Thanks for sending in this info about cleaning of SNS tubing, and 
having parents sign a release.

For interest, is there any research on bacterial build-up in SNS 
tubing, ie during feeding with EBM or with ABM?  If so, what did it 
show?  Can the tubing be used safely for a longer time when the milk 
is breastmilk, than when the milk is formula, as we'd expect?  In 
which case would the release need to be clear about what kind of milk 
is being supplemented?

Pamela (who has never promoted use of the SNS because the thought of 
bacterial contamination in those tiny tubes where the protein build 
up can't be brushed or wiped off gives me the screaming heebs!)

>I have parents sign a release in hospital stating they understand 
>usage and cleaning instructions and that tubing is good for one week 
>unless it becomes brittle.  Use Jack Newmans instructions on 
>lactation aide usage to compile release form.  When my daughter used 
>this her pediatrician wrote a prescription for extra tubes and 
>syringes (only good for 24-48 hours).  I can't remember the price 
>but still cheaper than formula in the long run.


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