I am only going from memory on the policy that is being circulated at  
my hospital in Vancouver BC.  Everything keeps evolving as time goes  
on.  About 2 weeks back the "policy" was to isolate babies born to  
moms who had "influenza like symptoms" for 48 hours after antiviral  
medication had been started in the mother.  Mother was to pump and  
baby to be fed EBM.  We also are lucky enough to have a milk bank so  
that too could be an option until supply was established.  Now, I  
believe, the policy is to discuss isolation versus rooming in with the  
parents and have them make the decision to separate baby and mother or  
to room in with mother and have her wear a mask while nursing and use  
good hand washing.  I haven't had a chance to re read our manual just  
yet.  I think this seems reasonable.

Cordelia Merritt RN BSN IBCLC

Would like to get some feedback from other LC's working in hospital  
setting dealing with the CDC recommendation for breastfeeding mothers  
exposed to H1N1 flu. CDC recommending mother and baby be seperated and  
mother pump. Our hospital is writing policy using these  
recommendations. Newborns will be held in a room other than our NICU b/ 
c we do not have well nursery; babies stay out with their mothers. New  
mothers exhibiting symptoms will be isolated and need to pump. Babies  
will be fed EBM until mother has no symptoms. These are the CDC's  
recommendations. I am very concerned about this. Anyone else out there  
having hospitals come up with this type of policy? Thanks for input,  
Eileen Bagan IBCLC CDA Idaho

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