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Subject:
From:
Theresa Johnson <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 2 Jan 2004 05:18:29 -0800
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What about pathogens that cause mastitis etc. from a cracked/injured nipple?  Or Candida?  All of those started on the outside at one time and found their way in....correct?  Just playing the devil's advocate etc.

Same with bladder infections etc. I suppose.

Theresa Johnson
Sunny Florida

"Linda J. Smith" <[log in to unmask]> wrote:
The baby's mouth, hands, nose, etc can transfer bacteria and viruses to
mother's skin, mouth, respiratory tract etc - and then the mother's system
reacts. The saliva-through-the-nipple part is the myth. Think about the
physiology of milk flow. How would the saliva or pathogens get INTO the
breast? By swimming upstream, up the ducts? The milk flowing outward is a
powerful force to cleanse the breast. The baby's saliva might get into
mother's mouth quite easily, or onto her hands, etc. But almost certainly
not by swimming upstream through the milk.



The pathogens that get into mom through mouth, nose, gut etc cause her
immune system to kick in. Peyer's Patches in the abdomen start making
targeted T-cells and specific IGA to that specific pathogen, which migrate
to the breast and into the milk within hours to days.



Even if the pathogens did swim upstream, how would they then get to the gut
to trigger the immune response?



Linda J. Smith, BSE, FACCE, IBCLC

Bright Future Lactation Resource Centre Ltd

6540 Cedarview Ct, Dayton OH 45459

ph 937-438-9458 www.BFLRC.com





-----Original Message-----
From: Dee Kassing BS MLS IBCLC [mailto:[log in to unmask]]
Sent: Thursday, January 01, 2004 6:18 PM
Subject: Re: need answer/reference for mom substituting EBM feedings for
at-the-breast



"Baby's saliva triggers mom's immune system? Sorry, that's a legend,
although

it would be "nice" if the system worked that way. It doesn't, however."



Hi, Linda.

Are you sure about this being a legend? I don't have the reference,

but I was sure that I had read something in the past 2-5 years (sigh, I lose

all track of time) that said that the breast can actually manufacture

antibodies, in response to germs in the baby's saliva that enter the breast
through the

nipple pores during feeding, before the mom's "body" immune system begins to

make these same antibodies as a response to having been exposed by the baby.

Now that seems to be an awkward sentence, so let me try to put it another
way.

Baby spends the day with grandma. While with grandma, someone comes

up and sneezes on baby, who has now been exposed to a germ that mom hasn't
been

exposed to, because she wasn't there. As those germs in the baby begin to

multiply, they are present in the saliva and can then trigger the breast to
form

and put appropriate antibodies in the milk right then. The antibodies show

up in mother's breast before they show up in her bloodstream, showing that
the

antibodies were actually a response to baby's saliva rather than mom's
immune

system responding to a new germ when baby sneezes on her.

Did I make all this up? Has anyone else read this?

Dee















Dee Kassing, BS, MLS, IBCLC

Collinsville, Illinois, in central USA



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