We have a policy at our hospital titled "Ingestion of Incorrect Breastmilk" which goes over what procedures to take when an infant is given the wrong breastmilk. In a nutshell, physician writes order for tests of the "donor mother" - HIV rapid testing, hepatitis BsAg, Hepatitis C AB, HSV Igm (infection control pays for tests). Recipient mother should also be encouraged to be tested - otherwise there is no baseline for proof of transmission from breastmilk exposure. Recipient infant should be given prophylaxis within 2 hours of exposure if donor mother refuses HIV rapid testing, or if results of HIV rapid testing is positive. Hepatitis B vaccine to be given immediately to recipient infant (unless already vaccinated). Follow-up testing for recipient baby @ 6 weeks, 3 months, and 6 months (HIV, Hep BsAg, Hep C AB) Counseling is given to assure mom that risks are extremely low! Hope this helps, Becky Lyons, LD, IBCLC *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html