Hi Melinda,  

     It is a very frightening time for her.  I have had to go through the testing after being stuck with a needle and it is stressful.  I was grateful that the mother of the baby that I was caring for agreed to be tested.  One of the reasons it is difficult is because fellow staff members may not talk about it with the injured party.  

 

     I would encourage you to call her again offer some of that TLC that LCs are famous for.  Even if the mom doesn't talk to you, she may feel comforted from your message.

 

     There have been 57 confirmed cases of HIV in US health care workers infected from an incident with a patient.  There are 140 cases of HIV in health care workers that may have been infected from a patient. http://www.avert.org/needlestick.htm  When the HIV risk to HCW was first acknowledged,  we were assured that our risk was extremely low.

 

     Hospitals and other health care institutions are concerned with liability and in this case they are viewing the baby as another possible liability.

  

     Search for health care worker with HIV.  There is a lot of information out there.  Sincerely, Rachel Wahl RN IBCLC

 
> Date: Thu, 20 May 2010 17:39:08 -0400
> From: Tom & Melinda Lueck <[log in to unmask]>
> Subject: 2 questions
> 
> Hello to all,
> 
> 
> 
> I have two very different questions to ask. First, for those of you who are
> hospital-based LCs: does anyone use a bar coding system to identify stored
> breast milk? I would be interested in hearing what systems there are
> available and how well they work. You can e-mail me privately or to the
> list.
> 
> 
> 
> The second question: I have been playing phone tag with a mother who was
> stuck with a contaminated needle (she is a health care worker). She is
> being advised from everywhere to stop breastfeeding her 3 month old until
> all the periods of testing are done, which takes 6 months. This is all
> because the patient involved REFUSES to be tested! (I don't know if that
> should be considered suspicious, or whether the patient is just offended to
> be asked, or doesn't want to be bothered---I haven't talked to the mom
> directly yet.) That is too bad for this mom, who is heartbroken. Does
> anyone know of any resources for this situation or any reassurance I can
> give this mom? I know that the chances are very slim for there to be a
> problem, but she sounds like she wants some concrete evidence (I certainly
> don't blame her) that it is "OK" or "not OK" to breastfeed, and I can't find
> anything specifically for this situation. 
> 
> 
> 
> I will also search the archives.
> 
> 
> 
> Thanks,
> 
> 
> 
> Melinda Lueck, RN, BSN, IBCLC
> 
> Perrysburg, Ohio
> 
> [log in to unmask] 
> 
> 
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> Date: Thu, 20 May 2010 17:14:17 -0700
> From: Rowena Tucker <[log in to unmask]>
> Subject: food allergies in breastfed babies
> 
> Jessica, I found "Parents of Food-allergic Kids", now called "Kids with Food Allergies" to be a great help. As they got bigger and organized, they now have a free section and a section for members. HOWEVER, if this is a serious challenge for someone, they may be willing to send $25 for full access. It's a huge support group as well as reference database. Hope that helps. Rowena
> Rowena Tucker IBCLC
> Texas, USA
> 
> 
> 
> 
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> 
> Date: Thu, 20 May 2010 21:38:11 -0400
> From: Carol leonard <[log in to unmask]>
> Subject: Re: Nipple Shields (new design)
> 
> And let it taste like skin!
> 
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> Date: Thu, 20 May 2010 20:39:15 -0500
> From: laurie wheeler <[log in to unmask]>
> Subject: one side low production
> 
> Hi Terri,
> I would want some more information. For example, is this her first
> lactation? Did she experience a noticeable difference in supply with prior
> lactations?
> I have heard of baby refusing breast when there was breast cancer - a rare
> situation indeed. However if none of the other probable factors makes sense,
> I would ask mom to get checked out, exam, ultrasound, and/or mammography.
> But more than likely, I would be looking for some of the following: mild or
> marked breast assymetry prior to lactating? Perhaps baby began favoring the
> fuller side and gradually discontinued using the other side. As the less
> used side involutes, it can get a salty taste.
> Any difference in size, shape between the 2 nipples? Again, a baby could
> easily favor the side with the more everted nipple. Potentially did the baby
> have any positional issues, a difficult birth or in utero position or
> presentation to lead baby to use one position or side, e.g. football hold on
> one particular side?
> Any history of mastitis in the lower producing side, either with this
> lactation or a prior one?
> Even with a mother lactating for a 6 month old, I would not expect that much
> of a difference between sides, size A (involuting side) vs D cup, so I am
> wondering about pre-existing less glandular tissue on the A side.
> I do not think that having prolactin levels or using reglan would make a
> difference. I have seen women with no breast pathology whose older baby
> decided to prefer one side, and mother let the other dry up, and continued
> unilaterally.
> Or mother can express the A side, using that milk in cup or in baby's food.
> Perhaps baby will take that side after filling up on the full side, and
> nurse for comfort there.
> Hope my thoughts are helpful to you,
> Laurie
> Laurie Wheeler, MN RN IBCLC
> Mississippi USA
> 
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> ------------------------------
> 
> Date: Thu, 20 May 2010 21:12:33 -0500
> From: Linda Anderegg <[log in to unmask]>
> Subject: Re: one side low production
> 
> Terri, I would not neglect that sometimes a baby will refuse a breast when
> mom has breast cancer. It may be merely due to what Holly suggested, but I
> would still check it out.
> Linda Anderegg, BSN, RNC, IBCLC in Chicago
> 
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> ------------------------------
> 
> End of LACTNET Digest - 20 May 2010 (#2010-417)
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