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Thu, 24 Mar 2005 21:14:03 -0500 |
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I rent Ameda brand hospital grade breastpumps, sell only brand new
presterilized kits, and wipe down the pumps with disinfectant when they
are returned.
When I sell a consumer grade pump (Purely Yours), I explain to the
mother that she needs to wash and boil the kit (but not the tubing since
Ameda kits are a closed system) before the first use. Since these pumps
are purchased for returning to work or casual use, there is no need for
me to presterilize the kits, the mom has time to do that herself.
Pump In Style pump motors are not sterilizable, they have no filters and
therefore organisms could *theoretically* get into the motor and be
blown back through the tubing into the collection chamber. Moms are
advised to wash and sterilize the kit and tubing themselves when they
get home. I strongly doubt that this mom's mastitis had anything to do
with an organism in the plastic kit that came from the factory. It is
more likely that the mastitis was partly due to using the PNS for
something that it was not designed for - like clearing initial
engorgement, or completely maintaining a milk supply in the absence of a
breastfeeding baby. What was the exact situation? Perhaps you can
explain to the physician which pumps are designed for which conditions
of use, and that asking a pump to do what it was not designed for can be
problematic.
Catherine Watson Genna, IBCLC NYC
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