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Fri, 19 Aug 2005 08:56:19 -0400 |
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To possible touch on some of the questions around both use of donor milk and
description of sterilizing bottles or jars in a cheap but effective way.
Last December I had the privilege of going to South Africa and observing not
only how the pasteurized donor milk but also milk of the HIV mother or
potential HIV mother to give their own milk back to their VLBW premis. They
used the "Pretoria Pasteurization method" which was so cost effect and cheap
I was astounded. I do have a PDF format. The article called it " A Potential
Method for the reduction of postnatal transmission from mother to child of
the immunodeficiency virus". Arterial in the Journal of Tropical Diseases
2000. I don't know if there is a link at this time. I have seen one the LCs
from South Africa online here. maybe she has more info on this?
However, the basics is that they use autoclaved peanut butter jars, well
cleaned of course, and the mothers hand express their milk into these jars
and firmly turn lid onto the jar. They than procede to boil water in a
kettle and with a small aluminum sauce pan just big enough so that the water
can be poured over jar until lid is covered. Once it has sat in this water
for around 30 minutes or so and has cooled enough they place it in the
fridge for the use of their premature infant.They are than cup fed generally
I believe. They can also continue to do this at home in the poorist
conditions needing less water, small amount of wood for fire or on their
cooking stove and the jar is much easier to clean than ny other bottles etc.
It seems to work there can not this method not be adapted around here in our
western culture or are we to advanced techiquely?
This can also speak to how we ask mothers to sterilize their bottles. Do
they need to use the tallest bottles. Can they be more creative in what they
use etc.
I think I asked more questions than I possibly answered. I do believe there
has been more research made around this method of pasteurization and its
effectiveness. Probably someone else knows more.
If anyone wants a copy of the article I think that since it has been
published I could email it to you privately.
at [log in to unmask]
Attie Sandink RN, IBCLC.
Why can the boiling and
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