(BPT) - When Brandi and Delvin Peeks' daughter Leah Michelle was born at just 23 weeks gestation, weighing 1 pound 8 ounces, doctors said her chances of survival were slim. Even more heart-wrenching for the Peeks was that Leah Michelle's birth came after three and a half years of trying to conceive.
In the aftermath of a premature birth, with so many anxious feelings to process, most parents would never imagine that the nutrition provided to their fragile newborn in the neonatal intensive care unit (NICU) could actually increase their baby's health risks.
Critical Nutrition Decisions
Though Leah Michelle was fed Brandi's breast milk while in the NICU, doctors said Leah would require a substantial boost in nutrients and calories. Preemies typically need 20-40% more calories and protein than full-term babies because they missed important growth during the last trimester.
The hospital planned to use a standard human milk fortifier - which, despite its name, is typically made from cow milk.
"I recalled the advice a friend had given me when I went into preterm labor: ask for a fortifier made by a company called Prolacta Bioscience - it's the only fortifier made from 100% donor breast milk," remembers Brandi. "At first, I didn't want to say anything about the fortifier and step on any toes, since Leah was doing okay."
A Mother's Instinct Proves Right
That hesitation vanished when Leah developed serious complications after receiving the cow milk-based fortifier. "I didn't know it then, but the protein in cow milk can substantially increase the risk for intestinal problems in the smallest preemies like Leah. Among the most serious of these complications is necrotizing enterocolitis (NEC), which occurs when the paper-thin lining of the intestine becomes inflamed and dies, leaving the baby vulnerable to intestinal perforation and sepsis."
Soon after the NICU introduced the cow milk-based fortifier into Leah's feedings, she began vomiting. Before long, her belly started to swell and there was blood in her stool. Tests confirmed she had developed NEC, the leading cause of death among extremely premature babies.
A Well-Studied Alternative
"We approached the hospital staff about changing Leah's feedings to the human milk-based fortifier. They were initially resistant, but we took our demand all the way to hospital administration," recalls Brandi. "They finally agreed and said that while they'd never used Prolacta in their NICU, they would add it to Leah's feedings."
The switch to human milk-based fortifier transformed Leah's health almost immediately. The vomiting stopped, her stomach returned to normal, and she began gaining weight. Thankfully, after 131 days in the NICU, Leah finally went home.
Addressing Disparities
The experience has turned the Peeks into advocates for premature infant nutrition. Additionally, as a Black woman, Brandi is well aware of the studies showing Black women are 50% more likely than White women to give birth prematurely and that Black babies are nearly four times as likely to die from complications of prematurity. "Many preemie parents, Black and White, are never informed that a safer alternative to cow milk-based formula exists," explains Brandi.
Getting the Word Out
Today, Leah is a healthy fifth-grader who enjoys playing the clarinet, acting, singing, and competitive swimming. "One of my life missions is to share our story as widely as I can, so that preemie parents are aware of human milk-based fortifiers. Every child deserves a fighting chance to grow up strong and healthy - just like our baby."
As of last year, about half of the country's highest-level NICUs now use human milk-based products for very low birth weight infants under 2.75 pounds.
If you have a very premature baby or know someone who does, advocate early and often for 100% human milk-based nutritional products. To learn more, visit Prolacta.com.