%PDF-1.3
%
1 0 obj
<>>>/BBox[0 0 612 792]/Length 147>>stream
x%0E~5ڨ%1ѭ?BG
-qùg87Z18?K'Ӻvuq.
/0. ])%Jx!T)RV5E٦`<Ɂ_9˶e|0Q
endstream
endobj
3 0 obj
<>>>/BBox[0 0 612 792]/Length 147>>stream
x%0E~5ڨ%1ѭ?BG
-qùg87Z18?K'Ӻvuq.
/0. ])%Jx!T)RV5E٦`<Ɂ_9˶e|0Q
endstream
endobj
4 0 obj
<>>>/BBox[0 0 612 792]/Length 147>>stream
x%0E~5ڨ%1ѭ?BG
-qùg87Z18?K'Ӻvuq.
/0. ])%Jx!T)RV5E٦`<Ɂ_9˶e|0Q
endstream
endobj
6 0 obj
<>stream
Acrobat Distiller 8.1.0 (Windows); modified using iText 4.2.0 by 1T3XT
Arbortext Advanced Print Publisher 9.0.114/W
2018-03-08T09:39:36-08:00
2018-01-18T03:16:01+05:30
application/pdf
BFM-2017-29064-nks-ver9-Sriraman_4P 2..4
uuid:da7003d1-0bfa-4863-8c64-0027ace5e90d
uuid:a745bcb1-24aa-4182-ab4f-26f25a1a3c91
endstream
endobj
7 0 obj
<>stream
x+ |
endstream
endobj
8 0 obj
<>stream
xS**T0T0 Bi yA$
endstream
endobj
9 0 obj
<>stream
x+ |
endstream
endobj
10 0 obj
<>stream
xS**T0T0 Bi y8#
endstream
endobj
11 0 obj
<>stream
x+ |
endstream
endobj
12 0 obj
<>stream
xS**T0T0 Bi yJ%
endstream
endobj
14 0 obj
<>stream
/GS1 gs
BT
/F7 1 Tf
9.843 0 0 9.843 69.7323 508.592 Tm
0 0 0 rg
0 Tc
0 Tw
[(This)-305(will)-299.4(usually)-308.4(require)-303.8(a)-301.8(review)-303.6(of)-301.7(the)-304.1(donors)-301.2(medical)]TJ
-1.0137 -1.1116 TD
[(history,)-339.5(including,)-343.2(where)-342.7(possible,)-341.6(a)-336.3(review)-344(of)-336.2(her)-338.5(prenatal)]TJ
T*
[(infectious)-232.4(screening)-232.2(tests)-231.2(and)-229.1(a)-226.9(review)-234.5(of)-226.8(her)-229.1(social)-227.9(practices)]TJ
T*
[(\(Table)-286.7(1\).)]TJ
1.0137 -1.1174 TD
[(In)-244.1(addition,)-238.4(healthcare)-247.4(providers)-241.3(can)-247.5(advise)-239.3(those)-242.7(mothers)]TJ
-1.0137 -1.1116 TD
[(who)-430.4(want)-432.8(to)-434.3(further)-429.4(reduce)-436.3(the)-430.8(risk)-430.5(of)-428.4(infections)-434(by)-434.2(per-)]TJ
T*
[(forming)-210.6(home)-208.4(pasteurization)-210.4(of)-209.5(donated)-211.8(milk)-207.5(before)-204.7(giving)-208.5(it)]TJ
0 -1.1174 TD
[(to)-422.8(her)-413.4(infant)-422.7(\(Table)-419.2(2\).)-420.3(However,)-418.4(the)-419.3(mother)-423.8(needs)-416.6(to)-417(be)]TJ
0 -1.1116 TD
[(informed)-258.9(that)-259.3(pasteurization)-262.3(can)-259.1(signicantly)-263.4(decrease)-262.1(some)]TJ
T*
[(of)-284.4(the)-281.1(benecial)-285.4(components)-279.5(of)-284.4(human)-278.6(milk.)]TJ
7.3823 0 0 6.5614 238.4503 414.3684 Tm
(7)Tj
9.843 0 0 9.843 69.7323 399.0046 Tm
[(Informal)-247.4(breast)-250.7(milk)-247.8(sharing)-250.7(has)-246.2(grown)-248.3(increasingly)-253(more)]TJ
-1.0137 -1.1116 TD
[(common.)-382.3(Whether)-386.8(community)-382.4(based)-382(or)-382.3(internet)-385.9(based,)-379.7(in-)]TJ
T*
[(formal)-285.5(milk)-282.4(sharing)-279.5(can)-282.1(be)-279.8(problematic.)]TJ
/F9 1 Tf
.9158 -1.7221 TD
[(Community)-497.9(based:)]TJ
/F7 1 Tf
8.2709 0 TD
[(With)-496.5(regard)-498.4(to)-497.7(community)-497.6(sharing,)]TJ
-7.2803 -1.1116 TD
[(there)-365(are)-362.7(multiple)-363.1(websites)-369(that)-362.9(describe)-363.5(their)-364(mission)]TJ
0 -1.1174 TD
[(t)16.1(o)-329.4(pr)26.6(o)16.2(v)16.2(i)0(d)26.5(e)-330.6(a)15(n)-329.4(a)15(v)0(e)25.4(n)16.2(u)16.2(e)-330.6(fo)26.6(r)-329.4(c)15(om)25.4(m)15(u)16.2(n)16.2(i)16.1(ty)-319.1(m)15(i)16.1(l)16.1(k)-329.4(sh)26.8(a)15(r)16.2(in)26.5(g)-329.4(w)15.3(it)26.3(h)16.2(-)]TJ
0 -1.1116 TD
-.0159 Tc
[(out)-339.7(takin)-15.9(g)-323.4(money)-15.9(.)]TJ
/F9 1 Tf
-.9907 -1.1116 TD
0 Tc
[(Internet)-247.3(based:)]TJ
/F7 1 Tf
6.3299 0 TD
[(Studies)-244.9(have)-248.6(shown)-242.3(that)-247.7(milk)]TJ
/F9 1 Tf
12.0205 0 TD
(sold)Tj
/F7 1 Tf
1.9122 0 TD
(through)Tj
-19.272 -1.1116 TD
[(the)-246.5(internet)-247.6(is)-249.8(often)-248.7(more)-248.7(problematic)-247.6(than)-247.6(milk)-247.8(sharing)]TJ
0 -1.1174 TD
[(on)-272.9(the)-269.5(internet.)-274.1(The)-270.6(breast)-273.8(milk)-276.6(can)-270.6(be)-274.1(adulterated)-276.3(with)]TJ
0 -1.1116 TD
[(other)-242.9(substances)-250.2(or)-244.1(arrive)-245.1(fully)-247.6(thawed)-246.1(out,)-243(spoiled,)-248.5(and)]TJ
T*
[(contaminated)-497.6(with)-489.3(various)-498.4(bacteria.)-495.2(Since)-491.6(the)-494.2(breast)]TJ
0 -1.1174 TD
[(milk)-311.2(that)-316.8(is)-313.2(being)-312.1(sold)-315.4(on)-313.2(the)-315.6(internet)-311(is)-313.2(being)-317.8(sold)-309.6(for)]TJ
0 -1.1116 TD
[(prot,)-354.5(the)-350.2(donors)-352(may)-357(not)-349(be)-354.7(fully)-351.3(transparent)-355.4(regard-)]TJ
T*
[(ing)-711.9(their)-709.6(health)-711.9(histories,)-717.2(medications,)-711.6(and)-712.9(social)]TJ
0 -1.1174 TD
[(practices,)-455.8(thereby)-459.4(increasing)-452.3(the)-453.8(risk)-453.6(to)-457.3(the)-448.1(recipient)]TJ
0 -1.1116 TD
(infant.)Tj
7.3823 0 0 6.5614 104.0315 222.0661 Tm
(8,9)Tj
9.843 0 0 9.843 320.8251 508.592 Tm
[(Regardless)-372.4(of)-370.8(the)-373.2(source,)-375(if)-370.9(families)-375.4(do)-370.8(use)-372.9(donor)-374.1(milk,)]TJ
-1.0137 -1.1116 TD
[(then)-282.2(providers)-281.7(should)-283(instruct)-280.8(both)-286.8(donors)-277.1(and)-286.7(recipients)-285.4(on)]TJ
T*
[(safe)-311.8(milk)-305.4(handling)-309.7(and)-309.7(storage)-315.2(practices.)-311.8(Guidelines)-313.9(can)-310.9(be)]TJ
T*
[(found)-235.9(in)-232.7(ABM)-236.5(Clinical)-237.3(Protocol)-240.4(No.)-236.9(8:)-232.7(Human)-239.2(Milk)-236(Storage)]TJ
0 -1.1174 TD
[(Information)-279.6(for)-285.5(Home)-278.4(Use)-281.6(for)-285.5(Full-Term)-284.2(Infants.)]TJ
7.3823 0 0 6.5614 507.3447 469.1338 Tm
(10)Tj
9.843 0 0 9.843 320.8251 453.8267 Tm
[(For)-239.3(all)-240.9(informal)-241.8(milk)-236.3(sharing,)-242.6(the)-240.7(responsibilities)-244.8(of)-238.3(donor)]TJ
-1.0137 -1.1116 TD
[(milk)-196(exchange)-197.8(remain)-200.3(with)-201.4(the)-194.7(donor)-195.6(and)-200.3(recipient.)-201.5(Informed)]TJ
0 -1.1174 TD
[(choice,)-347.7(donor)-345.3(screening,)-350.8(safe)-352.1(handling,)-347.7(and)-350(home)-346.6(pasteuri-)]TJ
0 -1.1116 TD
[(zation,)-283.3(if)-278.8(desired,)-284.1(are)-282.1(key.)]TJ
/F4 1 Tf
8.9663 0 0 8.9663 310.8472 398.3243 Tm
(Conclusions)Tj
/F7 1 Tf
9.843 0 0 9.843 320.8251 381.8834 Tm
[(Educated)-284.3(healthcare)-287.8(providers)-281.7(are)-287.8(well)-283.2(positioned)-283.1(to)-284.6(help)]TJ
-1.0137 -1.1116 TD
[(mothers)-418.9(and)-419.2(families)-427.2(make)-422.7(informed)-420.2(choices)-420.1(about)-421.5(infant)]TJ
T*
