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CDC’s breast pump cleaning guidelines–what working mamas need to know

One expert suggests moms find a more sustainable approach.

CDC’s breast pump cleaning guidelines–what working mamas need to know

To most, hoses, flanges, valves and connectors sound like things you'd find under your car's hood. But new moms only have to glance down to see these breast pump parts in action.


With all the tiny pieces, understanding how to clean a breast pump can be tricky, so the Centers for Disease Control and Prevention (CDC) issued breast pump cleaning guidelines to help parents clean pumps as well as possible. The guidelines suggest pump parts should be cleaned quickly after each use in either a dishwasher or a basin used only for baby things (not the kitchen sink), air dried and then sanitized.

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These strict guidelines were met with incredulity upon release last year—as many working, pumping mothers have to make do with a quick wipe down or stash their pump in the fridge at work between uses—but the CDC means well.

The strict sanitation standards were developed after a prematurely born baby contracted a terrible illness from a breast pump left in the sink too long. "We reviewed existing resources for women about how to pump breast milk safely," said Dr. Anna Bowen, CDC medical officer, in email comments to Motherly when the guidelines were initially released. "We found little guidance that provided a lot of detail and was based on the best available science. As a result, CDC developed its own guidance."

The baby girl developed an infection at 3 weeks old, and when testing revealed the very uncommon Cronobacter sakazakii in her spinal fluid, the CDC went looking for the source and found it in frozen milk samples from the mother's personal pump, as well as on the pump itself and on the drain of the mother's kitchen sink.

The mother told the CDC she would clean her pump by placing the parts in a sink full of soapy water for hours before rinsing and air-drying all the parts. The parts were neither scrubbed nor sanitized, prompting the CDC to issue the guidelines.

The agency meant to protect babies and help parents, but the guidelines stoked panic and, in some cases, anger, in working moms who could not possibly follow them.

We reached out to Mark A. Underwood, Chief of Pediatric Neonatology and Professor of Pediatrics at the UC Davis School of Medicine.

He told Motherly the new CDC breast pump guidelines may not be helpful for moms supplying for healthy, full-term babies: "My advice is to find a sustainable approach that fits a mom's circumstance."

According to Dr. Underwood, the CDC and FDA create guidelines like those this case sparked to protect the largest number of babies from the worst possible outcomes—but not all babies require extreme levels of sanitation.

Dr. Underwood explained following the CDC guidelines is prudent for mothers pumping for premature babies or those with immune deficiencies, but other moms can relax. He said, "If she is pumping for a healthy term infant this level of detail to cleaning and sterilizing equipment may not be helpful."

While the cautious approach outlined in the CDC guidelines is designed to minimize the risk of infection, Underwood says the flip-side of the coin is the evidence that too much sanitation is actually harmful for most healthy babies. "[It] can increase risk of allergic and autoimmune diseases later in life," he says, adding that studies that have shown fewer incidents of allergies, asthma and inflammatory bowel disease in children raised on farms and in children raised without dishwashers.

We also reached out to the CDC for clarification on how the new guidelines should apply to working moms of healthy babies.

"Refrigerating used pump parts between uses might be OK if the pump kit is not contaminated," Brittany Behm, Public Affairs Specialist for the CDC said in an statement emailed to Motherly. "But cleaning the pump kit after each use is the safest method and is particularly important for babies who are younger than 2 to 3 months old, were born prematurely or have weakened immune systems."

Behm also discouraged the use of breast pump sanitizing wipes, which she said cannot adequately reach all the surfaces of pumps. Instead, she said cleaning the parts in a dishwasher or by hand is the CDC's preferred post-pump sanitizing method.

She also expressed hope that workplaces will respond to the new guidelines with better options for pumping mothers. She said, "Ideally, workplaces would provide facilities and support for mothers to safely pump and store their milk."

Unfortunately, that's not reality for many of us—but working moms of healthy babies can take comfort in Dr. Underwood's advice and just do the best we can with what we've got.

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14 outdoor toys your kids will want to play with beyond summer

They transition seamlessly for indoor play.

With Labor day weekend in the rearview and back-to-school in full swing, most parents are fresh out of boxes to check on their "Fun Concierge" hit list. It's also the point of diminishing returns on investing in summer-only toys. So with that in mind, we've rounded up some of our favorite toys that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, they're Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

Meadow ring toss game

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Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

$30

Balance board

Plan Toys balance board

Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

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Detective set

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This set has everything your little detective needs to solve whatever mystery they might encounter: an eye glasses, walkie-talkie, camera, a red lens, a periscope and a bag. Neighborhood watch? Watch out.

