-----Original Message-----
From: Sussman-Karten, Karen
Sent: Monday, July 02, 2012 12:23 PM
To: 'Lactation Information and Discussion'
Subject: RE: LACTNET Digest - 30 Jun 2012 to 1 Jul 2012 (#2012-493)
RE: refreezing milk
As long as there are ice crystals present in the milk it is OK to refreeze.
This is according to HMBANA's 2011 guidelines.
Karen
Karen Sussman-Karten, RN, IBCLC
Lactation Support Program
Children’s Hospital Boston
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of LACTNET automatic digest system
Sent: Monday, July 02, 2012 12:01 AM
To: [log in to unmask]
Subject: LACTNET Digest - 30 Jun 2012 to 1 Jul 2012 (#2012-493)
There are 5 messages totaling 195 lines in this issue.
Topics of the day:
1. Pump question reply (was Re: lightbulb nipples; pumping convenience)
2. circumcision is off topic
3. Shields and larger nipples
4. power outage slightly thawed then refrozen milk (2)
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LACTNET Facilitators
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Date: Sun, 1 Jul 2012 08:02:26 +0100
From: Sarah Vaughan <[log in to unmask]>
Subject: Pump question reply (was Re: lightbulb nipples; pumping convenience)
On 28/06/2012 14:59, Ruth Piatak wrote:
>
> Speaking of which, what do other Lactnetters tell moms (and hear from
> moms) who are exclusively or mostly pumping about how often they
> rinse, how often they wash with soap and water, and how often they
> sterilize the milk-contact parts of their pumps? I have pointed out
> to moms that they can switch out bottles and refrigerate empty
> flange/valve/bottle assemblies to keep microbial growth down between
> closely spaced pumpings. If the flange is detachable, it can be
> easily (unlike the valve portion) washed (or wiped with an approved
> wipe) and stored at room temperature so mom doesn't start pumping with something cold against her skin.
>
Chiming in with my own experience (although never an EP-er - just pumped at work), I can't recall ever being bothered in the slightest by the pump flanges feeling cold when fresh out of the freezer - in fact, it never even occurred to me as a possible issue until you mentioned it!
Good idea about just rinsing the flanges and leaving the rest in the fridge, but I'd still have found it more trouble than I'd personally have wanted to go to on such a frequent basis.
Best wishes,
Dr Sarah Vaughan
MBChB MRCGP
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Date: Sun, 1 Jul 2012 11:28:36 -0400
From: Kathleen Bruce <[log in to unmask]>
Subject: circumcision is off topic
Please remember. Circumcision is off topic, and has gotten us into a vat of hot water many times in the past years (and I've been steaming in that vat since 1995) so let's not turn the heat up on that issue, shall we? Happy Fourth to those who celebrate.
--
Kathleen B. Bruce RN, BSN, IBCLC
[log in to unmask]
Tweet KBruce57
eatatmomsvt.com
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------------------------------
Date: Sun, 1 Jul 2012 15:19:43 -0400
From: Michelle Kinne <[log in to unmask]>
Subject: Shields and larger nipples
There are also other types of shields than the more common brands here in the US. They are shaped to be more accommodating and suitable for hard to fit nipples. Kaweco is a manufacturer that comes to mind. Cathy Watson-Genna's book reviews some options and I know an IBCLC who orders these products for other IBCLCs.
Michelle H. Kinne IBCLC RLC ICCE CD(DONA) www.CascadePerinatalServices.com
From: Kathy Lilleskov <[log in to unmask]>
Subject: Re: Explain how nipple shields may help with large nipples
Wow...good to know about trying out nipple shields on really large nipples if all else fails. I always assumed it wouldn't work and am thrilled to hear that it might work sometimes. One thing I have observed with some babies is that the bare skin of the nipple seems to set off a gag reflex that the slippery plastic does not. Having had a son with really strange gag reflexes, never to my nipples thank goodness, I am wondering whether this might be part of the reason why nipple shields can help with large nipples. My son used to gag looking at a sandwhich if the ingredients hung over the edge of the sandwich for example. I gag if I have to hold gloves in my mouth but have no issues holding something hard like book. What you can handle in your mouth and going back to the throat is not only physiological but psychological as well. So that might be one piece of the explanation. I LOVE LN....new things to try everyday!!!!!
Kathy Lilleskov RN IBCLC
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------------------------------
Date: Sun, 1 Jul 2012 22:18:37 -0400
From: Judy Campbell <[log in to unmask]>
Subject: power outage slightly thawed then refrozen milk
Here in the Washington DC area we have had a storm with stong wind that knocked out power across the area. If 10 - 20% of milk in bottles thawed before the milk was moved to a working freezer, then it was refrozen, may it still be used by a 10 week old baby while in child care? I looked in the archives, but I can't find what I remember reading in the past & want to double check. Thank you all for being such a great resource! Judy
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Date: Sun, 1 Jul 2012 22:28:11 -0400
From: Judy Campbell <[log in to unmask]>
Subject: Re: power outage slightly thawed then refrozen milk
I searched for slush after posting & found it was ok in 2003. Any updates since then? I don't have access to the milk bank book right now. thanks again, Judy
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End of LACTNET Digest - 30 Jun 2012 to 1 Jul 2012 (#2012-493)
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