We do not have a nl nbn nursery. All infants room in with mom. If supplementation is medically necessary we offer pasteurized donor human milk as an option if mom intends to breastfeed. It is usually less than 6 Oz. If mom wants to continue to use donor milk after discharge, we give a handout on how to get it. Sent from my Verizon Wireless 4G LTE smartphoneNancyNancy Wight [log in to unmask]: 858-493-0198Cell: 619-733-3047 -------- Original message -------- From: LACTNET automatic digest system <[log in to unmask]> Date: 11/24/2015 9:01 PM (GMT-08:00) To: [log in to unmask] Subject: LACTNET Digest - 23 Nov 2015 to 24 Nov 2015 (#2015-438) There are 3 messages totaling 136 lines in this issue. Topics of the day: 1. donor milk 2. Bronchiolitis/RSV 3. use of banked milk Lactnet Archives are at: LACTNET Archives http://community.lsoft.com/archives/lactnet.html To Manage your Subscription, ie go nomail, index, etc, go to: http://community.lsoft.com/archives/lactnet.html Thanks! LACTNET Facilitators Kathleen B. Bruce RN, BSN, IBCLC Rachel Myr, midwife, IBCLC Kathy Koch PhD Linda Pohl Karleen Gribble PhD Norma Ritter, IBCLC Nina Berry PhD Questions to [log in to unmask] *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ---------------------------------------------------------------------- Date: Tue, 24 Nov 2015 07:52:23 -0500 From: Elizabeth Brooks <[log in to unmask]> Subject: Re: donor milk Tricia shares an excellent synopsis of restrstrictions that will prevent a human milk donor from giving milk to a Human Milk Banking Association of North America (HMBANA) bank. The Donor Qualifications section of the new 2015 HMBANA Guildelines are at Section IV, pp 12-26; the Guildelines may be purchses from HMBANA https://www.hmbana.org/publications I'd add that, in many situations, the restriction is easily overcome if the parent *stops* using whatever is the restricted substance. Such "deferred donors" can donate after the donor stops taking the restricted drug or herb, and the specified period has passed. Similarly, if a long time donor must now take a drug for an illness, they are "temporarily disqualified" until the medications have cleared the system. Part of the reason the HMBANA Guidelines are a little vague about what is "in" and what is "out" for acceptable donor-use-and-consumption is because this is a discussion that is to be had between the donor, and the trained staff and volunteers at each bank. It takes into account all the sorts of clinical variable that we know will bear on well-informed decision-making by the donor. HMBANA screening *requires* in-person or on-phone, real-time, *conversations* between the donor and the HMBANA bank. Each bank has its own rules, in addition to the Guidelines, upon which they may rely regarding acceptable donations. Electronic-only communication does not cut the mustard. HMBANA banks pride themselves -- and rightly so -- on the relationships they build with their milk donors. As an aside, I would also say that another rumor that floats out there is that HMBANA donors cannot donate their freezer stashes. Not so! HMBANA staff will have a discussion during the screening process with a donor to figure out if the milk that is stashed passes HMBANA Guidelines, so the parent can offer not only milk that is collected going forward, but the milk that was acquired and frozen in the past. Liz Brooks, JD, IBCLC, FILCA Wyndmoor, PA, USA Director, Human Milk Banking Assn of North America (2015-18) *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Tue, 24 Nov 2015 23:56:44 +0000 From: Darillyn Starr <[log in to unmask]> Subject: Bronchiolitis/RSV Just a personal experience, here, but it makes me even sadder to hear that hospitals are doing things that push weaning of babies with RSV. My daughter, Julia, was born with a congenital diaphragmatic hernia and got pneumonia at the drop of a hat. She got RSV at 13 months, just a month after I finally got her started nursing (I adopted her). Because of the CDH, it was as serious for her as for a newborn. In the hospital, she refused to have anything to do with a bottle, but wanted to nurse almost constantly. It had another good effect in that they could take her vitals without her even flinching. After spending her first four months in the hospital, getting cut and poked, she was terrified of anyone in a white coat. The doc had expected her to be there about two weeks, but she was ready to go home, on oxygen, in two and a half days. I hate to think of babies being robbed of those benefits when they need them most! What is wrong with medical professionals, that they would want to do that? Are they really that ignorant of the important immunities passed on in breast milk, or just too lazy to help a mom nurse, or pump, rather than screwing an artificial nipple on a ready-to-feed bottle of formula? *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ Date: Tue, 24 Nov 2015 19:06:16 -0500 From: CYNTHIA MCCARTIN <[log in to unmask]> Subject: use of banked milk I am a LC at a hospital in Baltimore MD. I am doing research into the use of banked human milk in the healthy full term nursery for babies needing supplementation due to medical need. We are already using banked milk for our low birth weight premature infants. Do any of the hospitals you work in use banked milk in your full term nursery? If so could you share information on your guidelines and frequency of use? Thanks _______________________________________________________________________________________ This email may contain confidential protected health information and/or proprietary information belonging to the sender that is legally privileged under local, state, or federal law. 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To get a comprehensive list of rules and directions: get lactnet welcome ------------------------------ End of LACTNET Digest - 23 Nov 2015 to 24 Nov 2015 (#2015-438) ************************************************************** *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome