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Date: | Thu, 31 May 2012 11:35:45 -0500 |
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Kim,
I only recommend breastmilk cultures for women who are having lots of
breast pain or acute mastitis. I strongly recommend NOT doing breastmilk
cultures to further explore an infant's symptoms of sepsis or other
illness while in the NICU. Dr. Richard Schanler did a nice study
demonstrating that there is no correlation between the bacteria
responsible for a NICU baby's illness and mom's breastmilk culture
results. This just ends up being a witch hunt, destroying breastfeeding.
No matter what is found in terms of bacteria in breastmilk for women
with a breast infection, I don't take babies off the breast.
Infants have a gut immune system to detoxify bacteria that come thru the
gut. The bacteria in breastmilk that are consumed by the baby are not
responsible for their infections.
Anne
On 5/31/2012 10:15 AM, LACTNET automatic digest system wrote:
> So what are the reasons for doing a breastmilk culture? I work in a level 3
> > NICU setting where they had cultured breastmilk any time a baby got 'sick'.
> > They backed off of that after the research that came out last summer. Now
> > our Blood Stream infections are trending up so they want to culture the
> > breastmilk for any baby that gets a BSI. Then the nurse just sends down some
> > breastmilk to the lab...it may be fresh, it may be frozen. Im so confused
> > about this issue as I have heard it is not necessary to culture EBM....not
> > sure what it is really showing? In the past they will hold moms milk if it
> > comes back>10,000 coag. neg staph. The breastmilk will be recultured and
> > used if< 10,000. REALLY want to hear others thoughts....how y'all are doing
> > things etc.
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