How about pasteurizing the milk?

Roosje van Gorp
Maastricht, The Netherlands


Laurie Beck wrote:
> Looking for resources to give good advice to mother with 26 weeker
> premie twins (now 32 weeks). Have mother's permission to post. 
>
> Mother G1P1 delivered 26 week premie twins by c-section. 2 weeks of age
> babies in NICU developed UTIs and mother's milk decided source of
> infection. Mother's milk cultured positive strep. Mother treated
> amoxicillin and told to pump and dump.  Retested mother's milk 1 week
> later and tested posted staph. Started Keflex and told to pump and dump
> milk. 
>
> Mother did not receive instructions from NICU during first 4 weeks on
> sanitizing of pump parts, pumping protocol, how to establish breastmilk
> supply, and proper handwashing. Told to pump every 3 hours and bring
> milk to NICU. 
>
> Mother has no history of positive for GBS, no mastitis, no sores or
> cracks on nipple area, no fever. Healthy and asymptomatic.
>
> As an IBCLC I am just now entering the picture and working on increasing
> milk supply which is going well. A mother with premies I stress the
> sanitizing of pump parts everyday and reviewed breastcare, handwashing,
> proper storing of milk and handling of containers. I have instructed
> mother to pump and freeze milk until we get good information on when to
> use her milk. 
>
> One twin will be discharged to home in a few weeks and mother had never
> put the infant to breast for latching on practice. 
>
> Information I am coming across is 24 hours after receiving antibiotic
> treatment it should be fine to use breastmilk from mother. What is best
> protocol? Do we toss all of the frozen milk? I also question if the
> first two cultures were not contaminated due to the collection process.
> Do we continue culturing mother's milk and make sure it is done
> correctly without contamination?
>
> One twin is doing very well and close to discharge. One twin developed
> NEC and is very sick. Mother has been told for weeks that her milk is
> the cause of the illnesses and that her milk cannot be used until it
> shows up negative cultures. 
>
> Any help or resources  would be appreciated.  
>
> Laurie Beck
> Texas 
>
> edge.dchstx.org made the following annotations
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