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Sunday, September 16, 2012

From the Archives




The subject of donor milk came up on a listserve for lactation professionals and it prompted me to dig out this old post, from 2011.


           Got Breast Milk?


        A recent discussion about donor milk got me pretty fired up this week. I applaud BWH for their use of donor milk, but I have some reservations about informal milk sharing. I wish the Globe article had mentioned the concerns around milk sharing and sites such as Eats on Feets (an online “bulletin board” for breast milk). Now, don’t get me wrong, I am a fierce proponent of breastfeeding - perhaps even a (gasp!) “Lactivist”, but trading breast milk via Craigslist is a little creepy. How do you know what that Mom is doing in her spare time? A couple of gin and tonics before dinner? A few tokes to relax? There are also viruses that can be transmitted via breast milk. HIV is the most obvious, but there is also CMV, a potentially lethal illness that can have few if any, symptoms. Proponents of human milk sharing say that human milk is best for babies, no matter where it comes from. There have been numerous formula recalls and I have yet to hear about a breast milk recall. However, there is a better solution: banked donor milk. I have volunteered with the Mother’s Milk Bank of New England and I can tell you that these folks are working tirelessly to provide a safe and viable alternative to formula for babies who cannot get their mother’s own milk.  I’m afraid that these informal milk sharers are sending the message that donor milk is too difficult and/or expensive to obtain. This is just not the truth. Most milk banks will not turn a mother away for inability to pay and in some cases, insurance will cover the cost.  Lactation professionals and breastfeeding allies need to educate and support mothers to nurse. When that is not possible, we can confidently encourage the next best option, banked donor milk.

Thursday, September 6, 2012

Mommy's Milk is the Best





This email came via my stepmother's friend Bill:
I just returned from Laos where I led a workshop teaching Laotian filmmakers to make PSAs. In this workshop, we concentrated on messages about nutrition, primarily infant and mother nutrition. I am very proud of the work these filmmakers did during the 9 day workshop co-sponsored by the US Embassy in Vientiane and the Luang Prabang Film Festival. I'm excited to share their 11 short films with you at these sites.


I particularly like video number 4 :)

Monday, September 3, 2012

Skin –So –Soft



 I have an idea for a research study: “The effects of skin-to-skin contact on withdrawal symptoms in drug- addicted newborns”. Sound good? I think so.  This article makes a good case too. Unfortunately, many pediatric workers do not agree. Drug-addicted babies are often isolated from the rest of the NICU, caregivers are advised that minimal stimulation is best for their fragile nervous systems, and the poor little guys are pretty miserable. We know that skin-to-skin helps to establish early breastfeeding (and increases duration) and also helps regulate temperature, oxygen sats, and heart rate.  These things are likely out of sorts in babies in withdrawal, so why not encourage skin-to -skin? Is it because parents are not to be trusted? They abused drugs, so they shouldn't hold their newborns? There are obvious cases in which the parents are MIA, but volunteers can take off their shirts for a good cause, right?

Gabrielle Hathaway, MS, IBCLC