In a message dated 3/15/2005 10:20:35 AM Pacific Standard Time, 
[log in to unmask] writes:
I was just reading through some notes from an Albuquerque  conference I
attended in 1997 and saw something that I absoultely don't recall
writing down, but there it was in my handwriting: "HM from mother who
has a preemie and also has mastitis should be pumped and dumped!" Is
this true? I don't remember this part of the talk at all.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Extremely preterm infants have very limited immune systems and can easily be 
overwhelmed by a large exposure to bacteria or virus, despite the wonderful 
antibodies in mother's milk. (eg the CMV issue)  If the infant is a "premie 
grower" and stable, we don't worry about it.  If the infant is 500-1000 gms, < 28 
weeks, still on a ventilator, etc. we consider the risks versus the benefits 
and occasionally will have Mom pump and dump for 2-3 days, until she is feeling 
better and has a good antibiotic level in her bloodstream.  We will use 
previously pumped milk from Mom or pasteurized donor human milk in the meantime.

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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