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Showing posts with label breastmilk donors. Show all posts
Showing posts with label breastmilk donors. Show all posts

Friday, September 30, 2011

From the Bottom of my Heart: Thank You





Let us remember that, as much has been given us, much will be expected from us, and that true homage comes from the heart as well as from the lips, and shows itself in deeds.  ~Theodore Roosevelt


A thankful heart is not only the greatest virtue, but the parent of all the other virtues.  ~Cicero







Next weekend Canadians celebrate our Thanksgiving Day.  I was going to write this article to celebrate that day of thanks, but instead I think it should be read today- on the last day of World Milksharing Week.


Today I want to write about thanksgiving. Not about turkeys and stuffing, but about gratitude and deep heart felt thanks, about the appreciation that comes with recognizing when we have been given an amazing gift. The gift of breastmilk.


Today I want to say "Thank You" to an incredible group of women:  Our Milk Donors.


Having been involved with milksharing for a long time, I have had the honor to get to know many of these wonderful women.  I've heard their stories, learned about where they come from, why they do what they do, and what inspires them to keep doing what they are doing.  I am always in awe of their ability to give something so precious.


These wonderful women come from all walks of life, all races, all religions.  Some of these women are single mothers who are struggling to raise children by themselves, yet they take the time out of their day to pump or express milk for other babies.  Some of these women are working moms, who take their pumps to work so that even there they can continue to give milk to other families in need.  Some of these women have struggle with milk supply issues themselves and have turned around and become donors to other mothers once they've built their supply up again.  Some of these mothers have continued to provide milk for their "milk babes" even though they are going through tough times: divorce, death in their family, loss of jobs, or many other terrible experiences.  Just last week I read a post from a donor mother who was being rushed into hospital for emergency surgery, who took a last second to ask others in her local community to help get milk to the baby she was pumping for, because she didn't want this baby to go without milk while she was in the hospital.  Earlier this week I wrote about Jennifer, who is donating hundreds of ounces of liquid gold to babies in need after birthing her sleeping baby.


These women give a gift that is priceless, and they give it willingly, out of love and out of an altruistic need to share and help other babies thrive.  They deserve our gratitude and recognition for the incredible work that they do to give human milk to human babies.




I would like to ask everyone to take a moment to think about our donor mums, to think about their sacrifices, and maybe think of a special way to say "Thank you".  


And tell us about it!!  Next week on Thanksgiving Day, I will post out a special message from all of my readers to all the wonderful women who are giving the most precious gift they can: the gift of their own breastmilk.






Thursday, September 29, 2011

WMW: Milksharing Stories for Thursday

Welcome to World Milksharing Week- Thursday edition!

As I have a cold that's left me feeling like my head is the size of a boulder, and has barely left me capable of mustering enough coherent thought to be able to tie my son's shoes this morning, writing a well thought out and brain stimulating article is just not in the picture for today.  Sorry.  Instead I will post a couple of links to some great milksharing stories and will repost out the lovely story of one of my fellow HM4HB admins.

One of my favorite sites, "The International Breastfeeding Symbol"  has also been writing milksharing articles all this week in honor of World Milksharing Week.  Here is a list of links to their articles about mothers coming together to feed each others babies.  I know that you'll enjoy them as much as I have!







And now I'm going to cheat and copy an article that I wrote last December.  Forgive me: the body is willing but the mind is weak, lol.

Infant Formula: It's not "Good Enough"

Before the  formula lynch mob hangs me for the following comment, I just want to say something:  This is not about guilt.  This is not about trying to make mothers who've used formula feel guilty.  If you want to debate the "Guilt Issue" go read my article "Breastfeeding: guilt, statistics, support, and making a choice"    (and the article I wrote last week: "The little voices called "Guilt" & "Shame") and then we'll talk.  This is not about feeling guilty for using infant formula. This is about not having to "choose" to use infant formula. This is about actually having a choice and making the best choice for your baby and your family.

When breastfeeding is difficult, or when it goes terribly wrong, it can be absolutely devastating for mother and baby.  Mothers who have done their research and made the choice to exclusively breastfeed their babies already know that "breast is best", they know that breastfeeding is NORMAL.  More importantly they know about the risks associated with feeding your baby infant formulas. So when nature throws moms a curve and forces them to have to rely on something other than their own breasts to nourish their child, it can be completely overwhelming.

The first thing moms need to do is to get professional help.  See a certified  Lactation Consultant/IBCLC to try to work through the problem:  Is it a poor latch?  Why is baby's latch not good enough?  Is baby tongue tied?  Does mother simply need help with positioning?  For most situations if you fix the latch you fix the supply problems.

But what if the problem isn't so easily fixed?  What if the problem is one that is unfixable?  What then?  Babies need to be fed and when the mother is not able to produce enough milk to exclusively breastfeed, then they have to turn to another source of nutrition. Up until the last 60 or 70 years, the natural thing to do would be to use donor milk or a wet nurse- whether it was your sister, cousin, aunt, mother, friend or another local mother who was already breastfeeding her own baby.  Mother to Mother milk sharing and tribal nursing was so common that is was the accepted method of feeding babies who needed milk.

