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Date: | Sun, 23 Nov 2008 12:20:54 +0000 |
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Christine
Excellent question! You might find be interested in this
oldie-but-goodie abstract. Nowadays, however, it would be a question
of risk-benefit ratio; the benefit of the infant receiving raw
donated milk vs the risk of the infant acquiring a lethal virus
through the milk.
"Supplementary formula feeds inhibited the protective effect of
expressed raw and pasteurised human milk in 226 high-risk neonates in
a randomised controlled trial. The infection rate in the group given
pasteurised human milk and formula (33%) was significantly higher
than the rates in the groups given raw human milk (10.5%),
pasteurised human milk (14.3%), and raw human milk and formula (16%).
This accords with the impressions that some of the association of
infection with artificial feeding is partly attributable to the lack
of the protective effect of human milk. Heating expressed human milk
to 62.5 degrees C for 30 min significantly reduces its protective effect."
Ref: Narayanan I, Prakash K, Murthy NS, Gujral VV. Randomised
controlled trial of effect of raw and holder pasteurised human milk
and of formula supplements on incidence of neonatal infection.
Lancet. 1984 Nov 17;2(8412):1111-3.
Pamela Morrison IBCLC
Rustington, England
On 11/22/08 3:56 PM, "Christine Bussman" <[log in to unmask]> wrote:
> I know that the standard from milk banks is pasteurized donor milk, but
> I do wonder at whether some of these babies would be better off if the
> donor milk was not pasteurized. It seems that at least many of the
> components in breast milk could be destroyed by the pasteurization. Of
> course pasteurized human milk is preferable to artificial baby milks.
> Perhaps from a public health perspective, which is concerned with
> statistics rather than individuals, pasteurized is better than
> unpasteurized. However, I'm not sure that there are not individual
> babies who would be better off with all of the components, even at
> slight risk of disease.
>
> I'm just thinking out loud here, and wondering what others think.
>
> Christine Bussman
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