AH an ongoing frustration, this PIF preparation issue...
This is from the FDA website: " Safety Issues
* Formula preparation. In most cases, it's safe to mix formula using
ordinary cold tap water that's brought to a boil and then boiled for one
minute and cooled. According to the World Health Organization, recent studies
suggest that mixing powdered formula with water at a temperature of at
least 70 degree C—158 degrees F—creates a high probability that the formula
will not contain the bacterium Enterobacter sakazakii—a rare cause of
bloodstream and central nervous system infections. Remember that formula made
with hot water needs to be cooled quickly to body temperature—about 98 degrees
F—if it is being fed to the baby immediately. If the formula is not being
fed immediately, refrigerate it right away and keep refrigerated until
feeding. "
* _http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048694.htm_
(http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048694.htm)
* I can't get my machine to stop with the bulleting, but it's me,
Judy, here...doesn't this read like the probability of the ES being there is
actually created/caused by the use of 70C/158F water, not that PIF might
already contain it and that is why these prep steps are being suggested? I
know, now that I've read it again, that there is a NOT in there, but it
reads awfully poorly in my opinion. It also doesn't actually recommend it, or
say that the AAP recommends it, just that WHO talks about it. It just
suggests that if you are going to follow WHO you also have to take this extra
step. It makes it sound sort of arbitrary and unneeded because it's "rare".
They should have said "rare but life-threatening" or something. That idea and
wording won't carry much clout in the USA, and even most pediatricians
often go against their own AAP recommendations on various issues ( room
sharing, exclusive breastfeeding, no extinction sleep training, etc.) so parents
receive no support to follow them except from the annoying of us who know
the reccs and actually bring them up and support them.
When you google AAP, Safe Formula Prep, this is one AAP thing that pops
up:
"
Preparing infant formula
Water used for mixing infant formula must be from a safe source. Your
local health department can help you determine if your tap water is safe to use
for your baby’s bottles.
If your tap water is safe, simply mix powdered formula with room
temperature tap water, and the bottle is ready to use." from 2010, so even if they
did redo their recommendation, parents are going to get this from fairly
recently. _http://aapnews.aappublications.org/content/31/10/37.5.full_
(http://aapnews.aappublications.org/content/31/10/37.5.full)
When moms are in hospital, or being discharged home with babies that are
being supplemented with formula, do moms get this information or are
hospital-based professionals not supported in sharing it either. If I bring it up,
it's the first time parents have heard it. Now this is different than
adding PIF to mom's own expressed milk, but many moms might need this
information clarified in addition I would think.
Thoughts?
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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