Now of course we are living in the era of commercially prepared infant formulas.  "Wet nursing" is a word that's fallen out of fashion and tribal nursing, if done at all, is done behind closed doors.  Now if a mother is unable to produce enough breastmilk the medical machine automatically hands her a can of formula and sends her on her way. WHY? Why formula instead of donated breastmilk?  Because infant formula is a huge industry and pays out millions of dollars in advertising and promotions, sponsors medical associations and medical schools, buys doctors fancy briefcases and sports cars, sends hospital executives on Caribbean cruises and gives maternity wards thousands of cans of their product to use and give away.  Money talks, and "Breastmilk" doesn't have any executives to pay off government officials to use their products.

Up until the 1980's there were breastmilk banks scattered all over North America to facilitate the feeding of preterm and fragile infants in hospital NICUs.  Then came the AIDs scare and the vast majority of milk banks closed their doors- leaving just 10 banks in the US and one lonely milk bank in Canada. I plan on doing some investigating into the closure of these milk banks because I'm a firm believer that money talks and if doors were closed, then someone somewhere told them to close and paid for them to stay that way. There is only one industry that stood to gain anything from the closure of breastmilk banks.  Call me a conspiracy theorist, but if it looks like a duck and quacks like a duck, I'm going to call it a duck.

Recently the Canadian (and US) governments have been talking about the need for Breastmilk Banks, about how vitally necessary breastmilk is to our most fragile citizens.  Dr. Sharon Unger was quoted inThe Toronto Star in November as saying:
“We’ve long, long, long wanted a milk bank in Ontario,” says Dr. Sharon Unger, a Mount Sinai neonatologist.
“Our hope is that we would supply milk to all of Ontario, so we’d have depot sites or collection sites throughout the province and we’d be a central processing plant,” says Unger, who is medical director of Toronto’s Milk Bank Initiative.
The group is currently in negotiations with the provincial health ministry to fund the project. Unger says a final price tag has not been determined, but that it would be a multi-million-dollar venture.
“It does of course cost more to process human milk than cow’s milk,” she says.
...and as I said at the time:
Applause, yes applause.  It's a wonderful thing that the media has jumped on the band wagon and is making public announcements like this, I mean,  any publicity is good publicity KWIM? Horray for Breastmilk!
But I have to admit that it irks me.  Mothers and Doctors, like Dr. Jack Newman, have been crying out for Milk Banks for Years- YEARS!!!! Not only that, but Canada does have a Milk Bank in Vancouver BC... a milk bank that they have been trying to close down for years!!  I wrote an article on the topic just a couple of months ago: Canada Needs Milk Banks!!!
And I still agree, We NEED milk banks!!!  But you know what? If we wait around for the government to get off their bureaucratic asses to build even ONE milk bank.... I'll probably already be a grandmother!!!  And when we get milk banks, will they help the babies that are healthy but need milk?  Will they give milk to mothers with low supply?  Adoptive mothers?  Mothers with babies that have special needs like Anaya? NO, they won't.

So we return to the original topic:  What if the mother isn't able to exclusively breastfeed?  What if she has low supply? What if the problem isn't so easily fixed?  What if the problem is one that is unfixable?  What then? Up until recently your only choice would of been feeding your baby infant formula.  Not much of a choice is it?

Now  you can choose to feed your baby donated human milk.  Mothers have had enough of waiting for the bureaucrats and money grubbers to build milk banks.  Now mothers have taken back their autonomy and are supporting other women and families.  Milk Sharing is the wave of the future.  Milk sharing is making a difference and helping families and babies.  And Human Milk 4 Human Babies is leading the way!!!

Here is another amazing story of one mothers struggle to breastfeed her baby and how milk sharing made a huge difference in her life!!!




Ruby's  Story
By Kim Parent

"I can’t remember when I made the decision to breastfeed my daughter – I just know that notbreastfeeding never occurred to me. There were many compelling reasons to nurse, including cost, health benefits, and convenience. My partner and I collected books about breastfeeding during pregnancy and we educated ourselves about the subject. I learned what myths and traps to look out for, and prepared myself to stand up against the well-meaning medical staff who might want to supplement my baby with formula. Fortunately I had a trouble-free birthing experience.

However, within the first week it became obvious that something wasn’t right. Ruby would not keep her latch for more than a minute or two. She would unlatch, crying and screaming, over and over again. After several tearful days, we called an IBCLC. She was finally able to tell me why my daughter was so upset: I have breast hypoplasia, also known as IGT (insufficient glandular tissue). Hypoplastic breasts never fully develop, and they lack an adequate amount of milk-producing mammary glands. I was heartbroken.

My lactation consultant wrote a plan of action that would hopefully allow me to increase my supply while supplementing my daughter. With great effort, I was able to approximately double my milk production, to a maximum of a few ounces per day - not nearly enough to meet Ruby’s needs. We were supplementing with approximately 20 ounces of formula per day. We were not prepared to accept that formula was “good enough”,  being fully aware of the risks associated with artificial feeding. We could see that her little body was having trouble digesting the formula. She was very constipated, and she would scream and cry for hours. We tried many different brands, but her symptoms were always the same. I turned to my lactation consultant for advice on donated breast milk.

In all of Canada, there is only one milk bank, located in Vancouver, BC. Currently they cannot keep up with the demands of their own NICU. Even if there was enough milk available, the cost can easily be prohibitive. At $1.25 per ounce (which is much less than the cost of banked milk in the U.S.), it would cost us at least $750 per month to feed Ruby exclusively breast milk.