[(nutrition.)-330.6(ABM)-334.4(recognizes)-332.4(that)-334.1(informal)-333.9(milk)-328.4(sharing)-337.1(is)-330.4(an)]TJ
0 -1.1174 TD
[(increasingly)-304.9(common)-304(practice)-307.4(with)-299.3(potential)-306.5(health)-302.9(benets)]TJ
0 -1.1116 TD
[(for)-199.1(the)-200.4(term)-197(healthy)-206.1(infant,)-201.5(but)-199.3(encourages)-199.8(adherence)-205.8(to)-198.2(these)]TJ
T*
[(guidelines)-353.4(to)-353.7(reduce)-349.9(risk)-355.6(and)-350(make)-353.5(milk)-351.5(sharing)-354.4(as)-348.8(safe)-357.8(as)]TJ
0 -1.1174 TD
[(po)20.8(ss)21.2(ib)15(le)19.5(.)-222.3(B)0(y)-216.3(f)0(o)15.1(l)0(l)20.6(o)0(w)20(i)0(n)20.7(g)-225.7(th)20.7(es)14.1(e)-226.9(r)0(e)19.7(c)0(o)19.7(m)0(m)18.4(e)0(n)19.7(d)0(a)19.7(t)0(i)20.6(o)0(n)15.1(s)-225.5(on)-215.3(\(1)20.9(\))-225.7(m)0(e)18.4(d)0(i)20.7(c)0(a)18.5(l)]TJ
0 -1.1116 TD
[(sc)19.9(re)19.7(en)19.7(in)15(g)-335.2(o)0(f)-330.5(t)0(h)20.7(e)-342.1(do)20.8(no)20.8(r)-340.9(a)0(n)19.7(d)-340.9(\(2)20.9(\))-340.9(s)0(a)19.9(f)0(e)-331.6(m)0(i)19.5(l)0(k)-330.6(h)0(a)19.7(n)0(d)20.8(l)0(i)20.6(n)0(g)-330.5(p)0(r)20.9(a)0(c)18.5(t)0(i)14.8(c)0(e)18.5(s)0(,)]TJ
T*
[(AB)18.9(M)-341.8(p)0(r)20.9(o)0(v)20.8(i)0(d)20.7(e)0(s)-331.5(p)0(r)15.1(a)0(c)18.5(t)0(i)20.6(c)0(a)18.5(l)-341(gu)20.8(id)20.7(an)13.9(ce)-332.8(to)-330.6(pr)20.9(ov)20.8(id)20.7(er)19.7(s)-340.7(r)0(e)14(g)0(a)19.7(r)0(d)20.9(i)0(n)20.7(g)-340.9(in)20.7(-)]TJ
T*
[(fo)20.9(rm)19.6(al)-251.2(br)20.9(ea)18.5(st)-255.6(mi)19.5(lk)-250(sh)21(ar)19.7(in)15(g)-260.3(t)0(o)-250(h)0(e)19.7(l)0(p)-250(p)0(a)19.7(t)0(i)20.6(e)0(n)19.7(t)0(s)-255.6(a)0(n)19.7(d)-260.3(fa)19.7(mi)19.5(li)20.6(es)-250.8(ma)18.4(ke)]TJ
0 -1.1174 TD
[(in)20.7(fo)20.9(rm)19.6(ed)-262.5(ch)19.7(oi)20.7(ce)18.5(s.)]TJ
1.0137 -1.1116 TD
[(Internet-based)-573(breast)-567.5(milk)-570.3(sharing,)-565.1(and)-568.9(especially)-574.6(the)]TJ
-1.0137 -1.1116 TD
[(purchase)-369.2(of)-365(milk)-368.8(over)-362.6(the)-367.5(internet,)-372(is)-365(strongly)-365.9(discouraged)]TJ
0 -1.1174 TD
[(since)-451.3(\(1\))-458.3(the)-448.1(donors)-455.6(are)-454.8(unknown)-452.1(to)-451.6(the)-453.8(recipient)-457.3(and/or)]TJ
0 -1.1116 TD
[(cannot)-348.9(be)-348.9(medically)-354.8(screened)-353.1(and)-350(\(2\))-348.8(the)-350.2(milk)-351.5(is)-347.7(often)-352.3(not)]TJ
T*
[(suitable)-282(for)-279.7(consumption)-285.3(upon)-280.9(arrival.)]TJ
ET
59.754 719.149 490.167 .28345 re
f
59.754 534.501 490.167 .28351 re
f
BT
/F6 1 Tf
9.845 0 0 9.845 144.8504 725.1588 Tm
(Table)Tj
/F7 1 Tf
3.0002 0 TD
(1.)Tj
/F6 1 Tf
1.2496 0 TD
[(Guidelines)-335.5(for)-332.2(Medical)-335.8(Screening)-333.5(of)-331.2(Potential)-338(Milk)-333(Donors)]TJ
/F7 1 Tf
-12.8934 -1.6181 TD
[(1.)-246.2(Mother-to-mother)-245.3(screening)-248.5(process)-245(through)-243.2(face-to-face)-249.4(and/or)-243.4(telephone)-248.9(interview/conversation.)-251.5(Donor)-241.9(mothers)-245.4(should)]TJ
.9962 -1.0135 TD
(be:)Tj
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 687.5715 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 686.2676 Tm
[(In)-336(good)-332.2(health)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 677.6502 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.4787 676.3463 Tm
