Donor Breastmilk

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dizzy_girl

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Hi,

I have a two year old adopted child. I am now pregnant with our second child.

I formula-fed our first child and did not consider trying to induce breastmilk from either myself or buying “donor milk.” I had never heard of such a thing.

I recently heard of it though and I’m surprised that people are willing to purchase other women’s milk to feed their young babies. What about potential illness or disease?

I don’t mean to denigrate the possiblity, I would just like to learn more about it and if my concerns are misplaced.

Oh, someone else also told me they used whole milk to feed their baby from day one. (!!!) Has anyone ever heard of this? The small things I have read about it indicate that it’s dangerous to do so from a nutritional standpoint.

Any thoughts?

I want to breastfeed but still want to be informed of all options.
 
Call your local hospital and have them give you the number for your La Leche league. There are women who provide milk for cases like this.
 
Cow’s milk is not a good idea because of the extra hormones and other things baby cows need that baby humans don’t. They grow much faster than babies and need nutrients in different quantites. It can be vary hard for babies to digest.

I didn’t know that women could purchase breastmilk. I know that some women donate their milk to hospitals for sick or addicted babies. The women have to go through extensive screening, so I wouldn’t worry about it being unsafe. They are afterall feeding their own babies with the same milk, and if they care enough to donate for the sake of others, they are obviously compassionate women.
 
Some states ban the sale of breast milk. I know a woman who donated her milk to the hospital for preemie babies. They were very particular… no alcohol, smoking, caffiene, drugs, etc.
 
I can ask my future sister in law. she probably knows what can be passed through milk as far as diseases go. Drugs are probably the bigger concern. BM does supply important antibodies for the first months of baby’s life.

I’d donate mine if it was an option (hypothetically, of course… I’m not even married yet!).
 
My youngest brother was born super premature, and so was tube fed for the entire duration of the time he woudl usually nurse, plus he had a very high pallate (which has since corrected) that prevented him from nursing once he was strong enough to suck. SO my mom donated milk to a group that supplies hospitals with breastmilk for use by babies whose mothers died in delivery, and the uninfected children of AIDS patients and other diseases that can spread thriugh nursing.
 
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MooCowSteph:
Cow’s milk is not a good idea because of the extra hormones and other things baby cows need that baby humans don’t. They grow much faster than babies and need nutrients in different quantites. It can be vary hard for babies to digest.
Yes, cow’s milk is great for calves, bad for human babies. The general recommendation is to avoid the introduction of cow’s milk to babies until after their first birthday. (small sips and cheese and whole yogurt wont’ hurt, when they are eating plenty of solids, but cow’s milk should never replace formula or breastmilk. I breastfed my babies until 14 mos, but started giving them very small amounts of while cow’s milk so they could get used to the taste. Human breast milk has more sugar in it, cow’s milk has too much salt. Babies should have whole milk until they are at least two because the protein to fat ratio in 2% or lower can hinder brain development. DHA is present in human breast milk and you can actually find special orgainic DHA fortified dairy products for toddlers.
I didn’t know that women could purchase breastmilk. I know that some women donate their milk to hospitals for sick or addicted babies. The women have to go through extensive screening, so I wouldn’t worry about it being unsafe. They are afterall feeding their own babies with the same milk, and if they care enough to donate for the sake of others, they are obviously compassionate women.
One interesting thing to note, I actually checked into this because I always had an overabundance of milk!

Breast millk is most often used for premature babies and neonatal babies with complications who can benefit most from actual donated breastmilk. (easily digested, beneficial immunities, perfectly balanced nutrition) A mother’s breast milk changes as her baby grows. The fat and protein content actually change, so newborn baby milk is best for premature and newborn babies. I am not sure about all hospitals but the NICU where I was at wanted breast milk from mothers of young infants the most. Just somethign to keep in mind for anyone considering checking into this!
 
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vluvski:
I can ask my future sister in law. she probably knows what can be passed through milk as far as diseases go. Drugs are probably the bigger concern. BM does supply important antibodies for the first months of baby’s life.

I’d donate mine if it was an option (hypothetically, of course… I’m not even married yet!).
AIDS can be passed, HEPATITIS can too. There are probably more.
 
Not all strains of the hepatitus virus pass through the mother into her breastmilk, according to the Center For Disease Control. But, I still wouldn’t use donated milk with out knowledge of the medical background of the donor and I would only do it to give a baby in dire need an extra measure of care.
 
I would use donated BM for a preemie/or fragile infant - otherwise I would go with formula - there are just too many unknowns about donated BM to take an unwarranted risk.
 
I know my mom pumped extra to be donated to a family where the mom was in the hospital and couldn’t breast feed. That was back in the 60’s though. She was a member of Le Leche League and they organized it all. There were many different women donating their milk.
 