For our family, the answer was informed, mother-to-mother milk donation, not unlike wet nursing. We found several online resources to facilitate this, including the Human Milk 4 Human Babies Global Network on Facebook. Thanks to fifteen generous women, my daughter has received thousands of ounces of breast milk. She has not had a drop of formula in over three months! She is a different baby now – no more colic, spitting up, or constipation. She is hitting all of her developmental milestones and is just a radiantly beautiful and happy little girl. I still grieve the exclusive breastfeeding relationship that I had planned to have with her. However, I finally feel confident that she is receiving the best nutrition that I can possibly provide for her. I am eternally grateful to the amazing families who have helped us and for the support I have received from those around me.



Ruby at 3 weeks old


Ruby at 3 weeks old - at this point she had been supplemented with formula for over 2 weeks








Ruby at 3 months
Ruby at 3 months old, exclusively breastfed!

















At 6 months old- 

A beautiful healthy Ruby at 6 months old!!


Wednesday, September 28, 2011

WMW- The Ultimate Gift

I would like to share the heart breaking and heart warming story of an wonderful mother, who is giving, in my opinion, the ultimate gift: Her breastmilk.


Jennifer Coias is an amazing activist for the rights of babies and children and writes many articles for "Peaceful Parenting", and is an admin for HM4HB in Brazil.  We were all so excited to hear that she was going to be having another baby, and many of us enjoyed seeing her photos of her growing belly, and reading about her plans for a peaceful HBAC (Home Birth After Cesarean section). Her enthusiasm was almost contagious.


Then at 35 weeks the unthinkable happened and we learned that Jennifer's baby had died. Tears flowed throughout the Facebook Peaceful Parenting universe as we cried for her, for her family, and for her baby.


Peaceful Parenting wrote a lovely article  "From Despair to Donation: A mother looses her baby and shares his milk", about Jennifer, and said that when she is ready, Jennifer will tell her own story.


"No one could do justice to the story that Jennifer Coias has to share: her hope-filled pregnancy, VBAC waterbirth plans, the loss of her baby at 35 weeks, subsequent weeks of waiting for him to arrive on his own (induction post-cesearean is dangerous), being dropped by both her midwife and OB, struggling to find someone to take an ultrasound picture of her baby, being dropped by her birth photographer, her subsequent gentle HBAC (home birth after cesarean) with a midwife found at the last minute, all the while living in a South American country far from home, friends and family, in an area where few understood or supported her belief in birth and trust in her body and her baby. No one could tell her story of all that she has endured, overcame, processed, learned, and continues to struggle through today - 9 days postpartum. No one, that is, except for Jennifer herself. She is writing, and plans to share with the peaceful parenting community when the time is right. But for now, without detailing all the momentous moments that have led up to this week, we'd like to celebrate the amazing gift that Jennifer is giving back to the world. Even in the midst of tears and pain, liquid gold flows forth, and through this, Jennifer is saving the lives of babies around her.

Today marks the beginning of  World Milksharing Week. It is also the day Jennifer has pumped the most milk yet to share -- milk that was meant for Jude, but that which is now graciously given to babies in need, in his honor. A few days postpartum, a local Brazilian milk bank made its first stop at Jennifer's house to drop off bottles and pick up bags which she'd filled. While there are many milk banks across Brazil, actual pumps and pumping supplies are hard to come by, and very expensive when available. Most mothers who donate milk do so from hand expression and do not have a significant amount to give. Milk bank workers were astonished the following day when Jennifer had not only filled all their containers, but additional bags as well. This type of gift does not happen often, and everyone was thrilled at the quantity and quality of little lives that would be powerfully impacted as a result."
I won't presume to write about Jennifer's story and will wait, like everyone else, to hear it directly from her.  Instead I want to talk about the amazing gift that she is giving to fragile babies in need: The Ultimate gift of breastmilk.  The road to donating hasn't been easy for Jennifer, because while milk banks are plentiful in Brazil, breast pumps are few and far between and very expensive.  Even to have one shipped from America is incredibly costly because of the heavy duties involved, on top of the shipping expenses themselves!  Using her broken pump Jenn is filling the containers that the milk bank has given her faster than they can replace them. 

* If you have unused breastmilk bags that you can send to her, your gift would be hugely appreciated.*

It is an awesome woman who takes the time and effort and diligence to pump milk to donate to another baby.  It takes an incredible woman- a true hero- to do all of this after the loss of her own baby.   The words of over 2000 women can be read on the facebook page created to support Jenn and her family- I highly suggest reading  some of the comments so many people have written.  Awe Inspiring. 

Just like Jennifer.


Tuesday, September 27, 2011

WMW- Tuesday's Milksharing stories!

Today I read 4 wonderful stories about milk sharing from two different blogs- "Gilligan's All Natural Island" & "The Crunchy Side of Me".


Carlie, author of "Gilligan's All natural Island" writes about her journey to inducing lactation for her new born adoptive daughter in her article "Adoptive Breastfeeding".


