In a hospital setting I think we have to be very concerned about universal
precuations because of the prevalence of nosocomial infections. I explain to
a mom that I glove not to protect me from her milk, but to protect her and
her baby from anything I may have come in contact with. Mothers appreciate
that greatly and accept that without issue - in fact most will then demand
that anyone who touches them wear gloves  :)

Much as contact isolation in the NICU works both to proect other babies as
well as THEIR baby (and parents like it when I explain that to them)gloves
protect the person you are providing care to. Frankly, if I had a baby in
the NICU, I would prefer he be in contact isolation to protect him from the
things OTHER babies might have!

If we explain to the mother and provide her the information she needs, then
she will be informed and understand what we are doing. I think that prevents
the message that breastmilk is somehow dirty from being conveyed.

Michelle Meeks, RN

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