Nikki writes:
Dr. Jack Newman, if you ever have the opportunity to hear
him at =
conferences, suggests the following hierarchy for feeding:
1) mom's own breastmilk from her breast
2) mom's own expressed or pumped milk
3) donor human milk
5) glucose water
6) artificial milk substitutes
Dear Friends:
The WHO says, 1) direct breastfeeding
2) expressed mother's milk
3) donor milk
4) human milk substitutes
There is no evidence anywhere supporting the use of glucose
water for
feeding
babies.
I was wondering whether this would be raised, and I'm glad
it has been.
There are two issues here, it is one thing for a doc suggest
a small glucose feed
to avoid the early introduction of something as
allergenically prone as
human milk substitutes but another to only offer this as
sole calorie intake for
5 days, which was the posted situation. It points to both
the need to tailor
when one course of action might be better than another, and
also points out
how evidence, or lack of it overruling individualized
strategies, sometimes
fails us and the families we work with.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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