My thoughts on a few of these, marked with >>
Phyllis
---- Kim Ann Lorber <[log in to unmask]> wrote:
=============
In a message dated 4/13/2011 2:13:37 A.M. Central Daylight Time,
[log in to unmask] writes:
Who can provide me evidence for the following (or are they just
assumptions and old-wife tales?):
- do not ever shake human milk (I
really would like to know what has been observed under controlled
laboratory circumstances with shaken milk!)
>>Shaking it breaks up the fat molecules. Homogenization is a really serious version of that.
- place human milk at a
certain place in the fridge or freezer for fear of temperature changes
(now, really, folks, how are the odds of rising the temperature of cold
milk in a container up to dangerous temperatures for bacteria growth by
opening the fridge door?)
>>In addition to that, the temp fluctuations caused by the auto-defrost fan can actuvate the lipase and has been thought to be a factor in the "sour" or "soapy" smell of some mothers' refrigerated or frozen milk.
- never mix fresh milk with milk already stored (or not untill they have
the same temperature)
>>Comes under the category of "re-heating"? Just a guess. I've always taught to be resepectful of milk: chill them before blending. But others have said they just add fresh on top of cold milk with never a problem. Same with putting fresh milk in the freezer without chilling first. Some say chill first. Others like the "flash freeze" effect. And that small amt of warm food won't alter the function of the fridge/freezer as it would if you put a whole pot of very warm soup in the 'fridge.
- never heat human milk up to body temperature twice
- don't use human milk after deep-freezing for 4 or 6 months
>>Didn't HMBANA say you can store milk in a deep-freeze at 0F, or is it 0C?, for about a year?
- finish or throw away within an hour of the start of a feed
>>That sounds like hospital rules. There's something to be said about the backwash of spit in the milk. It doesn't take much to turn commercial baby foods into water making them unuseable for another feed. This should be an easy Home Laboratory study for the effects of spit on milk. Jus' sayin' ... :-}
>>As you noted below, human milk appears to be resiliant and able to tolerate so-called "mistreatment".
>>How often do you see formula-fed babies who are sitter/crawlers being given an 8oz bottle of formula to carry, roll around, throw & retrieve, and suck on, off and on, for several hours in an afternoon - with no apparent ill-effects?
I only have a study of one and is a healthy full term baby. He has been fed
20-40 oz of breastmilk a day for 10 mths and still doing this. This has
been mostly donor milk and a small amount that I was able to pump and save
and then use. I broke all the "rules" that I tell moms to follow.
I did not harshly shake the milk but swirled it every time.
I didn't have the milk saved in a certain hidden spot in the fridge or
freezer.
I regularly put my warm, just pumped milk into the milk that had already
been in the fridge and cold.
I would say at least half of the breastmilk that was used was past 6 mth
old and the oldest was just shy of 12 mths old and I had about 2 wks worth
of it that I couldn't bear to throw away and not use, so I used it.
I can't even count how many times that I broke this rule "finish or throw
away within an hour of the start of a feed" due to him not wanting it all,
or falling asleep, or traveling and out and about, leaving it by my bed so
he can finish it when he would wake in the middle of the night, taking a
cold bottle of milk and having it warm up in the diaper bag while out and then
feed it to him etc
My son never showed any taste dislike or stomach upset or other signs of
trouble from this. I was such a rule person before this! But daily life and
a real crying baby came into play and the practicality of trying to feed him
that didn't lend it self to following all the "rules" for which I didn't
see an overwhelming amount of evidence for the healthy full term baby. I
also wondered if many of these rules comes from what we say about formula and
just stuck them on breastmilk. This is what I became comfortable with doing
for my baby after seeing no effects on my baby. If I had seen things I
would have changed things. Thankfully due to me being sick I am not leading
nursing mom meetings or taking phone calls anymore because it would be hard
for me to list all the rules for a mom now that I truly understand about
trying to follow them and that also goes the same for the La Leche League
statement on using donor milk. I say give moms all the info (or lack of info
regarding these issues!) and risks and let them decide how to handle it.
Perhaps you can say these are the rules but I knew of a mom who did this.....
Kim Ann Lorber----someone who has been blessed with donated breastmilk for
my baby by kind mothers and will continue singing the praises of donated
milk to everyone
LLL Leader Quad Cities IA/IL
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_http://cancercaughtme.blogspot.com/_ (http://cancercaughtme.blogspot.com/)
--
Phyllis Adamson, BA, IBCLC
Glendale, AZ.
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