[(Only)-298.6(on)-295.7(medications)-298.1(or)-295.7(herbal)-302.1(preparations)-297.7(that)-293.4(are)-299(compatible)-303(with)-293.1(breastfeeding.)-303.3(It)-295.8(is)-295.7(recommended)-300.1(that)-293.4(LactMed)]TJ
7.3837 0 0 6.5625 542.551 680.7117 Tm
(11)Tj
9.845 0 0 9.845 76.4787 666.3683 Tm
[(and)-338.1()50.8(Medications)-339(and)-332.4(Mothers)-332.4(Milk)45.7()-335(b)0(y)-330.2(Dr.)-334.4(Thomas)-337.5(Hale)]TJ
7.3837 0 0 6.5625 320.5983 670.7337 Tm
(12)Tj
9.845 0 0 9.845 331.2566 666.3683 Tm
[(be)-337.2(used)-333.2(for)-331.2(decisions)-339.5(on)-330.2(whether)-338.5(medications)-338.4(are)]TJ
-25.8789 -1.0135 TD
[(compatible)-337.6(with)-333.4(breastfeeding.)]TJ
-1.6988 -1.313 TD
[(2.)-332.6(Review)-338.5(the)-332.6(donor)-338.9(mothers)-332.7(prenatal)-334.3(and)-338.1(\(if)-331.4(performed\))-335.9(regular)-337.7(postnatal)-334.1(infectious)-340.8(screening)-334.9(tests.)-337.7(The)-333.6(donor)-333.2(mother)]TJ
.9962 -1.0135 TD
[(should)-334.2(be)-331.4(negative)-334.3(for:)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 624.8124 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 623.5085 Tm
(HIV)Tj
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 614.8345 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 613.5872 Tm
[(Hepatitis)-335.1(B)-336(virus)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 604.9132 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 603.6093 Tm
[(HTLV-1)-338.2(\(in)-331.4(high)-332.4(prevalence)-338.4(areas\))]TJ
-1.7391 -1.3187 TD
[(3.)-332.6(Social)-336.7(practices.)-339.6(A)-335.8(woman)-330.6(is)-336(not)-331.4(a)-336.2(suitable)-338.9(breast)-336.5(milk)-333.7(donor)-333.2(if)-330.4(she)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 582.0093 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 580.7054 Tm
[(uses)-333(illegal)-338.2(drugs)-333(or)-336(marijuana,)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 572.0314 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 570.7274 Tm
[(smokes)-336.2(or)-330.2(uses)-338.8(tobacco)-333.1(products,)-334.9(including)-338.8(nicotine)-333.3(gum,)-335.7(patch,)-333.3(e-cigarettes,)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 562.0534 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 560.7495 Tm
(consumes)Tj
/F8 1 Tf
4.2786 0 TD
(>)Tj
/F7 1 Tf
.5528 0 TD
[(1.5)-333.6(ounces)-336.3(\(44)-170(mL\))-333.5(of)-330.2(hard)-333.4(liquor/spirits,)-340.4(12)-330.2(ounces)-336.3(\(355)-165.2(mL\))-333.5(of)-336(beer,)-337.9(5)-329.2(ounces)-336.3(\(148)-165.2(mL\))-339.3(of)-330.2(wine,)-337.7(or)-330.2(10)]TJ
-4.8314 -1.0135 TD
[(ounces)-336.3(\(296)-165.2(mL\))-333.5(of)-336(wine)-334.4(coolers)-337.5(\(beverage)-336.1(of)-336(wine)-334.4(and)-332.4(fruit)-333.5(juice)-335.9(with)-333.4(lower)-335.4(alcohol)-337.9(content)-332.1(than)-339.3(wine\))-335.4(daily,)-332.3(and)]TJ
/F10 1 Tf
7.9702 0 0 7.9702 69.6189 542.1542 Tm
()Tj
/F7 1 Tf
9.845 0 0 9.845 76.8756 540.8502 Tm
[(is)-336(at)-331.6(risk)-332.2(for)-337(HIV)-332.9(or)-336(had)-332.4(a)-336.2(sexual)-336.5(partner)-331.9(within)-335.5(past)-333.4(12)-336(months)-335.3(who)-332(is)-336(at)-331.6(risk)-338(for)-331.2(HIV.)]TJ