"At first, I didnt get anything out. Not even a drop. I was a little stressed, but all along I told myself not to have any expectations. After a few days of pumping, I started getting drops..then we got the call that the baby was going to be born!..We jumped on a plane to NYC, ready to meet our baby. Since I didnt have much time to pump (protocol calls for 1 month to build up milk supply), we took a cooler full of donated breast milk with us. Trying to educate ourselves on how to pack it, and finding a place to stay with a full size freezer is a whole other story in itself. Somehow, someway, everything totally fell into place.
I continued pumping every 3 hours, taking my domperidone, and herbs. We were unsure of how the hospital was going to go, we assumed the baby would get formula for a few days, and then hopefully be able to switch over to breastmilk. Well, Hallie's birthmom graciously decided to breastfeed her for the first 3 days of life, so it made the transition very smooth. She knew exactly what to do when I nursed her for the first time. (in the bathroom of the hospital lobby, while waiting on our car to arrive:)
I quickly realized once we got her back to our rented NYC apt and settled, that she was not satisfied with what she was getting. So, we pulled out the good ol' SNS. Supplemental Nursing System. Its a device where you put the breast milk in a container, then you attach these 2 small tubes to the breast with a piece of soft tape, and the baby sucks. That way they are still nursing at the breast, but getting more than what the breast can provide.
It worked great! Joe was such a good helper. He would get it set up every single time, warm the milk, and just do whatever he could...I would nurse Hallie Rose (we joked it was her appetizer), while he got the SNS all set up. We worked as a team. Hallie was doing great and so was I. Jalen was definitely exposed to alot of things(boobs) he had never seen or known about. He did great and has learned alot though."


HERE to read the entire article.


And Carlie continues her story about feeding her daughter donated breastmilk in her article "MilkSharing":


"I pump twice a day, and usually get about 6-8 oz each time (see my entry on adoptive breast feeding). All of her other feedings are that of donated breast milk from generous women in our area.
We have a deep freezer FULL of it!!
I know, some of you are thinking, "thats gross", or "what about the risks involved"?
To those people, I would ask, "do you think it's gross to drink milk that was expressed out of a cow"?..An animal of which is not even close to the size of a human, and who's milk is made for baby cow's.
And "do you not think there is a risk in feeding your baby formula, of which was made in a factory, and has been recalled numerous times because of infant DEATHS,  bug particles found in the formula, and tons of other negative aspects to it"?
To be honest, in our opinion (and the opinion of LOTS of other women and men out there), the benefits of feeding our baby donated breast milk,  far out weigh the risk.
These women who donate, **do not ask for a dime**. They do it solely out of the kindness of their hearts.
They are feeding the same milk to their own baby, and most of them are VERY health conscience.
A Dr's screening is provided, if requested by the recipient, showing that the donor mother does not have any illnesses, and is healthy.
I feel very confident we are doing the right thing by giving our daughter donated milk. She is very healthy and happy."


HERE to read the entire article


The Second blog I read today is from "The Crunchy Side of Me" .  The first article is Amber' story of how she struggled with fertility issues due to PCOS, and then began the rocky road to nursing her twin daughters , over coming all obstacles and not only succeeding in breastfeeding them both, but became a Breast Milk Donor for two other babies!!!! 


"My girls turned one year and I still had this crazy stash of milk. I was so afraid it would go unused. I just wanted all my hard work to be for good. My girls were still being breastfed and I knew they would never use what was left. I was producing exactly what they needed and we didn't ever need all the pumped milk. I posted on Human milk for Human babies and found a 4.5mo old in need. I donated the remaining 110 bags. Her mom breastfeeds her but needs to supplement as well. She didn't want to use formula and was desperate to find her baby breastmilk. Another bonus was that the remaining bags were all dairy free because my girls had a dairy sensitivity early on. Her daughter did as well. We were a perfect match! Her mom is so sweet and lets me know that her daughter is thriving on my milk. She says its such a relief to open her freezer and see that her daughter will be fed.
I am so proud of what I have accomplished when the odds were so against me. My twins are 17 months and breastfeeding is still going strong. I get many comments from people wondering when we will wean and to be honest we have no end date! My girls are so healthy and I'm just so thankful of what my body has been able to do. I always felt like my body let me down with all my infertility issues but now I feel like some how I beat it all. I have nourished not only my twins but two other babies. I am so happy that I have been able to do this and only wish I could do more! I always share my story with others because I would love to break the taboo of milksharing. To be honest I would have never thought of donated breastmilk for my girls in the beginning...I probably would have gone to formula. Ick.  I love how women can unite and help one another. It's time to break the silence and bring back what was done since the start of time."

HERE to read the entire article "Nourishing Her Twins and Two Other Babies!"


Having enjoyed reading the first article on The Crunchy Side of Me so much I decided to peruse their page and read this next story.....and I strongly suggest a tissue or two!  Erin's story is one that resonated with me so strongly, because her experience mirrored what I went through with my youngest son: Tongue Tie and the massive drop in milk production that follows when the babies latch just isn't right.  Erin's story of her fight to help her baby boy Gryphon gain weight and get a REAL diagnosis for his latch issue is inspiring!!!

