I worked with a mother this weekend who has a 5-week old in the NICU born at 28 weeks gestation. She discovered mold growing in her breast pump parts yesterday. She did not know that she was supposed to separte the parts for cleaning. The mother was given a new pump kit. She reported to me today that she discovered that the pump kit she uses at home also has mold in it. She described the mold as being green and fuzzy. She has not cleaned her pump parts properly in 5 weeks. Does she need to dump all of her milk? How long does it take for mold to grow? What harmful affects would there be for baby? I recommended that she use freesh milk first and then the oldest milk to supplement baby until I get an answer about the safety of the rest of her milk. She is currently making about 15mls per hour and the baby is now taking 39 mls per feed. Any information would be appreciated.
Shanti Volpe, RN, IBCLC
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From: Lactation Information and Discussion [[log in to unmask]] on behalf of LACTNET automatic digest system [[log in to unmask]]
Sent: Saturday, October 05, 2013 12:00 AM
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Subject: LACTNET Digest - 3 Oct 2013 to 4 Oct 2013 (#2013-531)
There are 2 messages totaling 58 lines in this issue.
Topics of the day:
1. nursing in public
2. nicu breastmilk storage
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Date: Fri, 4 Oct 2013 11:00:42 +0000
From: Cindy Garrison BS IBCLC RLC <[log in to unmask]>
Subject: nursing in public
Cute story related to this topic. I took my granddaughter to see "The Little Mermaid" on stage as part of the Civic Light Opera series. It was presented in a concert hall similar to Lincoln Center in NYC or Kennedy Center in DC. Across the aisles I saw a nurse that I knew from work who was on maternoty leave, so at intermission my granddaughter and I went over to see her. As I got closer I realized she was wearing a nursing cover-up. They had "smuggled" their baby into the show because they didn't feel they could leave her with a sitter this early!! Baby was happy and content, getting to nurse whenever she wanted because it kept her calm and quiet - and hidden :-) I'm not sure if the theater ever realized she was there.
Cindy Garrison
practicing in Pittsburgh, PA
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Date: Fri, 4 Oct 2013 05:51:27 -0700
From: Tricia Shamblin <[log in to unmask]>
Subject: nicu breastmilk storage
Just had a question about breastmilk storage in the NICU. Has anyone heard about a policy requiring that EBM for very low birth weight babies (under 1500 gm at birth) needing to be frozen and rethawed before giving to infant in order to kill the cytomegalovirus? Any current research about this?
If infant is unable to breastfeed, what is your institutions policy about how soon nurses must help the mother initiate pumping?
Does anyone have a good guide for current pumping recommendations, or sample hospital policy that meets current guidelines?
Thank you,
Tricia Shamblin, RN, IBCLC
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End of LACTNET Digest - 3 Oct 2013 to 4 Oct 2013 (#2013-531)
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