> Date: Sat, 29 Jan 2011 00:00:58 -0500
> From: [log in to unmask]
> Subject: LACTNET Digest - 28 Jan 2011 (#2011-75)
> To: [log in to unmask]
>
> There are 4 messages totaling 198 lines in this issue.
>
> Topics of the day:
>
> 1. cleaning a #5 French feeding tube (2)
> 2. Info on refrigerators for breastmilk storage in the hospital
> 3. Looking for tongue-tie ENT and lower-cost LC in Bronx, NY
>
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> ----------------------------------------------------------------------
>
> Date: Fri, 28 Jan 2011 14:05:14 -0500
> From: Sonya Shaver <[log in to unmask]>
> Subject: cleaning a #5 French feeding tube
>
> Hello all,
> When you have a mom using a feeding tube at the breast to supplement, how do
> you tell them to clean it?
>
> How long do you have them use one before replacing it, if they are using it
> every time they nurse?
>
> Many thanks,
> Sonya Shaver
>
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> ------------------------------
>
> Date: Fri, 28 Jan 2011 13:16:37 -0600
> From: [log in to unmask]
> Subject: Re: Info on refrigerators for breastmilk storage in the hospital
>
> Any half-way decent small refrigerator should do. Need a separate freezer. The scientific ones are very expensive. Your maintenance dept can order and add a temperature alarm system for not very much money to accomplish essentially what the 4000 dollar ones do.
>
> -----Original Message-----
> From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Mary-Jane Sackett
> Sent: Friday, January 28, 2011 6:14 AM
> Subject: Info on refrigerators for breastmilk storage in the hospital
>
> Hoping that lactation consultants who work in community hospitals in the USA can respond and give me some info on what type of refrigerator they are using in their maternity unit nursery to store expressed milk.
>
> I am looking for a small, quality refrigerator that will be able to maintain frozen milk at 0 degrees F or less, and refrigerated milk at 35-40 degrees F. I work in a setting that has about 650 births per year. We do not have a NICU, but our nursery is a level 1B I believe, and we can accommodate infants with special medical needs like growing preemies, IVs, oxygen, cardio-respiratory monitoring, etc. We do not usually have more than one or two mothers at a time who are pumping and rooming in after they have been discharged, so we do not need a huge capacity refrigerator/freezer unit. I have seen some from a "scientific" company that sells them for $4000-$5000, but that is too much for our budget.
>
> Would anyone who has a refrigerator like the kind I am looking for please be kind enough to email me off-list with the name of their refrigerator, model number, and its cost? My work email is [log in to unmask]
> (mailto:[log in to unmask]) .
>
> Thank you for your assistance.
>
> Mary-Jane Sackett, RN, IBCLC, RLC
> Lactation Program Coordinator
> Pittsfield, MA
>
>
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> ------------------------------
>
> Date: Fri, 28 Jan 2011 15:45:30 -0500
> From: Dana Lauducci <[log in to unmask]>
> Subject: Looking for tongue-tie ENT and lower-cost LC in Bronx, NY
>
> I've been working with a mother from a distance and have permission to post. Mother is in Bronx, NY. This is her 3rd child and she nursed the first two with no issues.
>
> Baby is 2 weeks and has yet to latch. Mother is exclusively pumping and giving bottles of breastmilk. She got very poor support in hospital (baby routinely taken away for 4 hours at a time and given formula many times against her instructions).
>
> Mom suspects that tongue-tie might be an issue and is having a hard time finding a pediatric ENT. Can anyone recommend someone who might be willing to assess and potentially clip?
>
> Mom acknowledges the need to work with an experienced LC in person to get baby back to the breast but money is very tight. She's already spoken with LLL on the phone but didn't learn anything she didn't already know. Can anyone recommend a free or lower cost resource who might be able to work with her hands on?
>
> Thanks for your help!
> Dana Lauducci
> Branchburg, NJ
>
>
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> ------------------------------
>
> Date: Fri, 28 Jan 2011 15:59:18 -0500
> From: "Catherine Watson Genna BS, IBCLC" <[log in to unmask]>
> Subject: Re: cleaning a #5 French feeding tube
>
> When I give a feeding tube, I also supply some syringes for cleaning.
> Dish soap and water, then clear water forced through after every feeding
> is my cleaning recommendation. Feeding tubes used at breast or finger
> with the port end in the baby's mouth can usually last several weeks if
> used with human milk and cleaned carefully.
>
> We really don't have any published research so this comes under
> 'professional opinion and experience'. It would be an interesting
> project, culturing tubes used for varying amounts of time with human
> milk vs formula, cleaned with different methods.
>
> Catherine Watson Genna BS, IBCLC NYC cwgenna.com
>
>
> On 1/28/2011 2:05 PM, Sonya Shaver wrote:
> > Hello all,
> > When you have a mom using a feeding tube at the breast to supplement, how do
> > you tell them to clean it?
> >
> > How long do you have them use one before replacing it, if they are using it
> > every time they nurse?
> >
> > Many thanks,
> > Sonya Shaver
> >
> > ***********************************************
> >
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> ------------------------------
>
> End of LACTNET Digest - 28 Jan 2011 (#2011-75)
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