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Date: | Thu, 5 Oct 2000 11:49:33 -0700 |
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Cynthia Payne posted a Reuters story:
Cynthia D. Payne, IBCLC
In the Berkshires of western Massachusetts
<<Boiling breast milk kills HIV say S. Africans
CAPE TOWN, Oct 4 (Reuters) - Boiling breast milk from a mother
carrying the human immunodeficiency virus (HIV) will prevent her
passing the infection to her baby, the South African Medical Research
Council said on Wednesday.
``Tests have shown that all the HIV in the milk is killed when the
milk is heated to 56 to 63 degrees Centigrade for about 20 minutes,''
the council said in its annual report.
This is not new knowledge. The recommendation of Holder pasteurisation
of breastmilk (30 minutes at 62.5 deg Celsius) has been in the joint
WHO/UNICEF/UNAIDS documents on HIV and Infant Feeding since 1998, and
appears in our new HIV and Infant Feeding Counselling: a training
course published in English and soon to be out in French and Spanish.
These documents stress the right of the HIV positive woman to learn
all of the various feeding options open to her (including exclusive
and continued breastfeeding, exclusive breastfeeding stopping earlier
than she might do if HIV negative, and also including the home heat
treatment of her expressed breastmilk by boiling.
At present UNICEF and various researchers are exploring other means of
heat treating expressed breastmilk at home that would be less
destructive of its protective factors than boiling, and yet would be
manageable in the complex conditions entailed by the very limited
resources of many subSaharan African households.
However, there is a big question that such news articles do not cover,
but that LactNet users will appreciate:
Can mothers really hand express all the milk their baby needs for
about six months, without ever expecting to put the baby to the
breast?
Are there cases demonstrating how long a milk supply of about 700 ml
per day or more can be provided using non-electric means alone?
Morrison of Zimbabwe collected some cases of non-breastfeeding
lactation a while back, which she kindly shared with UNICEF New York.
However, most had used electric pumps, and these are not going to be a
solution that can be readily employed in large scale programmes.
1) I am always looking for new cases that used only hand expression to
get all the baby's milk.
2) May I also learn from LactNet correspondents who have had
experience with mothers using non-electric foot pumps or hand pumps to
get all the baby's milk for six months or so?
Private or posted answers are welcome.
Helen Armstrong
Consultant, Infant Feeding and Care
UNICEF New York
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