If your LO was sent home on preemie formula (not because of reflux/other issues but because of weight) when were you able to transition to regular formula? We're going to be on Enfacare and it's so pricey, I'm just wondering about how long we'll still be on it.
Re: Preemie formula...
We fortified BM bottles with it to bring the BM to 22 calories. We stopped with one baby within a week or 2 of him coming home. His tummy just could not handle it. I stopped then told his pedi later, and his pedi agreed that it was okay because he was still gaining at a great weight.
We kept on fortifying my smaller guy's bottles until he was 13 or 14 months adjusted, but we stopped using neosure pretty early on. Maybe within a month of him coming home. We mixed Good Start to BM or by itself to hit 27 calories. He was/is pretty tiny (donor in t-tts), so he needed the extra calories, but his stomach couldn't handle the preemie formulas either.
3 months old today and still on Neosure...
I think we transitioned to a regular formula when it was obvious that DS was not having issues gaining weight. I think it was sometime around his 2 month appointment (also his due date) and he was a normal birth weight. DS was cruising through cases of Enfacare and I explained to the pedi that it was getting really expensive and wondering if it wa ok to try regular formula. He agreed, but he wanted his weight checked every 2-3 weeks. Now we use Costco brand formula and DS is doing great on it.
Oh, the pedi also said that most pedis think a preemie should be on preemie formula for the first year of life. Talk to your pedi and see what they say.
another reason that preemies need to be on the preterm formula besides for higher calories and weight gain is for calcium and phosphorus supplementation. if you delivered lo before the third trimester (when infant's get all of their calcium and phosphorus stores) it is recommended that they recieve a preterm formula with higher levels of calcium and phosporus (neosure or enfacare) to help with bone development later in life.
not all doctors are the same and some take infants off because they are gaining good weight and we see them in followup clinic with bone issues. so something to think about if your infant was born before or in the beginning of the third trimester.
any infant born after 34 weeks should have enough stores and not require preterm formula unless for weight gain.
those born 30-34 weeks require preterm formula for shorter amounts of time then those born less than 30 weeks.
for infants less than 30 weeks we tend to recommend preterm formula for a minimum of 9 months.