Seattle Mama Doc

New Breast Pump Cleaning Guidelines From CDC

Every tool can carry risk when not used properly. The story about breast pumps and infection risk in the media recently is no exception. Attention all breast feeding & pumping mamas out there (and all the lovely people who support moms who pump milk): The Centers For Disease Control (CDC) has issued new guidelines for properly cleaning your breast pump & parts. The new recommendations come in the wake of a devastating story of a premature baby girl who showed signs of sepsis (bloodstream infection) at age 21 days due to an unusual bacterial infection. She developed spastic cerebral palsy, developmental delays and later passed away. This case is an outlier, for sure, but did prompt learning that the CDC felt the public should know.

After a full investigation, the CDC traced the infection source back to the breast pump and parts. The way the breast pump equipment was cared for may have allowed bacteria to grow. The CDC reported that the girl’s mother typically soaked the collection kit from her personal breast pump in soapy water in a wash basin for ≤5 hours without scrubbing or sanitizing. She then rinsed, air-dried, and stored the kit in a plastic zip-top bag until the next use. It’s possible how she cared for the pump allowed for bacteria to grow and be transferred to the baby. Because the baby was young and born prematurely, the baby was at greater risk for infection that most full-term older infants.

In response to the investigation, we reviewed existing resources for women about how to pump breast milk safely, but found little guidance that was detailed and based on the best available science,” Dr. Anna Bowen, a CDC medical officer, told Parents. “As a result, CDC developed its own guidance.”

New CDC Breast Pump Cleaning Guidelines:

  • Clean your pump parts after every use. Don’t skip a single feeding. I know it’s yet another step in the long process of breastfeeding and pumping, but it’s crucial. Annoying add but the recommendations are based in experts evaluating risks.
  • Wash your hands before touching your pump parts or pumped milk.
  • Key: keep a separate wash basin for the parts, the CDC doesn’t recommend you use the kitchen sink to clean pump supplies as the sink may house germs and bacteria from other food prep.
  • Have a dedicated cleaning brush for your pump and parts. Clean that brush every few days. Don’t re-use the sponge you use to scrub food off your plates and dishes.
  • Use running water and soap to clean breast pump parts that come in contact with breast milk.
  • Then let each piece and part air dry.
  • For extra cleanliness you can boil or steam the parts to sanitize in either a microwavable steamer or use the sanitize cycle in the dishwasher (HOT water). You can use the sanitizing bags that you use in the microwave or you can bring a pot of water to a boil and boil parts in the bubbling water for 5 minutes.

Bottom Line: this news isn’t meant to scare or drive moms away from breastfeeding and pumping. We know the many benefits of breastfeeding for both mom and baby (see below). This is just a reminder to be diligent when cleaning and sanitizing your breast pump. Read full post »

Driving Under The Influence of Electronics: The New Law

Getting a DUI just got easier. Driving Under The Influence of Electronics (E-DUI) is real and will cost you as Washington State gets serious about reducing deaths from car accidents caused by distraction. The reason is clear: we know distraction from cell phone use increases risks of accidents over 20-fold and we know the habit of using a device has quickly become the norm. Here’s to hoping the new law helps us think of our cars as the sanctuaries they can be for those we cart around and for those we love. Of anything I’ve learned from researchers about vehicle safety and distraction it’s the reality that finger-wagging and telling-us-to-change type advice won’t affect our habits — we have to be motivated to change the culture of our car. We have to want to connect there or we have to be fearful of being fined. Since I made the podcast with Dr. Beth Ebel (embedded below), whenever I get in the car with my boys I think of it more like I think of time at the dinner table. And I love thinking about the car in that way. It’s so much easier to make sure I won’t pick up the phone…

The New E-DUI Law In Washington:

Tomorrow a new law signed by Governor Inslee bans holding hand-held devices, like cell phones, while driving (and even when you’re stopped at an intersection). The law makes it so drivers can only use their phones to call 911 or by using one finger to trigger a voice-activated application on bluetooth. In addition to a $136 ticket for your first offense and $234 for the second within 5 years, these citations will be reported to insurance companies. Learn more about the law on Washington’s Target Zero website. The reason is pretty clear — just as we were seeing the death rate fall from good seatbelt use and clamping down on DUIs, there has been a rise in accidents and deaths. Many believe this is in part due to the rapid rise of device distraction.

Under the new law you can’t even look at your phone at stop lights. Reason is, you lose awareness of situations around you and many accidents occur when pedestrians are struck by distracted drivers in intersections.

Data Driving The New DUI Laws:

  • Fatalities from distracted driving increased 32 percent from 2014 to 2015 in Washington.
  • 71 percent of distracted drivers engage in the most dangerous distraction, cell phone use behind the wheel
  • One out of four crashes involves cell phone use just prior to the crash.
  • At any given time, 2013 research has found that about 10% of people driving are actually using a device and half are texting! Anecdotally it only seems to be getting worse. I mean we look around and constantly we see people flying down the highway while trying to send messages.

