"Hello ladies, I have a question about donor milk. In my community (Seattle) many moms opt to use donor milk over formula when their babies need extra food. We always discuss the risks and benefits and talk about questions the mama needs to ask the donor, and I always recommend going through a health care provider. Nonetheless many mamas are getting milk from girlfriends and colleagues.
A client has very low supply as a result of an undiagnosed untreated lip and tongue tie. I saw them first at three weeks and both were released brilliantly at four weeks. Baby went from transferring 12 ml to transferring 20 ml, however mom's supply is still very low so we discussed domperidone and pumping more frequently.
A friend is willing to donate 6 ounces of milk a day -- she is nursing a two year old. The doctor who did the TT release said she was concerned there wasn't enough protein in two year old milk and recommended either milk from a younger baby or formula. I feel human milk is always preferable to formula, but I'm concerned about the nutritional balance. What are your thoughts?
thank you!
Betsy
Betsy Hoffmeister, IBCLC, LLLL
West Seattle, WA
Betsy's Baby Services"
~~~~
How great a friend is that!
My thinking is that because an additional six ounces per day is not going to be sufficient for growth anyway, she's going to also have to supplement with formula, so why worry about which has higher nutritional value? The human milk will provide normal milk feedings and antibodies, etc, and the formula will provide additional calories, vitamins and minerals, etc.
According to Breastfeeding and Human Lactation, 3rd ed., p. 106, the whey/casein ratio changes over time from 60:40 in mature milk to 50:50 in late lactation. Whether the total amount of protein changes over time is not listed here. Likewise, Breastfeeding: A Guide for the Medical Profession, 6th ed., p. 127 does not mention a change in the total amount of protein per volume of milk. Both sources put the protein levels in human milk at 0.9%.
What is the doctor's source for the change in the amount of protein in human milk?
Julie Tardos
~~~
Moya: I'm not answering any of your questions!
Ilan: Why?
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