Because numerous scientific studies show that total parenteral nutrition (TPN) bags and tubing pose the highest risk of DEHP exposure to neonates, the central supply coordinator reviewed Miller’s current TPN set-up and conducted a cost analysis to estimate how much it would cost to eliminate DEHP-containing TPN products. This case study reviews how and why Miller Children’s Hospital chose to eliminate DEHP IV bags.

Phthalates are a family of chemicals that are produced in the millions of tons annually worldwide, and are a principal component of many diverse products that consumers come into contact with at home, at work, and in hospitals. They include products made of flexible polyvinyl chloride plastic (PVC), cosmetics and other personal care goods, pesticides, building materials, lubricants, adhesives, and film, among other items.

"In every birth setting, in every city and state, every baby born today will have toxic industrial chemicals in their body." This report outlines important information every healthcare provider should know about the environmental safety of the birth place and practical steps to reduce their own and their patients exposure to toxic chemicals.