First of all I would like to introduce myself.
My name is Chella Verhoeven from The Netherlands and a volunteer for VBN 
which is a breastfeeding orgisation.
Last week in WBW I launched "the Mothersmilk Network". This is a database 
where mothers can find possible donors for mothermilk.
You may ask why? Reason for this project is the lack of a Milkbank in 
Holland. The closest one is 800 km away in Germany.
Pediatrics and Neonatoligists are not convinced that children benefit from 
pasteurised donormilk.
I do understand that the whole project must sound controversial to you.
This is a way to open the discussion on donormilk in Holland and will 
hopefully lead to a regular milkbank as existing in the rest of the world.
As many as possible protection is build in. The only thing I cannot do is 
pasteurise the milk and do bacteriological testing of the milk (before and 
after pasteurisation) In a home setting one will have to use the Pretoria 
Pasteuriastion method.
In a home setting the use of donormilk would be for healthy children who 
have mothers who are unable to breastfeed themselves due to 
breastreduction, medication, allergies or not enough glandular tissue.
As for the use of donormilk in a hospital setting I understand that it 
would be very risky because premarure children are so vulnerable. Most 
likely health care proffessionals will not use the database.

As for my question about breast reduction:
This mother had a breast reduction and cannot give milk. Her child will be 
born any time now. She wants to feed DM.
In case of artificial feeding a child will not get colostrum. In case of 
feeding DM it will neither. How big is the chance of yaundice? The same?
A child born at home in The Netherlands will be observed for 10 says by a 
midwife.


Greetings,
Chella Verhoeven (who does appreciate to be critisised, both positive and 
negative)

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