ET
59.754 182.778 490.167 .22682 re
f
59.754 56.863 490.167 .28348 re
f
BT
/F6 1 Tf
9.845 0 0 9.845 66.2173 188.7307 Tm
(Table)Tj
/F7 1 Tf
3.0002 0 TD
(2.)Tj
/F6 1 Tf
1.2496 0 TD
[(Guidelines)-335.5(for)-338(Home)-333.8(Pasteurization)-332.2(of)-337(Donated)-336.6(Breast)-329.1(Milk)-338.8(Using)-335(the)-332.4(Flash)-333.8(Heating)-337(Method)]TJ
/F7 1 Tf
-4.9063 -1.6182 TD
[(Donated)-338.5(milk)-333.7(can)-333.6(be)-337.1(heat)-334.7(processed)-334.6(\(pasteurized\))-340.2(to)-330.4(remove)-337.7(potentially)-336.6(harmful)-337.7(bacteria)-335.4(and)-332.4(viruses.)]TJ
7.3837 0 0 6.5625 471.0046 177.1653 Tm
(13)Tj
9.845 0 0 9.845 69.6189 162.822 Tm
[(1.)-298(Put)-296.7(the)-298(milk)-299.2(you)-296.7(want)-299.8(to)-295.8(sterilize)-300.9(in)-301.6(a)-295.9(heat-resistant)-301.1(glass)-299.6(\(not)-297.8(plastic\))-304.3(jar.)-295.6(The)-299(amount)-296.4(of)-301.4(milk)-293.4(should)-299.6(be)-296.8(between)-305.1(50)]TJ
1.0481 -1.0077 TD
[(and)-332.4(150)-170(mL.)-330.2(If)-336(you)-331.2(have)-334.5(more)-334.5(milk,)-337.1(you)-331.2(may)-333.5(divide)-335.7(it)-336.3(into)-332.5(two)-332.2(jars.)]TJ
-1.0481 -1.0135 TD
[(2.)-240.5(Place)-244.6(the)-246.2(jar)-246.2(of)-238.1(milk)-247.3(in)-238.3(a)-244(small)-243.6(pan)-246(of)-238.1(water.)-247.8(Make)-243.2(sure)-246.8(the)-240.4(water)-244.4(is)-243.9(about)-242.4(two)-245.8(ngers)-242.9(above)-243.4(the)-246.2(level)-243.7(of)-243.8(milk)-241.6(so)-243.7(that)-241.6(all)]TJ
.9905 -1.0135 TD
[(the)-338.3(milk)-333.7(will)-333.5(be)-331.4(heated)-337.9(well.)]TJ
-.9905 -1.0135 TD
[(3.)-257.7(Heat)-266.4(the)-257.7(water)-261.7(on)-261.1(a)-261.3(very)-258.5(hot)-262.3(re)-257.3(or)-261.1(on)-261.1(the)-257.7(highest)-261.7(level)-261(of)-261.1(your)-263.1(stove)-259.5(until)-258.9(it)-261.5(reaches)-264.8(a)-261.3(rolling)-260.8(boil)-257.7(\(when)-260.3(the)-263.5(water)-261.7(has)]TJ
1.0077 -1.0077 TD
[(large)-335.7(bubbles\).)-334.9(Stay)-339.1(close)-335.5(by)-330.2(because)-339.7(this)-332.4(should)-334.2(only)-332.4(take)-334.7(a)-336.2(few)-333.2(minutes.)-335.3(Leaving)-338.8(the)-332.6(water)-336.5(to)-330.4(boil)-338.3(too)-331.4(long)-332.4(will)]TJ
0 -1.0135 TD
[(damage)-338.9(some)-334.4(of)-336(the)-332.6(nutrients)-332.9(in)-336.2(the)-332.6(milk.)]TJ
-1.0077 -1.0135 TD
[(4.)-269.3(Immediately)-270.6(after)-266.6(the)-269.2(water)-267.4(comes)-267.4(to)-267.1(a)-272.8(boil,)-266.8(remove)-268.6(the)-263.5(jar)-269.2(of)-266.9(milk)-270.4(from)-264.3(the)-269.2(boiling)-266.6(water.)-270.8(Place)-267.6(the)-269.2(jar)-269.2(in)-267(a)-267.1(container)]TJ
1.0193 -1.0077 TD
[(of)-330.2(cool)-333.5(water,)-339.9(or)-330.2(let)-338.5(it)-330.6(stand)-334.4(alone)-335.7(to)-336.2(cool)-333.5(until)-333.7(it)-330.6(reaches)-339.7(room)-333.4(temperature.)]TJ
-1.0193 -1.0135 TD
[(5.)-332.6(Protect)-337.7(the)-332.6(milk)-333.7(as)-337(it)-330.6(cools)-334.4(and)-338.1(during)-334.4(storage)-331.8(by)-336(placing)-332.1(a)-336.2(clean)-336.9(lid)-331.6(or)-336(small)-335.7(plate)-335.9(on)-330.2(it.)]TJ
T*
