Comments on: Benefits of Donor Milk Based Human Milk Fortifier http://www.kristiemcnealy.com/benefits-of-donor-milk-based-human-milk-fortifier/ Healthy Living at Home Wed, 17 Mar 2010 06:07:33 -0600 http://wordpress.org/?v=2.8.5 hourly 1 By: Janett Burruel http://www.kristiemcnealy.com/benefits-of-donor-milk-based-human-milk-fortifier/comment-page-1/#comment-21971 Janett Burruel Tue, 06 Oct 2009 03:20:29 +0000 http://www.nicu101.com/benefits-of-donor-milk-based-human-milk-fortifier/#comment-21971 In response to comments posted, while preterm breastmilk is highter in calories, this is not the only nutritional concern for VLBW (very low birth weight) infants. Fortification is recommended to provide increased amounts of calcium, magnesium phosphorus and protein that are not available in sufficient concentrations. Her feedings began @ 5 mls per hour so these nutrients had to be increased in order to meet her needs. I'm happy to report we were able to find a human milk fortifier in a liquid form ( Similac 30 cal) which is sterile. The infection developed subsequent to the introduction of a powdered fortifier. She tolerated the fortification and continued to grow very well. We used "preterm hindmilk along with the fortifier. As her feeding volumes increased her ave daily weight gain was 40 gms. She stayed on oral and nasal gastric tube feedings until she was able to breastfeed. ALL bottlefeeding was delayed until she was able to breastfeed effectively. We measured her intake at the breast with a Medela babyweigh scale at each feeding. Her feeds were complimented with the tube feeding when needed. She discharged 9/4/09 ( her EDC was 9/10/09). She's fully breastfeeding, weighs 8 lbs and doing great. I'm one very happy grandma! Janett Burruel IBCLC In response to comments posted, while preterm breastmilk is highter in calories, this is not the only nutritional concern for VLBW (very low birth weight) infants. Fortification is recommended to provide increased amounts of calcium, magnesium phosphorus and protein that are not available in sufficient concentrations. Her feedings began @ 5 mls per hour so these nutrients had to be increased in order to meet her needs. I’m happy to report we were able to find a human milk fortifier in a liquid form ( Similac 30 cal) which is sterile. The infection developed subsequent to the introduction of a powdered fortifier. She tolerated the fortification and continued to grow very well. We used “preterm hindmilk along with the fortifier. As her feeding volumes increased her ave daily weight gain was 40 gms. She stayed on oral and nasal gastric tube feedings until she was able to breastfeed. ALL bottlefeeding was delayed until she was able to breastfeed effectively. We measured her intake at the breast with a Medela babyweigh scale at each feeding. Her feeds were complimented with the tube feeding when needed. She discharged 9/4/09 ( her EDC was 9/10/09). She’s fully breastfeeding, weighs 8 lbs and doing great. I’m one very happy grandma!

Janett Burruel IBCLC

]]> By: Kristie http://www.kristiemcnealy.com/benefits-of-donor-milk-based-human-milk-fortifier/comment-page-1/#comment-21857 Kristie Sat, 15 Aug 2009 15:23:21 +0000 http://www.nicu101.com/benefits-of-donor-milk-based-human-milk-fortifier/#comment-21857 I'm not sure which part you are contesting. Preterm moms do have milk that is different in composition from full term moms, but in many cases, that is still not enough calories to sustain growth in a very preterm infant. I’m not sure which part you are contesting. Preterm moms do have milk that is different in composition from full term moms, but in many cases, that is still not enough calories to sustain growth in a very preterm infant.

]]> By: Tanya http://www.kristiemcnealy.com/benefits-of-donor-milk-based-human-milk-fortifier/comment-page-1/#comment-21855 Tanya Sat, 15 Aug 2009 04:59:18 +0000 http://www.nicu101.com/benefits-of-donor-milk-based-human-milk-fortifier/#comment-21855 I would contest that. Research has shown the milk of a mum who has had a preterm baby often has higher amounts of calories than that of the mum of a full term baby. Yes the milk from a 'full term' mum wouldn't have enough calories for a preterm baby, but that is why the first choice of donor milk is from another mother of a baby of similar age and gestation. see webite... I would contest that. Research has shown the milk of a mum who has had a preterm baby often has higher amounts of calories than that of the mum of a full term baby. Yes the milk from a ‘full term’ mum wouldn’t have enough calories for a preterm baby, but that is why the first choice of donor milk is from another mother of a baby of similar age and gestation. see webite…

]]> By: Kristie http://www.kristiemcnealy.com/benefits-of-donor-milk-based-human-milk-fortifier/comment-page-1/#comment-21617 Kristie Mon, 22 Jun 2009 14:42:13 +0000 http://www.nicu101.com/benefits-of-donor-milk-based-human-milk-fortifier/#comment-21617 Janett- I'm sorry to hear about your granddaughter's troubles with feedings. Prolacta has a whole line of fortifiers on the market with different calories and protein amounts. You can check them out here: http://www.prolacta.com/fortifier.php. -Kristie Janett-

I’m sorry to hear about your granddaughter’s troubles with feedings. Prolacta has a whole line of fortifiers on the market with different calories and protein amounts. You can check them out here: http://www.prolacta.com/fortifier.php.

-Kristie

]]> By: Janett Burruel http://www.kristiemcnealy.com/benefits-of-donor-milk-based-human-milk-fortifier/comment-page-1/#comment-21616 Janett Burruel Mon, 22 Jun 2009 06:45:05 +0000 http://www.nicu101.com/benefits-of-donor-milk-based-human-milk-fortifier/#comment-21616 My daughter's pre-term infant recently began receiving a human milk fortifier with her breastmilk feeds & subsequently developed an infection which interupted oral feeds. She was born @ 26 wks. 2lbs. BW. My question is do we have donor milk based human milk fortifiers available for use in NICUs at this time. Your reply would be greatly appreciated. Thanks, Janett Burruel IBCLC My daughter’s pre-term infant recently began receiving a human milk fortifier with her breastmilk feeds & subsequently developed an infection which interupted oral feeds. She was born @ 26 wks. 2lbs. BW. My question is do we have donor milk based human milk fortifiers available for use in NICUs at this time. Your reply would be greatly appreciated.

Thanks, Janett Burruel IBCLC

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