hi Ann, Here is another message that went to Lactnet but also came to me personally at hotmail. ????? Eileen Still waiting for ethics package! >From: Ann Calandro <[log in to unmask]> >Reply-To: Lactation Information and Discussion ><[log in to unmask]> >To: [log in to unmask] >Subject: Donor Milk Discouraged >Date: Tue, 14 Jan 2003 17:11:15 -0500 > >For years we have been trying to get our hospital to have donor breast milk >for premature babies and babies who might need a supplement. Finally our >neonatologist agreed, and we have been ordering the donor milk from the >milk >bank. All has gone well. > >We have a new neonatologist who has said that the AAP now discourages donor >milk. When I asked for his reference, he gave this to me. >Guidelines for Perinatal Care, 5th Edition, 2002, AAP and ACOG >(No Authors Listed) >Page 230. "The use of donor breast milk generally is discouraged. Concern >over transmission of infectious diseases has led to heat treatment of >banked >human milk, reducing its beneficial aspects. In addition, the composition >of >donor human milk depends on the donor's diet, environmental exposure, and >lifestyle and may pose unknown risks for the newborn. There is general >agreement that the use of pooled donor human milk is the least satisfactory >regimen for feeding newborn infants and is discouraged. Consequently, human >milk banks have declined in number in the United States and have avoided >the >use of pooled milk. Careful monitoring of donors and laboratory evaluation >of donated milk is required by the Human Milk Banking Association of North >America. >Women who donate breast milk for other newborns should be interviewed >carefully regarding past and current infectious diseases, use of drugs and >medicines and other factors that may impair the quality and safety of the >breast milk that they provide. Before they are accepted as milk donors, >they >should be tested for HIV, HBsAg, hepatitis C, tuberculosis. Because >seroconversion may occur, ideally the breast milk should be stored and the >donor retested at 4-6 months for HIV infection before the milk is >consumed." > >There are No references at the end of the chapter, and no specific author >listed for this section. I would like some information to share with this >physician about donor breastmilk, and would appreciate some research >resources. > >Thanks. >Ann Calandro, RNC, IBCLC, RLC > > *********************************************** > >To temporarily stop your subscription: set lactnet nomail >To start it again: set lactnet mail (or digest) >To unsubscribe: unsubscribe lactnet >All commands go to [log in to unmask] > >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 _________________________________________________________________ MSN 8: advanced junk mail protection and 2 months FREE*. http://join.msn.com/?page=features/junkmail *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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