[(6.)-275(You)-274.4(can)-276(safely)-278.9(feed)-271.2(your)-274.6(baby)-275.8(this)-274.8(heated)-280.3(milk)-276.1(at)-274(room)-275.8(temperature)-276.2(within)-277.9(6)-271.6(hours)-275.4(or)-272.6(refrigerate)-280.8(or)-278.4(refreeze)-278.7(the)-275(milk.)]TJ
/F4 1 Tf
8.9663 0 0 8.9663 59.7543 749.7069 Tm
[(POSITION)-339.9(STATEMENT)]TJ
54.1178 0 TD
(3)Tj
ET
endstream
endobj
25 0 obj
<>stream
LFPFGH+AdvP4C4E74 wR` C15AdvP4C4E74 s 3!%0; 5|#p3Lp|~zx~M~c~kqqt
endstream
endobj
29 0 obj
<>stream
/GS1 gs
BT
/F4 1 Tf
8.9663 0 0 8.9663 62.022 725.7825 Tm
0 0 0 rg
0 Tc
0 Tw
[(Disclosure)-336.7(Statement)]TJ
/F7 1 Tf
9.843 0 0 9.843 72 709.3416 Tm
[(No)-279.5(competing)-284.4(nancial)-283.1(interests)-282.9(exist.)]TJ
/F4 1 Tf
8.9663 0 0 8.9663 62.022 687.4014 Tm
(References)Tj
/F7 1 Tf
9.2951 0 0 9.2951 66.6708 671.3573 Tm
[(1.)-500.4(American)-419.2(Academy)-423.4(of)-411.3(Pediatrics,)-419.3(Section)-419.8(on)-415(Breastfeed-)]TJ
1.2503 -1.1284 TD
[(ing.)-384.2(Breastfeeding)-392.1(and)-382.8(the)-388.3(use)-388(of)-380.8(human)-388.8(milk.)]TJ
/F9 1 Tf
19.8469 0 TD
(Pediatrics)Tj
/F7 1 Tf
-19.8469 -1.1223 TD
(2012;129:e827.)Tj
-1.2503 -1.1284 TD
[(2.)-500.4(American)-254.5(Association)-258.2(of)-246.6(Family)-256.5(Physicians.)-253.9(Breastfeeding,)]TJ
1.2503 -1.1223 TD
[(family)-304.7(physicians)-311.9(supporting)-306.7(\(position)-306(paper\).)-306.8(Available)-306.5(at)]TJ
0 -1.1284 TD
[(www.aa)10.5(fp.org)12.9(/about/p)14.7(olicie)10.7(s/all/)10.3(breastf)11.8(eeding-)13.2(support.)16.3(html)]TJ
0 -1.1223 TD
[(\(acces)11.4(sed)-333.1(Dece)9.6(mber)-329.9(5,)-329.6(2017\))15.2(.)]TJ
-1.2503 -1.1284 TD
[(3.)-500.4(Fifty-Fourth)-384.8(World)-385(Health)-387.9(Assembly.)-382.4(Global)-383.7(Strategy)-385.7(for)]TJ
1.2503 -1.1223 TD
[(Infant)-301.9(and)-303.5(Young)-307.3(Child)-303.2(Feeding:)-304.1(The)-305.4(Optimal)-303.5(Duration)-307(of)]TJ
0 -1.1284 TD
-.0193 Tc
[(Exclusiv)5(e)-322.5(B).2(reastfeeding)5(.)-324.3(Geneva,)-324.3(S)2.1(witzerlan)5(d)-1.1(:)-323.8(W).6(o)5(r)-3.5(ld)-318.3(Health)]TJ
0 -1.1223 TD
-.0183 Tc
[(Organ)6(i).4(zat)6.5(i).4(on,)-329.4(20)6(01.)]TJ
-1.2503 -1.1284 TD
0 Tc
[(4.)-500.4(U.S.)-620.9(Department)-626.3(of)-624.7(Health)-619.6(and)-626.8(Human)-622.1(Services.)-621.4(The)]TJ
1.2503 -1.1223 TD
[(Surgeon)-254.4(Generals)-262.7(Call)-258.5(to)-255.9(Action)-255.6(to)-255.9(Support)-255.7(Breastfeeding.)]TJ
0 -1.1284 TD
[(Washington,)-404.5(DC:)-396.6(U.S.)-401.4(Department)-406.7(of)-399.1(Health)-400.1(and)-401.1(Human)]TJ
0 -1.1223 TD
[(Services,)-334.8(Ofce)-339.2(of)-332(the)-333.4(Surgeon)-333.7(General,)-340.3(2011.)]TJ
-1.2503 -1.1284 TD
-.0184 Tc
[(5)-18.4(.)-518.8(Breast)6.4(feedin)5.9(g.)-451.5(Avail)6.4(a)-4.4(b)5.9(l).3(e)-455.8(a)1.7(t)-457.1(w)4.3(ww.un)5.9(icef.o)5.9(rg)5.9(/nut)6.4(rit)6.4(i).3(on/i)6.4(ndex_)]TJ
1.2503 -1.1223 TD
-.019 Tc
[(24)5.3(824.)5.3(html)-329.6(\(a)-5(ccessed)-330.2(J)0(anuary)-336.3(1)5.3(1)-.8(,)-330.1(2017)5.3(\).)]TJ
-1.2503 -1.1284 TD
.0271 Tc
[(6)27.1(.)-473.3(Keim)-338.6(SA,)-338.9(M)-2.8(cN)-5.1(amara)-337.1(K)-5.1(A,)-338.9(Dillon)-339(CE,)-338.9(e)-1.6(t)-338.4(a)-1.6(l.)-338.9(Breastmilk)]TJ
