Adding Fortifier ??

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Does anyone have any suggestions for "effectively" dissolving fortifier into breast milk?? We always used to "shake vigorously" - until we learned that shaking destroys the cells in milk. Gently swirling just seems to leave us with lumpy milk- yuck!! Also, how far ahead of time to you add your fortifier? The package says you can store it for up to 24 hours but I think it starts to look a little funny after a few hours in the frig. Thanks for your input!

Specializes in NICU, PICU, educator.

You're right...we always leave ours for 4 hours no matter what. Hmmm...typo maybe?

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We use "Similac Natural Care" and that's it I think thats if asfar as fortifiers go. I was taught to mix half and half. Like if the total volume is 50 ml, to mix 25 ml of NC and 25 of EBM to yeild 22 cal formula/fortified EBM. Does that sound about right.

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Specializes in NICU and neonatal transport.

Back to the original topic... I put a bit of EBM in the lid and mix it up, adding more EBM till its not lumpy anymore.

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we normally mix the fortifier in the defrosted milk and shake well. i find that if we dont shake ,the fortifier remains undissolved and blocks the naso gastric tube during feeding...........

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