Paula,

What about pasteurizing mom's milk??  I believe HMBANA requires 56C for 30
minutes.  (You may want to check with them to be sure.)  Certainly better
pasteurized human milk than pasteurized cow's milk.

Linda Pohl, IBCLC
Phoenix AZ
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-----Original Message-----
From:   Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of george
Sent:   Sunday, October 11, 1998 4:11 PM
To:     [log in to unmask]
Subject:        milk cultures


Neonatologist wants to know what is an acceptable colony count. The only
info I found was in Lawrence for donor milk. She states that no
potential pathogens should be found(staph aureus was among those
listed). She also lists other guidelines stating a count of
staphylococci of less than 100,000 is acceptable. The neonatologist is
uncertain as to how to proceed. The babies have a history of feeding
problems(increased girths and bloody stools) and have twice had to have
feeds withdrawn and then restarted again. Breastmilk is the only milk
they have received thus far. Mom still has frozen milk collected before
this all started and the neonatologist is allowing it to be used, but
she is concerned about milk collected since infection began. Mom has
approximately 150 volufeeds of frozen milk that is in question and does
not want to discard it. Does anyone have info that would be helpful?
Paula McRae,RN,IBCLC Lafayette,LA