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Subject:
From:
Ginger Carney <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 30 Dec 2005 13:24:34 -0600
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Many times in this situation, I find that I cannot get the baby to gain
weight in a reasonable amount of time.  If given a choice to eat or
breath, the baby will choose breathing.  A baby with this severe of a
heart defect burns almost as many calories feeding as he/she is taking
in...so the result is super slow weight gain.  Usually, what you are
dealing with in these situations is getting the baby to gain enough
weight to be strong enough for corrective surgery.  The surgery is what
is needed to make the feedings more effective.  What I suggest is to
fortify the supplemented breastmilk with a concentrated formula to boost
the amount of calories the baby is getting.  When the baby is term, I
use any standard formula, or even a predigested one.  If it is a
preterm, a preterm fortifier is used.  If you can boost the calories by
4, 6, 8 calories/oz in the expressed supplemented breastmilk, you will
see better weight gain for this baby.  The sooner the surgery, the
sooner the baby will be able to just breastfeed and thrive (and no more
formula!).  A pediatric dietitian would be able to help you figure the
recipe for this.

As an aside, have you heard that a new company (Prolacta) is beginning
to process fortifier made from human milk?  As soon as this comes out, I
will use this when extra calories are needed.  You can check out their
website at www.prolacta.com.  They are doing some exciting things.

Ginger Carney, RD, LDN, IBCLC, RLC
Le Bonheur Children's Medical Center
Memphis, TN

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