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Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 21 May 2004 19:51:49 EDT
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In a message dated 5/21/2004 9:38:30 AM Pacific Standard Time, 
[log in to unmask] writes:
. It seems that an "infection control
expert" from another facility has reccomended gown,glove,hat and mask for
the handling of all breastmilk . This seems not to apply for mixing
formula . The nurses were told that this is to prevent contamination of the
expressed milk because it is "sterile".  
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
That "expert" knows nothing about breastmilk!  As we all know breastmilk is 
NOT sterile.  There is no reason to wear gowns, gloves etc. when preparing it. 
There is an entire chapter on breastmilk in the "Red Book" - The Report of the 
Committee on Infectious Diseases - latest edition 2003.  If he/she is 
concerned with "universal precautions" - below is what is on my NICU BM 
refirgerator/freezer.
  
•“Whereas universal precautions DO NOT APPLY to human breast milk, gloves 
may be worn by health care workers in situations where exposures to breast milk 
might be frequent, for example in breast milk banking.” 
–Centers for Disease Control. MMWR 1988; 37:377-82 
•“Contact with breast milk does not constitute on occupational exposure risk 
as defined by OSHA standards.” 
–Committee on Pediatric AIDS, AAP. Pediatrics 1995; 96:977-79 
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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