Stopped Neosure on owm

ludali

Background... We were sent home from the NICU with a ton of Neosure and told to use if twice a day. DD was born at 33w4d, 18 days in NICU, mostly to grow. They knew I was making more milk than DD takes in.

The day after discharge, we saw the pediatrician. She wasn't convinced that we HAD to do the Neosure since I was making enough...so kinda left it up to us to decide. and we're also giving DD Poly-Vi-Sol with Iron to increase her Iron and Vitamin D, although we were never told she was anemic.

In the next few days, poor girl got so bound up from all the iron that she didn't want to take any more bottles from us...bmilk or Neosure. So we gave up the Neosure for the weekend and only continued with the Poly-Vi-Sol drops. I got her breastfeeding about 85% of her feedings on Sunday.

I've only felt confident doing this because our hospital's lactation dept lent us a milk weight scale for a week. So I've been able to see her volumes with each feeding and she's actually taking more than any of her bottle feedings and her overall body weight has consistently gone up.

I keep wondering if we're doing the right thing...but she's nursing more volume in a shorter amount of time per session than it took to take a bottle and she's no longer constipated, so actually wants to eat.

I'm interested to see how it continues and how our next pediatrician appt goes on the 13th.

Any Neosure experienced Mommas out there with thoughts, advice, similar scenarios?

carrotcake06

When my 34 weekers were discharged from the NICU, we were supposed to fortify BM bottles w neosure for half of their feedings bc they "didnt like it" when moms EBF right away.

I was confident in my milk production and my boys' ability to nurse effectively, so I never went out and bought formula. Plus, we had a weight check 2 days after discharge. When they had both gained, the pedi agreed that we didnt need to fortify w neosure. We had another appt 2 weeks later and they had both gained over a pound each.

[i don't know if you saw my post on A13, so sorry for the repeat if you did]

Mrs. Alice

We were discharged from the NICU with instructions to give 50/50 Neosure/BM at least twice a day in addition to BFing.  I had a HUGE stash of frozen milk from the NICU plus the fresh milk that I pumped so when I started to see that they were gaining weight okay I stopped giving the Neosure and just gave them a bottle of BM with their poly-vi-sol once a day. 

Then at 6 mo the pedi became concerned about their lack of weight gain and almost scared me into stopping BFing.  I'm glad I didn't completely listen to her otherwise my boys and I wouldn't have received the benefits of BFing for the whole first year.  I ended up fortifying two bottles a day and then started gaining weight appropriately again.  They stayed on Neosure until about 13 months old. 

Your pedi has given you their recommendation plus you've done your own trials and are tracking it closely, so I'd say go with what works for you and her.  As far as the iron supplements goes, preemies are at risk for anemia because they didn't get the benefits of building their iron stores as long as a full termer.  Your pedi will likely check her blood levels periodically to ensure she doesn't become anemic.  We stopped giving poly-vi-sol at 9 months old because they were within normal range. I don't believe every preemie needs to be on Neosure for an extended period of time.

bennyandthejets13

katiechanning said:

my BM never came in, so my LO has been on neosure from day 1. I mixed my BM in with the neosure but eventually gave up on pumping and have been doing exclusively neosure for the last 6 weeks. (LO is 12 weeks actual). I'd go with what your pedi says and recommends. The NICU is great, but your pedi is the one who is going to see your LO on a regular basis.

This. Except after 12 actual weeks he gained 4lbs in a month and the Neosure was making him constipated and gassy the pedi gave the blessing to switch to something lighter. He's currently of the Similac Sensitive and seems to be doing fine.

meldoo2002

I had issues with Joey on Neosure... sounds like your daughter.. he was fighting every bottle so hard, did not want to eat, and was constipated.   I visited the pedi once who said no I shouldn't stop even with the issues I was having, but after a week or so I was going to loose my mind.  I stopped it all together.  Joey's eating was never great, but it got better.  This was all around 3/4 months.  Nathan came off it at 6 months with the ok from the pedi.  They were gaining great all around so that wasn't a concern.