Subject: | |
From: | |
Reply To: | |
Date: | Thu, 29 Jun 1995 16:54:02 -0400 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
HELP!! (Yes, I am shouting)... I had a Lengthy discussion with the
neonatologist (who does NOT think Breast is best and is always coming up with
reasons not to BF) where I work today--she is now looking into screening moms
and/ or Expressed milk for CMV and Hep B because she had a baby with CMV and
further testing revealed same in mom. I said that I know that the standards
for HIV + in the US was not to BF because of the risk, but I was not aware
that similar risks outweighed the benefits of Breastfeeding with CMV or Hep
B...I just haven't read or seen much on either one. Has anyone any current
info on this? According to the Auerbach/Riordan book (my "bible") , premies
are at risk for serious problems, but not likely to be seen in full terms. I
will research the references cited in the book, but I know this doc will now
prohibit *any* BF mom under her care in the NICU from giving her baby her own
EBM until she is proven seronegative for CMV and almost 50% of adults test +
for CMV antibodies!. The same source (R&A book) speaks to HBV and that baby
may BF and should be vaccinated w/HBIG (which our babies are routinely now
anyway), but my job/problem/challenge will be to convince the MD of this.
Questions :
1. If a premie or compromised baby's mom is (+) for CMV, at what point,
if any, is it ok for baby to receive mom's EBM? or is it *never*like this doc
would like me to say??
2. Do you routinely screen moms for CMV or HBV? in prenatal or hospital
(our records don't seem to reflect this routinely)
3.When would it be prudent to C/S EBM for anything??? (remembering that
it takes 72 hours for final results)
Thanks for any information.
Kathy Rubin IBCLC RN (Freehold NJ) who knows how much she doesn't yet know!!
P.S. Drs Dermer & Zimmerman -- you'll know where I work by my address!
|
|
|