1.2503 -1.1223 TD
.0279 Tc
[(sharing:)-362(Awarenes)4.3(s)-367.8(a)-.8(nd)-362.6(pa)5.3(rt)]TJ
12.3631 0 TD
.0297 Tc
[(ic)7.1(ip)5.2(ati)5.7(o)5.2(n)-366.9(a)1(m)5.6(o)5.2(ng)-360.8(wom)5.6(e)1(n)-360.8(i)-.4(n)]TJ
-12.3631 -1.1284 TD
.0303 Tc
[(th)5.8(e)-492.5(M).4(o)5.8(m).1(s)6.7(2)-.3(M)6.5(o)-.3(m)6.2(s)-493.5(st)6.3(ud)5.8(y.)]TJ
/F9 1 Tf
11.2287 0 TD
.0278 Tc
[(Br)4.2(eas)4.2(t)-2.3(feed)-496.9(Med)]TJ
/F7 1 Tf
7.4167 0 TD
.0245 Tc
[(201)-6.1(4;)-5.6(9:)-5.6(398)-6.1()]TJ
-18.6454 -1.1223 TD
[(40)-6.1(6.)]TJ
-1.2503 -1.1284 TD
0 Tc
[(7.)-500.4(Peila)-401.2(C,)-401.4(Moro)-404.7(GE,)-400.3(Bertino)-407.6(E,)-398.6(et)-400.4(al.)-406.5(The)-403(effect)-401.8(of)-399.1(holder)]TJ
1.2503 -1.1223 TD
[(pasteurization)-359.6(on)-354(nutrients)-359(and)-358.4(biologically-active)-357.6(compo-)]TJ
0 -1.1284 TD
[(nents)-424.3(in)-426.7(donor)-423.9(human)-431.4(milk:)-425.5(A)-422.6(review.)]TJ
/F9 1 Tf
16.7546 0 TD
(Nutrients)Tj
/F7 1 Tf
4.1597 0 TD
(2016;8:)Tj
-20.9143 -1.1223 TD
(E477.)Tj
25.7571 32.7956 TD
[(8.)-500.4(Keim)-566.5(SA,)-566(Hogan)-561.5(JS,)-563.5(McNamara)-569.6(KA,)-564.6(et)-565(al.)-565.1(Microbial)]TJ
1.2503 -1.1223 TD
[(contamination)-426.5(of)-417.4(human)-419.3(milk)-413.7(purchased)-424(via)-418.8(the)-418.8(Internet.)]TJ
/F9 1 Tf
0 -1.1284 TD
(Pediatrics)Tj
/F7 1 Tf
4.4585 0 TD
(2013;132:e1227e1235.)Tj
-5.7089 -1.1223 TD
[(9.)-500.4(Keim)-340.8(SA,)-334.2(Kulkarni)-337.5(MM,)-334.3(McNamara)-337.9(K,)-331.2(et)-339.4(al.)-333.4(Cows)-337.9(milk)]TJ
1.2503 -1.1283 TD
[(contamination)-432.6(of)-423.5(human)-425.4(milk)-425.9(purchased)-430.1(via)-424.9(the)-424.9(internet.)]TJ
/F9 1 Tf
0 -1.1223 TD
(Pediatrics)Tj
/F7 1 Tf
4.4585 0 TD
(2015;135:e1157e1162.)Tj
-6.209 -1.1284 TD
[(10.)-500.5(Anne)-421.1(E,)-416.9(Liliana)-418.2(S;)-417.4(the)-418.8(Academy)-417.3(of)-417.4(Breastfeeding)-422.6(Medi-)]TJ
1.7505 -1.1223 TD
[(cine.)-429.3(ABM)-420.8(clinical)-426.2(protocol)-427.4(#8:)-420.7(Human)-426.9(milk)-419.8(storage)-425(in-)]TJ
0 -1.1284 TD
[(formation)-307.4(for)-303.9(home)-303.2(use)-302.6(for)-303.9(full-term)-309.2(infants,)-304.4(revised)-303.1(2017.)]TJ
/F9 1 Tf
0 -1.1223 TD
[(Breastfeed)-342.4(Med)]TJ
/F7 1 Tf
6.7397 0 TD
(2017;12:390395.)Tj
-8.4901 -1.1284 TD
-.0187 Tc
[(1)-18.7(1)-18.7(.)-519.2(LactMed.)-476.2(Availab)5.6(l)0(e)-474.4(a)-4.7(t)-469.6(h)-.5(ttps)6.4(://to)5.6(xnet.n)5.6(l)0(m.n)5.6(i)0(h.g)5.6(ov/n)5.6(e)1.4(wto)5.6(xnet/)]TJ
1.7505 -1.1223 TD
-.0198 Tc
[(lac)-5.8(t)5(med.htm)-336.7(\(acc)-5.8(essed)-331(D)-3.2(ecember)-333.3(5)-1.6(,)-330.9(2)-1.6(017\).)]TJ
-1.7505 -1.1284 TD
0 Tc
[(12.)-500.5(Hale)-418.6(TW,)-421.4(Rowe)-419.8(HE.)-412.5(Medications)-419.5(and)-419.4(Mothers)-416.5(Milk:)-419.1(A)]TJ
1.7505 -1.1284 TD
[(Manual)-508.1(of)-508.8(Lactational)-512.1(Pharmacology,)-506.6(2017.)-506.9(New)-507.9(York;)]TJ
0 -1.1223 TD
[(Spring)-334.9(Publishing)-337.2(Co.,)-334.6(LLC,)-332.3(2017.)]TJ
-1.7505 -1.1284 TD
[(13.)-500.5(Is)16.6(ra)17.6(el)20.5(-B)17(al)20.5(l)12.6(a)0(r)17.6(d)-170.9(K,)-160.4(Ch)19.3(an)19.9(tr)16.3(y)-170.9(C)13.4(,)-170.8(D)0(e)18.3(w)0(e)18.3(y)-170.9(K,)-160.4(et)-162.5(a)14(l)0(.)-164.3(V)0(i)23.1(r)0(a)17.6(l)0(,)-158.2(n)0(u)18(t)0(r)16.3(i)12.6(ti)19.2(on)18(al)20.5(,)]TJ