"The next week he had a 2 mos check up and I brought up the tongue tie again, I said "Look, I know you said that he doesn't have it, but I think he does. Our symptoms match up, I mean EVERYTHING matches up, and from what I've been reading you can't base your complete diagnosis on JUST the appearance of the tongue, but you have to look at the mother baby pair, the mother's nipples (mine are flat) and their experiences." She said, "No, he doesn't have one, I think there might be something wrong in his esophagus because he's not really sucking well from the bottle either. I will give him a barium swallow test with speech so they can look at his mouth just to tell you that it's fine."  I was okay with this, because surely they would see that his mouth was NOT fine, and then I got the referral... barium w/out speech. I had had it with her. I was done, unfortunately at this point so was my milk, so I reached out to other Mamas on facebook, and immediately that night I had 40 oz of donated frozen breast milk and the link to HM4HB. I wasted no time in posting, and was instantly rewarded with another 150 oz of donated breast milk. Through the networks I was able to find a short term "Milk Mama" for my little boy.
On human milk by son thrived, and grew and became happy and healthy and gained weight, LOTS of it very fast. In three weeks he'd gone from 8 lbs 6 oz, to 11 lbs!! He has since continued to receive donor milk from Mamas all along the east coast, we've driven to get milk, we've had milk shipped to us and we've even tried wet nursing. Through HM4HB I gained a whole lot more than just breast milk, I got my son back, I gained a whole network of friends; supportive, loving and wonderful amazing women who are selfless in donating to make sure that MY son is healthy and that he is getting what I cannot provide for him. As of today, my son is 4 mos old and weighs about 14 lbs. During all this time I never stopped fighting to get him the help that he needed for his tongue and when he was 14 weeks old we were finally able to find a doctor who would clip it (after two peds, three states, four lactation consultants and a conversation with Dr. Kotlow in Albany NY)." 
 
Gryphon starting to thrive on breastmilk - Left 7 weeks & Right 10 weeks


 Please click HERE to read all of Erin's wonderful story in "Thriving due to donor milk" on "The Crunchy Side of Me"


I hope you enjoyed these stories!  If you have your own story about a personal adventure into the land of milksharing, feel free to tell me about it! Leave a comment here and I'll get in touch with you asap!! I'd love to post it here as we continue to celebrate World MilkSharing Week!!!!


For more information about World Milksharing Week please go to 
http://www.worldmilksharingweek.org/


And for more information about donor breastmilk- either as a donor or a recipient- please go to:
http://hm4hb.net/

Saturday, September 24, 2011

Breastmilk: It's in you to give!!!






Happy World Milksharing Week everyone!!!  In honor of this event, and to help spread the joy of donating and receiving breastmilk, I will be posting lots of Milksharing stories and articles from other blogs and news events..... everyday this whole week.  This week, it's all about the breastmilk, baby!!!!!





Last Thursday I wrote about the father, Curtis, who was drinking his wife's frozen breastmilk in the Blog article "Breastmilk: It does a body good. Anybody!"  Earlier in the day I had been contacted by journalist Andrea Gordon from the Toronto Star to talk about Curtis' breastmilk diet (You can read the STAR article HERE) and I told her pretty much exactly what I told you in the article, that I thought that their "experiment" was bringing to light the health benefits of breastmilk and shines a bright light on the fact that formula just doesn't measure up.


While Health Canada and all the pediatric societies chant the same Om of "Breast is best", we are still a culture that sees formula feeding as normal.  We hear about the health benefits of breastmilk, yet rarely does the media really report on the reality of the risks of formula. We know that breastmilk is better for babies tummies, yet hospitals, doctors, nurses, and other health care providers still turn to formula as the answer to most breastfeeding problems, without really giving a serious thought to the effects of formula on immature stomachs.
Now suddenly, we have a grown man, with a history of all sorts of stomach ailments, drinking human breastmilk- ONLY human breastmilk.  Three days in and his belly problems are gone. No more reflux, no more vomiting, no more bowel movement problems- not even diarrhea that several people said he'd have.  Here's a grown human, with the ability to speak and reason, telling us how much better his digestive system is feeling.....
....Imagine the difference on a small infant? Incapable of speaking and explaining how their tummy hurts.


After I published the article I went back to check on the links (I'm a bit OCD about that, lol) and the link to Curtis and Katie's blog was dead: they had removed their blog completely. I spoke with Emma Kwasnica about their blog and the situation and was thrilled to know that Katie had contacted Emma to talk about donating some of the massive volume of breastmilk that they had stored in their freezer......

.....And in Honor of the first day of World Milksharing Week I thought you'd like an update on the story:  Emma helped Katie find the perfect family in need:  Quadruplet baby girls born last June!!!!  Andrea Gordon has also spoken to Emma and Katie and the mother of the Quads and is writing another exclusive article about this match made in heaven tomorrow!!!  I will edit to add a link to the article tomorrow morning.

*edited*
Here is the link to the Toronto Star Article about this wonderful milky match story: http://www.thestar.com/living/article/1059288--internet-nourishes-with-mother-s-milk

It's all about Breastmilk.  It's all about sharing.  It's all about community, and families coming together to support each other.

It's all GOOD!!!

Tuesday, May 17, 2011

Mother-to-mother human-milk sharing: what’s not to like?

This is a fantastic guest post from, James Akre. I'm hoping to have lots more of his amazing words to post here in the future!!! 



In May last year I was privileged to deliver the GOLD10 inaugural presentation, which was called: What is the problem with breastfeeding? I concluded with ten proposals for immediate action, for example the need to stop referring to breastfeeding as ‘best feeding’ and define it rather as ‘normal feeding’; and to cease talking about ‘the benefits of breastfeeding’ and focus instead on ‘the risks of not breastfeeding’.

My next-to-last proposal was in two parts: evaluating ‘the amount and value of human milk produced and consumed worldwide’, and ensuring that ‘human-milk banks become a routine component of healthcare infrastructure everywhere’.

The model I had in mind was the classic community blood bank. In a bit more than a century since such banks began functioning, they have become as ordinary as they are indispensable.

I don’t know how you see it, but from both a practical and historical perspective, what began to surface only six months ago – Internet-based, non-commercial, mother-to-mother human-milk sharing – strikes me as being a bit like the fall of the Berlin Wall in 1989 or the Arab Awakening of 2011.

