without access to a milk bank (I assume).
    The only formula I know that has any research  backing it is the old
Carnation Good Start. A 5-year study by Chandra found that  it had less allergic
manifestations than Isomil and Enfamil.........although  more than human milk.
(Wouldn't you know that Nestle makes this one :-(
    Wouldn't want to use powdered, as it isn't sterile  and can carry
dangerous organisms, like enterobacter sakazaki. Soy is the wrong  phyllum, and there
are concerns about phytoestrogen and other compounds. There  is no research
supporting any benefit from the new formulae with the DHA/ARA  additives (check
out Makrides study (Pediatrics 2000' 105:32-38);also Dr. Lucas  published a
study finding no difference between supplemented and  non-supplemented
formulae), so save some pennies.
    The study that found high levels of cadmium (B had  levels of cadmium
higher than the WHO acceptable daily level) in two  cow's milk based formulae
didn't identify either of them, calling one A and the  other B. Now that's a
shame.
    Thank goodness this baby can get whatever mamma can  make!
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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