1.7505 -1.1223 TD
[(an)13.8(d)-323.4(b)0(a)13.8(c)14(te)14.4(ri)22.4(al)-321.1(sa)20.8(fe)17.6(ty)-323(of)-319.8()15.3(a)0(s)14.7(h)0(-)21.8(h)0(e)19.9(a)0(t)14.4(e)14(d)-329.5(a)0(n)19.9(d)-329.5(pr)15.7(e)14(t)0(o)18.6(r)0(i)16.3(a)0(-)17.6(p)0(a)19.9(s)12.9(te)14.4(ur)21.8(i)12.6(z)0(e)15.7(d)]TJ
0 -1.1284 TD
[(br)15.7(ea)21.8(st)-334.3(mi)19(lk)-335.2(t)12.6(o)-347.8(pr)21.8(ev)19.9(en)19.9(t)-347.2(m)12.5(ot)18.6(he)19.9(r-)19.5(to)18.6(-c)17.6(hi)18.6(l)12.6(d)-341.7(tr)16.3(an)19.9(sm)19.3(i)12.6(s)0(s)13.7(i)12.6(on)-335.7(of)-332(HI)20.2(V)]TJ
0 -1.1223 TD
.0117 Tc
[(in)-287.3(res)11.7(o)-6(urce-poo)5.5(r)-289.6(c)1.3(ou)5.5(ntries:)-286.7(A)-288.9(p)5.5(ilo)5.5(t)-292.8(s)11.7(tud)5.5(y)-.6(.)]TJ
/F9 1 Tf
17.3889 0 TD
.0103 Tc
(JAIDS)Tj
/F7 1 Tf
2.952 0 TD
.0122 Tc
[(200)6(5;4)6(0)-.1(:)]TJ
-20.3409 -1.1284 TD
[(175)6.1(1)6.1(81.)]TJ
9.843 0 0 9.843 441.014 502.4692 Tm
0 Tc
[(Address)-337.6(correspondence)-337.8(to:)]TJ
/F9 1 Tf
-8.582 -1.1116 TD
[(Natasha)-337(K.)-333.9(Sriraman,)-335.4(MD,)-330.1(MPH,)-338.2(FAAP,)-335.2(FABM)]TJ
3.0008 -1.1116 TD
[(Division)-333.6(of)-336.4(General)-333.4(Academic)-342.8(Pediatrics)]TJ
-1.9698 -1.1116 TD
[(Childrens)-335.6(Hospital)-338.2(of)-330.6(The)-338.4(Kings)-335.8(Daughters/)]TJ
5.3623 -1.1174 TD
[(Eastern)-338.1(Virginia)-338.5(Medical)-333.9(School)]TJ
5.034 -1.1116 TD
[(601)-331.6(Childrens)-341.4(Lane)]TJ
.7372 -1.1116 TD
[(Norfol)-7.7(k,)-334(VA)-332.9(23507)]TJ
-5.9901 -1.6703 TD
(E-mail:)Tj
/F7 1 Tf
3.3982 0 TD
(NKSriraman@gmail.com)Tj
/F4 1 Tf
8.9663 0 0 8.9663 62.022 749.6502 Tm
(4)Tj
43.4321 0 TD
[(POSITION)-333.6(STATEMENT)]TJ
ET
endstream
endobj
33 0 obj
<>stream
8;X]O>EqN@%''O_@%e@?J;%+8(9e>X=MR6S?i^YgA3=].HDXF.R$lIL@"pJ+EP(%0
b]6ajmNZn*!='OQZeQ^Y*,=]?C.B+\Ulg9dhD*"iC[;*=3`oP1[!S^)?1)IZ4dup`
E1r!/,*0[*9.aFIR2&b-C#soRZ7Dl%MLY\.?d>Mn
6%Q2oYfNRF$$+ON<+]RUJmC0InDZ4OTs0S!saG>GGKUlQ*Q?45:CI&4J'_2j$XKrcYp0n+Xl_nU*O(
l[$6Nn+Z_Nq0]s7hs]`XX1nZ8&94a\~>
endstream
endobj
35 0 obj
<>stream
htW{TgLR)v;ft&VVm("$@0HBB% ArUD/xZk[륻m=m{}}ힳ'L{{77543jM6/LWlUJ$@dKV's0(Og=$/8(cCnF.R;P,bϕgċ4hF(D[esyT8}H)b9B,Wqo9 bHtqN(7C%*5ybQfQ,}i\$(HSH%rX?xOy3yL(oJo%^xx+vpf^/Wʛ65!xi?LTj8=?ß/?)"6uچi!BT<^C`X:wSqyhR(*vqc#c9N{2ŴPBO=M<;/
(p2m{/+'G.?$,jc:6
'aB/fXa9fgB;}Í?
Ͻa-̂bO΄&<"Gz|4e)#brL2ZR⤃֝Bv0DVB1.fȻ#GO[Ћt l~uԎٖ]H2()1- 8iujb!&yaUD$zrDBξv(Ө.z=
1'B0_?ĐdXbhB:V~)*Tr{nCbx
e.F6O'BU4K''ͺ".z1Bxh '&D,E#|vyk 4sprQ^ChVMwXSbB;eRya/M@Ni\HP˾%vJ>X^јߺV!\^bWyM_,.zs
`~yAM,źW'Q=7ZLĹ~fwo;ҨNZ3H\Ih"k!6EȦS:AoaG>h,zgfp{,s3z͵.rrޙb$`*\^"SFwlmD(%M _1Fۈ%&l|a
<
fHD:d's.TNrI?mHˠ>$PqMFoI@9\gƃֲ$fw`{1S}U-7@JݾYu||[P*+0rZn 0tөzȴӘ5N[1Xjl|#1B9݇w@URdYi3{PqXfp^]NsG6}rL|(ezuzFQ<ҤAѷm#7FwՅp/j/;2R˔R&/Ga`0-Gj8BȮ,RcVhrk', 7yq2g`
aMTٖa9PźXW*aPS\rg?9כ5Uߪ %:|}6r3DOŘ PN&;tJi[?|hp h<#I/V-)_ms/<;[nN J/1L6=5ȭ >ڏիd[-/2,Z]C].D K.UجvchVJ챟c<Ás>B6o@58¯ǬVV4JKsl$PMx/#5BVWuZik* kY;9q;>NAƸԎcn<:y(P<+gi*K'BnY?AiCuk9eeF#2GsqTw0}Cyl m|EFG8ӗ4qV7G"9f$}b1F$^XT&37vUno/(8jnkb`TRwu!(IԒ[U
4Zdn#"/j*]5!ArvCUuk)oo/y{.AJng
<-i`0fRhS5ŒdXy*OUM5=40S=cu7᭶i(
3o[λ9MNM
k`>JȦC0Qrwu𭳞19MVkY2f{])wYv2?\p16(I]>:68t@