Re: Formula / Breast Milk Fortification and Protein Supplements

We have a million different recipies for breastmilk... for babies under a certain weight, we fortify with HMF up to 24 cal. If we need more calories, we add neosure powder, beneprotein, and/or MCT oil. There are so many different combos, I can't keep them straight Most kids that are on 24 cal have added beneprotein and for 26 cal beneprotein and MCT oil.

Re: Delayed Intro of Formula in Breastfed NICU Babies?

My questions for you current NICU RNs are:
(1) Do you do this rinsing with formula? No
(2) Do your coworkers do this? Not that I have seen.
(3) Has your hospital educated RNs about avoiding formula exposure in breastfed infants? Yes, is a most excellent NICU. I've been in three previous to this NICU and it is a breath of fresh air.
(4) Do many NICU moms ask about avoiding formula so they can exclusively breastfeed? A few, but we encourage EBM and DEBM.
(5) Is anyone using donor breast milk (from a certified human milk bank) in NICU? Yes.

Our NICU attempts to use EXCLUSIVELY breastmilk; we have fantastically up to date neos who hold the staff to high standards.

I have not seen a case of NEC in this NICU (65 bed); and in ALL the others I saw NEC and the others did not hold breastmilk at a premium.

The policy of breast milk or donated breast milk is a GREAT policy, in my opinion.

Re: Formula / Breast Milk Fortification and Protein Supplements

We have this single packs that elminate the measuring.

Milk is fortified for breast fed babies if the breast milk does not produce weight gain, alone.

We DO NOT require a mother go on formula.

However...we do tell mothers that their babies cannot go home on breast milk + fortifier. They would either need to supplement with formula or their babies will lose weight. This information is passed along to Pediatricians.

We mix, in most cases, one packet to 50 ml of formula.