hi Ann, Here is another message that went to Lactnet but also came to me
personally at hotmail. ????? Eileen
Still waiting for ethics package!
>From: Ann Calandro <[log in to unmask]>
>Reply-To: Lactation Information and Discussion
><[log in to unmask]>
>To: [log in to unmask]
>Subject: Donor Milk Discouraged
>Date: Tue, 14 Jan 2003 17:11:15 -0500
>
>For years we have been trying to get our hospital to have donor breast milk
>for premature babies and babies who might need a supplement. Finally our
>neonatologist agreed, and we have been ordering the donor milk from the
>milk
>bank. All has gone well.
>
>We have a new neonatologist who has said that the AAP now discourages donor
>milk. When I asked for his reference, he gave this to me.
>Guidelines for Perinatal Care, 5th Edition, 2002, AAP and ACOG
>(No Authors Listed)
>Page 230. "The use of donor breast milk generally is discouraged. Concern
>over transmission of infectious diseases has led to heat treatment of
>banked
>human milk, reducing its beneficial aspects. In addition, the composition
>of
>donor human milk depends on the donor's diet, environmental exposure, and
>lifestyle and may pose unknown risks for the newborn. There is general
>agreement that the use of pooled donor human milk is the least satisfactory
>regimen for feeding newborn infants and is discouraged. Consequently, human
>milk banks have declined in number in the United States and have avoided
>the
>use of pooled milk. Careful monitoring of donors and laboratory evaluation
>of donated milk is required by the Human Milk Banking Association of North
>America.
>Women who donate breast milk for other newborns should be interviewed
>carefully regarding past and current infectious diseases, use of drugs and
>medicines and other factors that may impair the quality and safety of the
>breast milk that they provide. Before they are accepted as milk donors,
>they
>should be tested for HIV, HBsAg, hepatitis C, tuberculosis. Because
>seroconversion may occur, ideally the breast milk should be stored and the
>donor retested at 4-6 months for HIV infection before the milk is
>consumed."
>
>There are No references at the end of the chapter, and no specific author
>listed for this section. I would like some information to share with this
>physician about donor breastmilk, and would appreciate some research
>resources.
>
>Thanks.
>Ann Calandro, RNC, IBCLC, RLC
>
> ***********************************************
>
>To temporarily stop your subscription: set lactnet nomail
>To start it again: set lactnet mail (or digest)
>To unsubscribe: unsubscribe lactnet
>All commands go to [log in to unmask]
>
>The LACTNET mailing list is powered by L-Soft's renowned
>LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
>mailer for lightning fast mail delivery. For more information, go to:
>http://www.lsoft.com/LISTSERV-powered.html
_________________________________________________________________
MSN 8: advanced junk mail protection and 2 months FREE*.
http://join.msn.com/?page=features/junkmail
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
