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Subject:
From:
"Stephanie Ehlert, AAHCC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 12 Mar 1997 09:53:22 -0500
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     CDC, ACOG and AAP do not recognise urine testing as an acceptable Group
B Strep testing measure.  To get information on the vaginal/rectal culture
and the new national standard of care contact the Division of Bacterial and
Mycotic Diseases, CDC at (404)639-2215.
    As described to me by our GBS Assn. state rep horizontal transmission is
a slight risk.  The senerios are nursery workers not washing hands, infected
symptomatic babies in the nursery with healthy babies and lack of hand
washing between baby handling, or infected mothers not washing hands before
handling babies, other infected persons with poor hand washing handling baby,
etc.  GBS would not be present in mothers milk unless she was septic,  she
would be ill enough to be in ICU and would be unable to breastfeed because of
the degree of her own illness.
     Mothers are still told in some areas to have their milk tested for GBS
this is unnecessary. A story I was told involved a mom who pumped for NICU to
give baby her colostrum the first 24 hours after baby was born.  The
neonatoligist was fully aware of mothers intent and supported it completely,
the CNM was also aware of the pumping and supported the decision. When the
mother went to collect her 3 oz of colostrum to take to her very ill baby the
freezer was empty.  The postpartum nurse came to her and said that she
thought it did not "look right" and she threw it away with out discussing it
with anyone!  I asked if the mother went through the roof she said she did
not have it in her at the time, her first born was dying and she was so
emotionally drained that she couldn't think straight.  This baby by some
miracle is currently a delightful 4 y/o without any signs of imparement from
his traumatic birth and illness. He was breastfed beyond his first year.
If you would like to private e-mail me feel free to do so.   I am very luck
to have so much information on GBS at my finger tips.
Stephanie Ehlert, AAHCC
Jacksonville, FL

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