If you think I’m being melodramatic, consider the totally unforeseen consequences of the act of one mother, in October 2010, searching on line for breast milk for her child. Here we are, six months later, with a vast and still-growing milk-sharing system in place in some 50 countries on all continents.

Despite its popularity – indeed, owing to its popularity – this contemporary variation on a practice that is as old as our species has become the focus of stern criticism and woeful warning from public health authorities, notably Health Canada, the French agency Afssaps, and the United States Food and Drug Administration. What is going on here? This is how I would describe the current state of play.

On the one hand, media reports suggest a convergence of well-informed and highly motivated women extending their control over the availability and use of human milk. Caregivers of babies who need breast milk are connecting with mothers who are able to donate breast milk using two Facebook-based networks, Eats On Feets and Human Milk 4 Human Babies.

These networks provide a platform for women to share their milk in a safe, ethical manner. This is done in the belief that they are capable of making informed choices, free of coercion; taking into account information on the benefits and risks; and reducing exposure to pathogens, including by pasteurisation. The overriding operative principle is that all who are involved in milk-sharing take full responsibility for their individual course of action and its outcome.

On the other hand, the formal position staked out by some public health authorities and health professionals can be summarised in three short words: Just say no! Why this dogmatic view?

Well, for starters, it’s the easiest way to reduce to zero milk-sharing’s inherent health risks. But this approach fails to take account of the inherent health risks of a child not receiving breast milk, which appear to have got entirely lost in the shuffle. It is rather a question of relative risk and how to manage it and minimise potential harm.

Despite the mass of scientific and epidemiological evidence to the contrary, in far too many environments breast milk and breastfeeding continue to be seriously undervalued, even as the nutritional merits and supposed safety of infant formula are greatly exaggerated. In these circumstances, infant formula is perceived as the ‘obvious’ alternative to a mother’s milk. But as we observe the rapid, and geographically and culturally diverse, expansion of mother-to-mother human-milk sharing, it is clear that growing numbers of mothers are radically dissenting from this unphysiological status quo.

In demonstrating their heightened awareness about how their babies should be nourished, these mothers are also giving eloquent expression to the World Health Organization’s infant-feeding recommendation, with its explicit nutritional hierarchy, that has been in place since 1986: milk at the mother’s breast; expressed milk from a baby’s own mother; milk from another healthy mother; banked human milk; and, lastly, infant formula. This is just one of the reasons why I always define formula not as the best alternative to a mother’s milk but as the least-bad alternative.

It’s hardly surprising that some in the public health and medical establishment regard this Internet-based milk-sharing model as a challenge, even a threat. It certainly has the right ingredients: a system that operates outside its influence, that can’t be regulated, and where mothers alone exercise control. But rather than resisting and dismissing it out of hand, the constructive approach would be to engage in ways that help make it as safe as possible.

Before closing I would like to return briefly to what I said, during GOLD10 and a few minutes ago, about ensuring that ‘human-milk banks become a routine component of healthcare infrastructure everywhere’. In the light of the mother-to-mother milk-sharing model described above, I want to assure you that I am no less enthusiastic about this proposal today than I was a year ago. If anything, I think it has become still clearer to me why it is so important.

It is at best naĂŻve and uninformed, and at worst intellectually dishonest and culpable, to discourage mother-to-mother milk sharing while instructing mothers to stick with traditional human-milk banks, which follow a careful protocol designed to protect babies. Reality contradicts this dismissive injunction. According to reports, on a good day milk banks manage to cover no more than half the actual demand. Thus, they wisely husband available milk for the most vulnerable babies, especially the very sick and premature. But at US$3-5 a fluid ounce or about 30 ml, even if milk were available, few parents could afford such luxury.

Some observers appear to be anxious that mother-to-mother milk sharing threatens the few under-supplied banks. I don’t have the evidence to demonstrate it, but I am inclined to believe that expanding direct human-milk sharing might well spur human-milk banking by increasing awareness of the significance and availability of women’s milk, persuading more mothers to donate, and thereby increasing the number of banks and available milk volume.

Thus, I see mother-to-mother milk sharing as complementary to donor milk banking and not its competitor. Let us resolve to do everything we possibly can to ensure that this is always the case.

  * * *



1 Commentary prepared by James Akre, Geneva Switzerland, and delivered on line during GOLD11 (Global Online Lactation Discussion) on 13 May 2011 http://www.goldconf.com/hottopics-speakers.html.





Wednesday, December 22, 2010

Position Statement: Ontario Breastfeeding Committee

The Ontario Breastfeeding Committee
Position Statement on the Use of Donor Human Milk

The Ontario Breastfeeding Committee is the provincial contact for the Breastfeeding Committee for Canada: The National Authority for the WHO/UNICEF Baby- Friendly Hospital Initiative. In partnership with the Breastfeeding Committee for Canada, the Ontario Breastfeeding Committee is responsible for the implementation of the WHO/UNICEF Baby-Friendly Initiative in Ontario and partners with hospitals and community health services to assist and support them to achieve Baby-Friendly designation.

The Ontario Breastfeeding Committee recognizes that:

• human milk is the food for babies
• women should make informed decisions on the use of donor human milk based on accurate and evidenced – based information

The Ontario Breastfeeding Committee recommends that:

• Government facilitate and accelerate the establishment of donor human milk banks in Ontario
• Government provides safe, evidence-based guidelines for human milk sharing.

