We do not have a nl nbn nursery. All infants room in with mom. If supplementation is medically necessary we offer pasteurized donor human milk as an option if mom intends to breastfeed. It is usually less than 6 Oz. If mom wants to continue to use donor milk after discharge, we give a handout on how to get it.
Sent from my Verizon Wireless 4G LTE smartphoneNancyNancy Wight [log in to unmask]: 858-493-0198Cell: 619-733-3047
-------- Original message --------
From: LACTNET automatic digest system <[log in to unmask]>
Date: 11/24/2015 9:01 PM (GMT-08:00)
To: [log in to unmask]
Subject: LACTNET Digest - 23 Nov 2015 to 24 Nov 2015 (#2015-438)
There are 3 messages totaling 136 lines in this issue.
Topics of the day:
1. donor milk
2. Bronchiolitis/RSV
3. use of banked milk
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Date: Tue, 24 Nov 2015 07:52:23 -0500
From: Elizabeth Brooks <[log in to unmask]>
Subject: Re: donor milk
Tricia shares an excellent synopsis of restrstrictions that will prevent a
human milk donor from giving milk to a Human Milk Banking Association of
North America (HMBANA) bank. The Donor Qualifications section of the new
2015 HMBANA Guildelines are at Section IV, pp 12-26; the Guildelines may be
purchses from HMBANA https://www.hmbana.org/publications
I'd add that, in many situations, the restriction is easily overcome if the
parent *stops* using whatever is the restricted substance. Such "deferred
donors" can donate after the donor stops taking the restricted drug or
herb, and the specified period has passed. Similarly, if a long time donor
must now take a drug for an illness, they are "temporarily disqualified"
until the medications have cleared the system.
Part of the reason the HMBANA Guidelines are a little vague about what is
"in" and what is "out" for acceptable donor-use-and-consumption is because
this is a discussion that is to be had between the donor, and the trained
staff and volunteers at each bank. It takes into account all the sorts of
clinical variable that we know will bear on well-informed decision-making
by the donor. HMBANA screening *requires* in-person or on-phone,
real-time, *conversations* between the donor and the HMBANA bank. Each bank
has its own rules, in addition to the Guidelines, upon which they may rely
regarding acceptable donations. Electronic-only communication does not cut
the mustard. HMBANA banks pride themselves -- and rightly so -- on the
relationships they build with their milk donors.
As an aside, I would also say that another rumor that floats out there is
that HMBANA donors cannot donate their freezer stashes. Not so! HMBANA
staff will have a discussion during the screening process with a donor to
figure out if the milk that is stashed passes HMBANA Guidelines, so the
parent can offer not only milk that is collected going forward, but the
milk that was acquired and frozen in the past.
Liz Brooks, JD, IBCLC, FILCA
Wyndmoor, PA, USA
Director, Human Milk Banking Assn of North America (2015-18)
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------------------------------
Date: Tue, 24 Nov 2015 23:56:44 +0000
From: Darillyn Starr <[log in to unmask]>
Subject: Bronchiolitis/RSV
Just a personal experience, here, but it makes me even sadder to hear that hospitals are doing things that push weaning of babies with RSV. My daughter, Julia, was born with a congenital diaphragmatic hernia and got pneumonia at the drop of a hat. She got RSV at 13 months, just a month after I finally got her started nursing (I adopted her). Because of the CDH, it was as serious for her as for a newborn. In the hospital, she refused to have anything to do with a bottle, but wanted to nurse almost constantly. It had another good effect in that they could take her vitals without her even flinching. After spending her first four months in the hospital, getting cut and poked, she was terrified of anyone in a white coat. The doc had expected her to be there about two weeks, but she was ready to go home, on oxygen, in two and a half days. I hate to think of babies being robbed of those benefits when they need them most! What is wrong with medical professionals, that they would want to do that? Are they really that ignorant of the important immunities passed on in breast milk, or just too lazy to help a mom nurse, or pump, rather than screwing an artificial nipple on a ready-to-feed bottle of formula?
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------------------------------
Date: Tue, 24 Nov 2015 19:06:16 -0500
From: CYNTHIA MCCARTIN <[log in to unmask]>
Subject: use of banked milk
I am a LC at a hospital in Baltimore MD. I am doing research into the use of banked human milk in the healthy full term nursery for babies needing supplementation due to medical need. We are already using banked milk for our low birth weight premature infants. Do any of the hospitals you work in use banked milk in your full term nursery? If so could you share information on your guidelines and frequency of use? Thanks
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End of LACTNET Digest - 23 Nov 2015 to 24 Nov 2015 (#2015-438)
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