$40

Wooden doll stroller

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Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

$120

Sand play set

Plan Toys sand set

Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

$30

Water play set

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Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

$100

Mini golf set

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Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

$40

Vintage scooter balance bike

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Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

$121

Wooden rocking pegasus

plan toys wooden rocking pegasus

Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

$100

Croquet set

Plan Toys croquet set

The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

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Wooden digital camera

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Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

$179

Wooden bulldozer toy

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Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

$100

Pull-along hippo

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There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

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Baby forest fox ride-on

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Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

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Motherly editors’ 7 favorite hacks for organizing their diaper bags

Make frantically fishing around for a diaper a thing of the past!

As any parent knows, the term "diaper bag" only scratches the surface. In reality, this catchall holds so much more: a change of clothes, bottles, snacks, wipes and probably about a dozen more essential items.

Which makes finding the exact item you need, when you need it (read: A diaper when you're in public with a blowout on your hands) kind of tricky.

That's why organization is the name of the game when it comes to outings with your littles. We pooled the Motherly team of editors to learn some favorite hacks for organizing diaper bags. Here are our top tips.

1. Divide and conquer with small bags

Here's a tip we heard more than a few times: Use smaller storage bags to organize your stuff. Not only is this helpful for keeping related items together, but it can also help keep things from floating around in the expanse of the larger diaper bag. These bags don't have to be anything particularly fancy: an unused toiletry bag, pencil case or even plastic baggies will work.

2. Have an emergency changing kit

When you're dealing with a diaper blowout situation, it's not the time to go searching for a pack of wipes. Instead, assemble an emergency changing kit ahead of time by bundling a change of baby clothes, a fresh diaper, plenty of wipes and hand sanitizer in a bag you can quickly grab. We're partial to pop-top wipes that don't dry out or get dirty inside the diaper bag.

3. Simplify bottle prep

Organization isn't just being able to find what you need, but also having what you need. For formula-feeding on the go, keep an extra bottle with the formula you need measured out along with water to mix it up. You never know when your outing will take longer than expected—especially with a baby in the mix!

4. Get resealable snacks

When getting out with toddlers and older kids, snacks are the key to success. Still, it isn't fun to constantly dig crumbs out of the bottom of your diaper bag. Our editors love pouches with resealable caps and snacks that come in their own sealable containers. Travel-sized snacks like freeze-dried fruit crisps or meal-ready pouches can get an unfair reputation for being more expensive, but that isn't the case with the budget-friendly Comforts line.

5. Keep a carabiner on your keychain

You'll think a lot about what your child needs for an outing, but you can't forget this must-have: your keys. Add a carabiner to your keychain so you can hook them onto a loop inside your diaper bag. Trust us when we say it's a much better option than dumping out the bag's contents on your front step to find your house key!

6. Bundle your essentials

If your diaper bag doubles as your purse (and we bet it does) you're going to want easy access to your essentials, too. Dedicate a smaller storage bag of your diaper bag to items like your phone, wallet and lip balm. Then, when you're ready to transfer your items to a real purse, you don't have to look for them individually.

7. Keep wipes in an outer compartment

Baby wipes aren't just for diaper changes: They're also great for cleaning up messy faces, wiping off smudges, touching up your makeup and more. Since you'll be reaching for them time and time again, keep a container of sensitive baby wipes in an easily accessible outer compartment of your bag.

Another great tip? Shop the Comforts line on www.comfortsforbaby.com to find premium baby products for a fraction of competitors' prices. Or, follow @comfortsforbaby for more information!

This article was sponsored by The Kroger Co. Thank you for supporting the brands that supporting Motherly and mamas.

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It's science: Why your baby stops crying when you stand up

A fascinating study explains why.

When your baby is crying, it feels nearly instinctual to stand up to rock, sway and soothe them. That's because standing up to calm babies is instinctual—driven by centuries of positive feedback from calmed babies, researchers have found.

"Infants under 6 months of age carried by a walking mother immediately stopped voluntary movement and crying and exhibited a rapid heart rate decrease, compared with holding by a sitting mother," say authors of a 2013 study published in Current Biology.

Even more striking: This coordinated set of actions—the mother standing and the baby calming—is observed in other mammal species, too. Using pharmacologic and genetic interventions with mice, the authors say, "We identified strikingly similar responses in mouse pups as defined by immobility and diminished ultrasonic vocalizations and heart rate."

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