The Executive of the Ontario Breastfeeding Committee December 15th. 2010

Wednesday, December 1, 2010

The Paradigm shift is afoot!

This is an excellent article about the shift in thinking that is happening and needs to happen in the realm of feeding our babies.  It isn't enough to talk about "Breast is Best" with hollow slogans and parroted words that have been plagiarized by the infant formula companies. Women, babies and their families need to learn the truth: Breast is Normal.  Yet finding support to breastfeed is anything but.

So while most provinces provide seriously inadequate breastfeeding support, and even less funding for education and clinics, and the Government of Canada blathers on about the need to put milk banks in every province, it falls back onto the mothers to educate and support themselves and each other through this adventure in babyhood. And if that support includes sharing breastmilk with mothers that need it?  So Be It.

It's time for the paradigm shift.  It's time for breastfeeding to be normal and breast milk to be the norm, regardless of who's breastmilk it is.

A Paradigm Shift is Afoot: from "combination feeding" with formula to informed milk donation


There has been a rather seismic movement afoot (pun intended) in the online breastfeeding community, as it were, over the last few weeks. If you're not in the loop, the gist of the situation is that a breastfeeding advocate named Emma Kwasnica has galvanized a Facebook-centered milksharing network online: Eats on Feets. Such a thing isn't 100% new, as a site called MilkShare has been working at the same for a while now, and those in the know might be able to find donors on boards like Mothering.com (I've unloaded my freezer to several strangers on MDC myself). But this is taking flight like nothing has before, and I think it has everything to do with harnessing the power of Facebook and social networking in general, and how integral it has become to many of our lives.

Other bloggers have done a great job detailing the phenomenon that is Eats on Feets, such as The Motherwear Breastfeeding Blog and One of Those Women. There's much to discuss, including the (over)reaction of the Canadian government - and I won't try to reinvent the wheel here; check out their posts! But this awesome recent development ties into something I've been struggling to write about recently anyway, which is the matter of supplementation, which, in our current Western society, is set by default to formula.

Some refer to the choice to supplement (often electively, but sometimes out of necessity) as "combination feeding" or "mix feeding". It sounds innocuous enough, right? I've heard it referred to as "the best of both worlds", and despite the crystal-clear recommendation from both the AAP and the WHO to breastfeed exclusively for a minimum* of six months, the number of women who breastfeed at all are combination feeders. By a huge majority....
Here's my loose hypothesis: the prevalence of combination feeding is yet another result of the well-intentioned but deeply flawed "Breast is Best!" message backfiring. How so? It's tricky, but think about statements like "Every little bit counts - it's liquid gold, after all!" and "Any breast milk is better than none!" Such sentiments abound. Are they true? Well . . . yes. But I think there's a perception out there that breast milk is so powerful that even one feeding a day is enough to confer its benefits. Breastmilk, an omnipotent panacea of mythical, even supernatural proportions - surely it will cut through all the well-documented risks of commercial, artificial infant milk. Right?

IS some breast milk better than none? Well, I'd be hard-pressed to say no. Yes, it is. But saying "yes" is so far from saying that some breastfeeding is even close to the same as exclusive breastfeeding. The immunological benefits of breastmilk are some of its most powerful, the introduction of formula actually negates these very benefits. Look at this recent study from BMJ, examining the protective effect of exclusive breastfeeding on infections in infancy. It concluded that "Partial breastfeeding was not related to protective effect."

And here's another piece on a larger study released earlier this year:

"Significantly, the study showed no health benefits for infants who received formula along with breast milk, even when partial breastfeeding extended a full six months . . . . None of the antibodies found in breast milk are able to be duplicated in manufactured formula, resulting in a significant lack of protection for formula-fed babies against infectious diseases. Formula is unable to match the complexity of breast milk, the consistency of which adapts over the first few months of a baby's life, changing to fit the baby's needs as he or she grows."
Allow me to repeat that - I apologize for belaboring the point, but I want to make sure it's not missed: "The study showed no health benefits for infants who received formula along with breast milk, even when partial breastfeeding extended a full six months."...

Where does this leave us? Despite the overbearing harpy cliche, I'm coming to feel that breastfeeding advocates, including lactivists and educators as well as some medical professionals, ARE extremely sensitive about pressuring new moms, and want so badly to be reassuring and accepting and above all, non-judgmental . . . so much so that they/we end up understating the risks of formula feeding. Do what you can. Of course some breast milk is better than none. It's okay. You do what you can.

It's a conundrum. We DO need to be supportive. We DO need to be inclusive. We DO need to be non-judgmental. But we also need to make sure that mothers have all the relevant information, all the facts, in order to make empowered choices. Choice, yes, but informed choice. We need to not undermine parents right out of the gate by telling them that (as I witnessed from a professional firsthand) The breastfeeding bag they give you at the hospital has a bottle of formula in it, and that's there to tell you that hey! it's okay to do both! You don't have to choose!

As anyone reading this blog is likely aware, in addition to the risks for the infant, supplementation not done carefully leads to diminishing supply, and if the mother is not aware of how this works, mom's assumption is that something is wrong with her, that she "just couldn't make enough milk", and the slippery slope to total cessation of nursing has already begun. There has to be a way of being compassionate and inclusive without saying things like, as I have also heard with my very own ears from a pro, "If you want to nurse for 6 weeks and then start using formula, that's okay! Whatever works for you! If you want your husband to give a bottle of formula overnight so you can sleep, that's okay! Whatever works for you!"