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Peace-bwu:
AIDS can be passed, HEPATITIS can too. There are probably more.
I believe the mother has to be fully screened for all diseases before the hospital will accept her donated milk. I guess she could still contract the disease while donating, but before hand, you can probably feel pretty safe. I would tend to agree with an earlier poster, however, that formula may be best if the infant is a normal, healthy baby and not a preemie or sick.
 
I adopted my first son, and my best friend (whose baby was 5 weeks older than my son) gave me a ton of breast milk for my son. She’d been tested for HIV, hepatitis, and I forget what else as part of her prenatal work-up, so my pediatrician gave it the ok. I was so thankful for the antibodies, etc. he got from her.

But I can’t say I’d accept milk from a stranger. The tests they have for various diseases are good, but not perfect.
 
You CAN safely get donor milk, from a bank. They are called Mother’s Milk Banks. I worked for the one in Denver. The women who donate are incredibly well screened, they must meet more requirements than blood donors!! Once accepted, the milk is pasteurized to kill bad bacteria but not the good, and then tested to make sure it is safe. The labs at the banks are incredibly clean, all bottles and other equipment are sterilized…it is a very safe process. The banks must also meet standards. Check out www.hmbana.org for the Human Milk Banking Association. Also, to receive donor milk in most cases there must be a medical reason, prescription written by the doctor, etc. Sadly milk banking and donor milk have a bad rap in many cases because some women do share their milk informally, which can lead to the many issues already mentioned. I hope you all will check out the site and become better informed! 🙂 It’s a great thing for moms and babies to be able to receive milk when needed, and for moms to donate when they have an abundance of milk!
 
On top of cow milk being completely ineffecient for the nutritional needs of infants, and infants’ digestive systems being incapable of breaking the milk down to properly utilize the benefits, it also is one of the leading allergens in the world.

Without knowing an adopted child’s medical history, it would be an even greater risk to introduce major allergens (milk, soy, peanuts, tree nuts) before the one-year mark. The ealier and more common an introduction, the more likely the child will develop a life-long allergy. A child is also far more likely to develop other allergies to foods and inhalants later in life if cow milk is introduced at a young age.

While children with a family history of asthma, allergies, hay fever, or eczema are far more likely to have allergies, it is not uncommon for infants to develop allergies, especially to milk. The symptoms of infant allergy are usually gastroentestinal or dermatological. There are a number of allergens within milk, which explains why some people can tolerate certain types of milk-based products (ie: soft, white cheese) while not others (ie: hard cheese). With a temporary elimination of the allergen, most infants outgrow their food allergies, though a notable percentage do not.

There is crossreactivity between cow’s and goat’s and sheep’s milk as these animals are members of the same family. The difference is in the whey present in the milk, meaning 60% of those with a cow milk allergy will also be allergic to goat and sheep milk.

Found these online:

There are many studies supporting avoidance of cow’s milk and prolonged breastfeeding as preventive measures. In a report of a prevention program in Denmark, breastfeeding or a hypoallergenic formula and avoidance of other foods during the first six months of life had a protective effect (1). The authors reviewed 20 prospective studies almost all of which showed a reduction of atopic dermatitis and wheeze when preventive measures were taken (17). In a follow-up study of the effects of maternal antigen avoidance after four years, the authors found avoidance of cow’s milk, fish and egg during the first three months of lactation decreased both the current prevalence and the cumulative incidence of AD [Atopic Dermatitis] at age four in atopic children (38).

Cow’s milk for infants and children

In 1992, the American Academy of Pediatricians released their statement regarding the use of whole cow’s milk during infancy. The findings were published in “Pediatrics” volume 89, number 6 in June of 1992. Plainly stated, the Academy recommended that whole cow’s milk and low-iron formulas not be used during the first year of life.

Infants fed whole cow’s milk receive inadequate amounts of Vitamin E, iron, essential fatty acids, and excessive amounts of protein, sodium, and potassium. These levels may be too high for the infant’s system to handle. Additionally, whole cow’s milk protein and fat are more difficult for an infant to digest and absorb.

The most dramatic effects are on iron levels in the body. Infants fed breast milk or iron fortified formula have normal iron levels. Recent studies show infants often have depleted levels when started on cow’s milk at six months of age.

Optimal nutrition in an infant involves selecting the appropriate milk source and eventually introducing the infant to solid foods. In achieving this goal, the American Academy of Pediatrics recommends that infants be fed breast milk or iron-fortified formula during the first twelve months of life. Between the ages of four to six months, appropriate solid foods may be added. Taking breast milk or iron-fortified formula, along with the age-appropriate solid foods and juices during the first year of life, allows for more balanced nutrition.

Recommendations

Skim or 2% milk:

Under one year of age, skim and 2% (low-fat) milk have no place in the diet. They supply too much protein, potassium, and sodium while not enough calories for the growing infant. Children also need the fat for proper growth and development including brain development.
 
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