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Subject:
From:
"Mary A. Banaszewski" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 12 Jun 1998 20:18:47 -0500
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Hello everyone,
I've been trying to be good, restricting my computer usage and studying
hard for the exam in July. But just came across something in "Counseling
the Nursing Mother" and wanted to get some of your opinions.
On page 144 there is the statement:
 "Rarely, the antibodies in breast milk may have the undesired  effect of
offsetting vaccines given to the baby. This usually applies only in the
first days when antibody concentration in the milk is extremely high.
Vaccines such as oral polio can be given effectively after the first few
days of life when the dosage of virus administered is sufficient to
overcome the declining concentration of milk antibody."
My question is twofold. First, I was under the impression that breastmilk
enhanced the effectiveness of vaccines. Is this accurate? Actually I can
see how both statements would be true. Second, if this is accurate, should
we be delaying the Hepatitis B vaccine until the 2 week clinic visit? We
give the first dose to many of our babies while they are in the hospital,
but perhaps we should be delaying it a few days. What are the expert
opinions out there?
While I have the attention of all you great minds, here's another request.
Because of a recent incident at our hospital (no one was injured, but the
potential was there), I've been asked to get ideas from other hospital
people on safety measures for moms co-sleeping with their babies.
We encourage rooming in and co-sleeping, do not want to change the
practice, but need to ensure babies won't fall out of bed (side rails down)
or become wedged between the mattress and side rail when it is up. Use of
pillows is discouraged because of the potential for suffocation. The best
suggestion so far is a bath blanket placed in the space between mattress
and side rail. Anyone out there who is dealing with this issue and can
offer some suggestions? TIA and an ongoing thanks for all the great
information available here.
 Mary A. Banaszewski, RN, Lactation Specialist
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