The law is a big step in the right direction for avoiding injuries and death from distracted driving. We know that it’s hard for us all (!!) to keep the phone off or in the backseat. And we know the fear of tickets — the ones that take away money but the ones that also increase insurance premiums — may change behavior. And that’s the goal. Public service announcements scaring us about risk clearly are not enough and are clearly ineffective as use of devices in cars rages on.
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Chemicals In Macaroni And Cheese Explained

If you’re a parent whose child loves macaroni and cheese (and truly, it’s the rare child who doesn’t), you’ve most likely seen the NYT media blitz on chemicals found in popular, boxed mac-n-cheese brands sold in grocery stores. I’m going to break it down quick and simple. Here we go….

  1. The chemical detected in the mac and cheese are called phthalates. Phthalates aren’t an added ingredient that companies are purposely using in their products. This isn’t an artificial ingredient, per se. It also isn’t something you avoid in your food when buying organic foods.
  2. Phthalates are chemical toxins that are used to make rigid plastics more flexible and less breakable. These plastics are used in processing plants and conveyor systems that our food and other ingredients travel THROUGH while being preserved and packaged. The phthalates can then leak from the plastics (tubing, conveyor belts, machinery) INTO our food or ingredients.
  3. Research links phthalates to possible genital abnormalities at birth and disruption of hormones, learning disabilities, and behavioral problems. Phthalate exposures during pregnancy can cause changes in estrogen and testosterone levels in fetuses. There isn’t a known “safe” amount of phthalates for our diets. So when we can reduce our exposure to them, we should.
  4. Almost all dairy products you consume contain phthalates. So it’s not just the mac-n-cheese that’s exposing us to phthalates. Milk, cheese, cottage cheese, string cheese, ice cream and other foods…any milk product contains them. Phthalates piggyback into our food and are stored in fat. That’s one of the reasons it’s smarter to drink low-fat dairy products over high-fat ones.
  5. We don’t know yet which brands the report surveyed and this work wasn’t published in a peer-reviewed journal. Some media outlets are reporting Kraft was included but I was unable to unearth which brands and what levels were found. To be safe, I’d assume most macaroni and cheese prepared products contain some level of phthalates because they all require processing.
  6. Buying organic mac-n-cheese isn’t saving you from phthalate exposure. Remember anything that’s been processed through tubing or machinery can have phthalates. Phthalates can also leave plastic products in our house (plastic food containers, plastic dishware, plastic surfaces) and enter our food, especially when heated. So the less we use plastic to store or transport our food the better!
  7. We don’t actually know what level of phthalates are safe for consumption so as the science and understanding of the risks evolve it’s best to think on diminishing exposures.

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What To Do With Bug Bites and Itchiness

It’s July so we’re officially in summertime, thank goodness. My prescription: warm and outdoor adventures for us all! Obviously if we take the Rx seriously, we’ll all be more likely to get bit. When it comes to bug bites, the most important thing to know for your child (and yourself) is how they will react. Some children get bit all over and hardly react while others will have enormous, and tremendously ITCHY welts all over their body. There truly are children who are mosquito-bite sensitive and children who are not. Some get bit and hardly react while others of us end up with welts in minutes.

In general, bug bites cause a mild irritation to the skin. However, sometimes a more allergic reaction results and persists, even for days causing real discomfort. In these scenarios, it’s safe to use anti-allergy medications (diphenhydramine, etc) for itchiness from bites. It’s also safe to use over-the-counter (OTC) hydrocortisone cream or ointment on bites that aren’t scratched open or raw.

Some tips on how you can help keep your children bug bite free or help them when they do get bit: Read full post »

Pride: The Wellness Effect of Same-Sex Marriage Laws

Seattle’s Pride Parade is tomorrow, Sunday, June 25, and it has a great theme — Indivisible. Take the meaning of the theme as you like, but if there’s one thing that is true for Pride in Washington, it’s that there is an abundance of support. The majority of our people here, it seems to me, are building a community and will not be divided more. I feel so thankful to live in a community that is on its way to continuing to make all feel welcome, safe, and grounded in a sense of belonging.

As we come upon the 5th year since Washington State legalized same-sex marriage (woohoo!) it’s important to highlight the importance of what laws like this can do within the community. The legal changes here have had a lasting impact on thousands and thousands: there were approximately 15,750 same-sex marriages in Washington between 2012 and 2015.

These laws not only increase liberty and resources for families with same-sex couples, the laws may increase our community’s health and they may earnestly decrease suffering.

A study published by JAMA Pediatrics found that states with same-sex marriage policies had a 7% reduction in adolescent suicide attempts. The study analyzed data from 762,678 adolescents in 47 states between 1999 and 2015. Of the states included in the study, 32 permitted same-sex marriage and 15 states did not.

Evidence from nationally representative 2015 Youth Risk Behavior Surveillance System (YRBSS) data indicates that more than 29% of gay, lesbian, and bisexual high school students reported attempting suicide within the past 12 months, relative to 6% of heterosexual students.

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