Communication 101

Today was the family conference to discuss Zane's nutritional needs and how the team could best optimize his nutrition. I had a lot of articles along with the breakdown of preterm formulas, and the nutritionist on the NNP team also had a lot of information.  I was happy to hear/see that we both had the same information!
We all agreed that Zane needs to increase his calories and protein so that he can grow it was just a matter of how he was going to get these calories.  In this unit HMF (human milk fortifier) is the main staple used to increase calories.   Samantha and I preferred that they used preterm formula and mix it with the breast milk instead of the HMF.  We felt that by mixing the HMF  their was no consistency with the amount the infant received in his feeds, where as formula was consistent.  So we agreed to mix 50% similac special care formula 24 calorie with breast milk along with 1 package of beneprotein. The beneprotein has been added to increase the protein from 2.1 to 2.3, if Zane tolerates this mixture we can increase his beneprotein and/or mix formula 75:25 and transition Zane to full formula within a few weeks. Hopefully we will see a consistent weight gain over the next few nights.