Hi Lactnetters. A note about Dr. Newman's asking for research re: questioning extrauterine growth being the same as intrauterine. I attended a Breastfeeding Workshop at the Hospital for Sick Children, in Toronto, October 8, 1996, and asked the same question of the nutritionist ( J. B. ) who was presenting "Facilitating Optimum Nutrient Delivery of Human Milk in NICU" and she said that the "gold standard for growth in preterm infants = intrauterine growth rates" according to a well-known paediatrician in the 1960"s (She gave us a name and I didn't write the name down). There was no doubt in her mind that this is a standard and that it was gold and don't bug me. Her hand out went on to state" - known that human milk fed preterm infants grow more slowly and have inadequate speicific nutrient intakes especially protein and minerals. Preterm milk decreases in protein and Na through lactation and may not meet needs for growing preterm infant - fortify" HSC and its seminars can be powerful because of its reputation - this to me is a double edge sword. Kathy Bodden