Great questions and concerns. My NICU has used the microwave bags for years but the only thing that goes into the microwave are the bags or maybe clean wet diapers to make a warm pack for the breast. That is it. No food!
My hospital has adopted a zero drug policy and if the mother tests postive for illegal drug use during the pregnancy or postpartum time we do not accept her milk for her baby or store her milk or encourage her to pump. She can pump at home and store her milk, but it is not fair to have nurse give a feeding that may possibly be questionable. We do not have the funds or staff to test the milk or to test the mother. Much easier to have a"zero tolerance" and once we speak with mothers they are fine with it.
Laurie Beck
________________________________________
From: Lactation Information and Discussion [[log in to unmask]] On Behalf Of Smith, Mary Kay [[log in to unmask]]
Sent: Thursday, January 24, 2013 9:13 AM
To: [log in to unmask]
Subject: Request for information on microwave sterilizing & marijuana policy
Good morning all,
Our NICU has been using Microwave steriziler bags to clean pump parts for each individual mother each time she pumps here. (Each mom gets a new one after 20 uses as directed by manufacturer.) A new manager has raised the concern of using a microwave for this purpose that is also used to heat up food. Any comments or guidance? I'll have to check the HMBANA guidelines but thought I'd throw this out for discussion.
I also would like some information and guidance about developing a policy/process/protocol for women who test positive for marijuana (upon admission or during the pregnancy) and want to, or are pumping for a baby in the NICU. There is quite a bit of looking the other way and statements of "oh it's just marijuana" from high level medical staff. A major player in the NICU states that "we have to trust mom that she is not using" whether or not she tested positive at admission and feels that we should not be testing after mom goes home. There is a very lacksidaisical attitude and I wonder if we should be more vigilant. Our Case Managers are also concerned.
Thank you for help with either question.
Mary Kay Smith, RN, IBCLC, FILCA
Lactation Consultant
Henry Ford Hospital
Detroit MI
313-916-8363 office
146-4333 in house pager
313-990-4333 long range pager
"Babies are born to breastfeed"
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