CMV in breast milk

[Darya]

Dear colleagues!

Share please your tactics if HCMV was found in breast milk by PCR? Do you know any RCT about it?

Thank you!

[Jose Ramon Fernandez]

Greeting from Spain. I hope this Pubmed search cuold help you.

It´s known that especially very low birth preterms could be infected by CMV excreted by breast milk,but this risk seems to be lower if you put breast milk at -20ºC before you feed the baby.

Making a pubmed search with "Cytomegalovirus"[Mesh] AND "Breast Feeding"[Mesh] with those Limits activated: Humans, English, French, Russian, Spanish, Newborn: birth-1 month we get 28 results.I point you those I consider most interesting:

http://www.ncbi.nlm.nih.gov/pubmed/19687768

http://www.ncbi.nlm.nih.gov/pubmed/20630814 (article in spanish)

Dear colleagues!

Share please your tactics if HCMV was found in breast milk by PCR? Do you know any RCT about it?

Thank you!

[Darya]

Thank you very much. Unfortunately, I don’t read Spanish. But, nevertheless, what is the tactics in your clinic? Do you stop the breast feeding or pasteurisate the milk, or freeze it (how long)? How it depends on GA and weight? Thank you.

[Jose Ramon Fernandez]

You´re welcome

I don´t remember a recent case of such problem,but what we use to do is to freeze the milk (no matter of time). It seems there is no contraindication regarding to weight (you can brestfeeding even prematures less than 1500g). At the end,the benefits of breastfeeding are greater than damages for the baby.

[Guest xemoni]

Dear Darya

If the infant is older than 34 wks GA we advise the mother to give her milk freely.

When the infant is younger than 34 wks GA we recommend expression of breast milk, then keep it in the freezer for at least 3 days and then it can be given to the infant.

Konstantinos Mitsakis

NICU

Ippokrateion Hospital

Thessaloniki, Greece