At our facility, the only time we are concerned about the CMV status is with the micropremi who is most at risk. In these cases our neos discuss with mom their concerns and with mothers permission, test the mom's for cmv. If the mother is positive they do not permit use of breastmilk until the infant is much larger. Freezing is only partially effective to inactivate the CMV. The option is to use donor milk first and then formula if the mother does not approve donor milk. I hate it but we have had a couple of cases where there were very stong implications of adverse responses related to CMV exposure in LBW infants. There was a very good study done in Germany recently that discussed this. My neo's strongly feel that this is a significant concern here also but just not fully addressed yet. Unfortunatly we do not have the ability to begin short term pasturization of materal milk in our unit which is the "gold standard" for inactivating CMV without reducing the breastmilks beneficial properties. Lisa J RN CLE IBCLC *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html