Jean,
It looks as if your granddaughter is doing a great job and your
great-grandson sounds a bright little fellow with the advantage of being
surrounded by love. Heat treating is certainly a delicate balance and if it
is too hot and for too long can destroy too much of the living cellular
components, as you know. I assume you mean flash heating, and other
lactnetters are sure to provide specifics on this.
Certainly avoid boiling, which can serve up a dead fluid, when a compromised
infant particularly needs the cellular component for protection. In a report
by Tassovatz and Kotsitch on the persistence of an outbreak of enteral
infection in a Belgrade neonatal nursery in 1959-1960, only the babies who
received boiled human milk were infected (1). No cases occurred in infants
receiving direct breastfeeding (not exclusive as sugar water was given).
Despite every precaution, the epidemic continued, until all premature babies
were given raw human milk. After that there were no more cases. A small
Australian study by Stark and Lee found that premature infants fed EBM that
was heated to boiling point were colonised by similar levels of facultively
anaerobic bacteria to artificially-fed term infants (2). These prematures
were also slow to be colonised by the beneficial bifidobacteria. The authors
seemed not to make a connection to the boiling process, which appears to
have been standard.
1) Tassovatz B, Kotsitch A. Annales de Pediatrie 1961; 37: 285-288. [In
French]
2) Stark PL, Lee A. J Hyg (London) 1982; 89(1): 59-67.
Best wishes,
Virginia
Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
Honorary Research Fellow
School of History, Philosophy, Religion & Classics
The University of Queensland, QLD 4072
email: [log in to unmask]
Australia
----- Original Message -----
From: "K. Jean Cotterman" <>
To: <[log in to unmask]>
Sent: Sunday, January 12, 2014 4:17 AM
Subject: Scalding breastmilk to prevent refusal by baby
I've been visiting my great-grandson in NC, because he couldn't come visit
me for Thanksgiving, due to his many complications. Definitely cute as a
button, bright-eyed, clever at noticing everything around him, smiling and
outright laughing when he sees anyone yawn???, turning himself over, despite
his colostomy, and external g-tube, and parents are attentive and loving.
Need I say I am pleased to the max??? A 4 generation picture coming up this
morning!
She is a real "pro" with the pump, and gaining a lot from the website she
uses with other moms who are EP-ing or nearly EP-ing. I feel I need some
reassurance about her question about just how how to scald her milk to
destroy the enzyme that makes it taste bad to him when she gives it orally
(senior moment, can't remember the name of the enzyme . . ) I don't know how
long to instruct about the heat, etc to avoid actual boiling, etc. So I
would appreciated all the help great-granny can get;-)
K. Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC Dayton OH
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set
lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|