Our NICU is revising their policies regarding the use of kangaroo pumps

(continuous feeding pumps) and breastmilk.  The questions center around
the 
length of time that breastmilk could be at room temperature in the
feeding 
pouch or "bag". Typically this is thawed breastmilk. Currently our
policy 
indicates four hours.  Do any NICUs use a longer time frame ?  Would
anyone 
be willing to share their policy information?

Barbara Shocker BSN IBCLC
Penn State Hershey Medical Center
Hershey Pa

In response to this, there are guidelines from the American Dietetic
Association that state that breastmilk should hang for no more than 4
hours, but only 2-4 hours if added powdered fortifiers are used.  The
reference is available on the ADA website:  www.eatright.org HMBANA also
has an excellent resource for guidance on this.





******************************************************************************

Ginger Carney, RD, LDN, IBCLC
Clinical Nutriiton Mgr./Lactation Consultant
Le Bonheur Children's Medical Center
Memphis, TN  
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