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the infant can't breast-feed, the mother's milk should be expressed, collected, and stored safely for use.A mother who has a substance abuse problem but who's adequately nourished may breast-feed if she's enrolled in a supervised methadone regimen and has negative screening for HIV and illicit drugs.(Illicit drugs, such as phencyclidine, cocaine, and cannabis, can be detected in breast milk; breast-feeding is contraindicated if use by the mother is a concern.) Breast- feeding isn't recommended when mothers are receiving medication from the following drug classes: amphetamines, chemotherapy agents, ergotamines, and statins.Mothers with active untreated tuberculosis or active herpes simplex lesions on their breasts shouldn't breast-feed; however, they can express milk and feed it to their infants because these infectious organisms don't pass through to the breast milk.When stored properly, human milk has significantly more nutrients and immunologic value than commercial infant formulas.to 39?F (0.5?to 3.8?F (-20?

the infant can't breast-feed, the mother's milk should be expressed, collected, and stored safely for use. When stored properly, human milk has significantly more nutrients and immunologic value than commercial infant formulas. There are a limited number of medical conditions in which breast-feeding is contraindicated, such as for an infant with the metabolic disorder galactosemia. Alternating breast-feeding with special formulas can be used with some other metabolic disorders if appropriate blood monitoring is available. Mothers who have tested positive for human T-cell lymphotrophic virus type I or II or untreated brucellosis shouldn't breast- feed or provide expressed milk to their infants. Mothers with active untreated tuberculosis or active herpes simplex lesions on their breasts shouldn't breast-feed; however, they can express milk and feed it to their infants because these infectious organisms don't pass through to the breast milk. In the United States and other industrialized nations, it's recommended that human immunodeficiency virus (HIV)-positive mothers refrain from breast-feeding; however, in developing nations, the benefits of breast-feeding may outweigh the risk of acquiring HIV infection from human milk. A mother who has a substance abuse problem but who's adequately nourished may breast-feed if she's enrolled in a supervised methadone regimen and has negative screening for HIV and illicit drugs. (Illicit drugs, such as phencyclidine, cocaine, and cannabis, can be detected in breast milk; breast-feeding is contraindicated if use by the mother is a concern.) Breast- feeding isn't recommended when mothers are receiving medication from the following drug classes: amphetamines, chemotherapy agents, ergotamines, and statins. 2 Refrigerators ạnd freezers that store human milk should have temperature alarms and a designated stasf person who's responsible for documenting appropriate temperatures every 24 hours.34Refrigerators must be kept at 33° to 39° F (0.5° to 3.8° C); freezer temperature should be kept no higher than -4° F (-20° C).E