But there ARE cases, as we know, where supplementation IS necessary. There is no denying that. We want to reduce these cases, but there absolutely are times when it is needed, such as moms with hypoplasia/IGT, or with some BFAR moms, for instance. And here's where the paradigm shift comes in.

It's time that donor milk becomes a real possibility for mothers.

Despite formula companies spending millions to convince you that their product is the "next best thing" to human milk, the WHO designates formula as fourth best - dead last, in other words. The first choice is simply mother breastfeeding her own child, and then pumped milk from the same mother to her own child. Then, third best, is donor milk from another mother, not formula. Yet when supplementation proves to be necessary (either temporarily or long-term), the default in our society is to go directly to formula. Then begins a cycle of figuring out which formula is less difficult for the baby's system. Do we try the "gentle" variety? What if milk is the problem - do we do soy? If that's not working, on to the hydrolyzed and painfully expensive kinds. What if donor milk was a viable option? What if it wasn't just a vague possibility - difficult to pull off in the short term and even harder to do over any substantial length of time - what if donor milk was, instead, the default?
HERE to read the entire article on Doula-la-la


Tuesday, November 2, 2010

Introducing "HM4HB", formerly Eats of Feets Global milk sharing network.

In a grand announcement  a few months ago, the Toronto Star published an article  "Pediatricians call for breast milk banks across Canada".  Applause, yes applause.  It's a wonderful thing that the media has jumped on the band wagon and is making public announcements like this, I mean,  any publicity is good publicity KWIM? Horray for Breastmilk!
But I have to admit that it irks me.  Mothers and Doctors, like Dr. Jack Newman, have been crying out for Milk Banks for Years- YEARS!!!! Not only that, but Canada does have a Milk Bank in Vancouver BC... a milk bank that they have been trying to close down for years!!  I wrote an article on the topic just a couple of months ago: Canada Needs Milk Banks!!!


 Yes, there is absolutely no doubt that Canada needs Milk Banks, and lots of them.  But if they are run like the BC Womens Hospital Milk Bank, keeping the liquid gold just for themselves, then how will that help babies in need in outlying communities?  And what about those "babies in need"?  The article in the Toronto Star yesterday states:
The milk, which would be pasteurized with the same heating method dairies use, would go mainly to two groups of infants, Unger says.
“There would be the really, really pre-term babies, the extremely low birth weight babies,” she says. “The other group of babies are the group who need surgery on their bowels.”
While no one would argue that these fragile infants desperately need breastmilk, ALL babies deserve breastmilk.  What about babies who's mothers are not physiologically capable of producing enough milk to exclusively breastfeeding their babies?  What about other fragile babies? What about older infants that are absolutely reliant on breastmilk to survive?  Infants like Anaya who are extremely ill and intolerant of ANYTHING except breastmilk?


ALL BABIES DESERVE BREASTMILK!


Breastfeeding is NOT best, Breastfeeding is Normal.  But what if you are one of the (Hypothesized) 3% of women who are physically unable to produce enough milk to exclusively nurse their babies?  What if you have done everything possible to build and boost your milk supply.... and you still can't produce enough milk to exclusively breastfeed your baby?  What then?
For many mothers they had only one option... until now.  NOW there is a global movement going on, a movement to get breastmilk to every baby in need through milk donations. It's called Milk Sharing.


Right here in Ontario there are currently no milk banks. So for a baby to receive breastmilk, the only way is from their mother, or through donations from other breastfeeding mothers. Hence the launch of  "Human Milk 4 Human Babies". We are here to help families that need milk, find families that are willing to donate milk.


Originally we started a global breastmilk sharing network called "Eats on Feets Global" back in Oct 2010.  Breastfeeding and childbirth activist Emma Kwasnica decided to launch a global network to help mothers who needed breastmilk find mothers who had breastmilk to spare.  In the summer of 2010 a Phoenix based midwife Shell Walker started a  local community page on Facebook dedicated to milk sharing. Emma, an advocate for informed choice, who was already connecting people around the globe who wanted to share milk via her personal profile page, approached Shell and asked to use her name "Eats on Feets" for the Global milk sharing network. Permission was granted by Shell  and Emma launched Eats On Feets GLOBAL. This network grew quickly to over 100 communities spanning the globe. 

Last week Eats On Feets GLOBAL changed its name to Human Milk 4 Human Babies Global Network. Within hours, donors and recipients were making matches on HM4HB. There are now 275 volunteers administering over 100 community pages in 42 countries. Donors and recipients are using the network to make matches literally every hour of every day.  For more information about the changes to the Global networks name please click HERE



Milk Sharing is not a new fad.  Milk sharing is as old as the human race and is still practised in societies where breastfeeding is the social norm.  Mothers have been nursing other babies since the beginning of time and babies have thrived.  All across the world mothers are forming impromptu "villages", caring and nurturing their children together,  caring for and helping each other, and nursing each others babies in an effort to provide healthy human food in a nurturing manner when it's needed.


 Every baby deserves human milk, we can't state that enough.  Sometimes we need to all pull together to make sure that no baby is left behind. Cows milk for baby cows, Human milk for baby humans.  It's really that simple.


 If you are a mom with a baby in need of breastmilk come to Human Milk For Human Babies and you'll find moms with milk to give.  If you're a mom that has breastmilk to give, come to HM4HB and you will find a mother in need of your generous donation.  It's all about getting Human Milk to Human Babies!!!