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Subject:
From:    [log in to unmask]
Date:    Sat, February 9, 2013 9:50 pm
To:      [log in to unmask]
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Thank you, Lara, Mary and Laurie, for your response to my question about
how not having the mouth/breast contact of breastfeeding might impact EBM.
 I have passed on these thoughts to the Mama, particularly the repeated
affirmation of how important all that cuddling and skin-to-skin and
smooching of her baby truly is!  Fortunately she does have an excellent
supply at this point and is able to provide almost exclusively fresh (not
frozen) milk. I'm not sure about peer support. Good family support
though. And Mary, indeed, there is a difference between breastfeeding and
bottle feeding EBM and I so agree we have a responsibility to be honest
about that, even when it feels painful. I hope I'll get to be around for
this Mama having her next baby. I suspect it will be a healing and very
different experience.
Thanks again for responding!
Warmly,
Brooke Casey


Date:    Tue, 5 Feb 2013 11:40:56 +0800
From:    Lara <[log in to unmask]>
Subject: Re: bottle feeding EBM

Brooke Casey <[log in to unmask]> wrote:

> I have a client who has chosen to exclusively bottlefeed pumped milk
after
> a difficult start to bf with a bout of low milk supply. We worked
extensively on getting baby back to breast once her supply was recovered
but ultimately, for her own reasons, she chose to not pursue feeding at
breast. Now she is grappling with having made that decision.  She just
emailed with the following question. She had read about how the saliva
of
> breastfed babies influences the content of the milk their mothers
produce
> and is wondering then how the content of her babies' milk will therefore
be impacted by her not feeding at breast.  Any thoughts on what to tell
her? Any research on this?

If she is cuddling and kissing and being close with her baby, she'll be
exposed to the micro-organisms in the baby's saliva, and will mount an
immune response accordingly. I've heard it postulated that there is a
specific mouth-nipple pathway for this, but I've never seen any evidence
for an exclusive role for that pathway.

I wish her all the best. It's not an easy road. Does she have peer support?

Lara Hopkins

Date:    Mon, 4 Feb 2013 20:33:24 -0800
From:    Mary Wagner-Davis <[log in to unmask]>
Subject: Re: bottlefeeding ebm

Brooke asks
",Any thoughts on what to tell
her? Any research on this?."

Other than that it's true?  It is a difficult process to, in a sense,
grieve the loss of the breastfeeding relationship.  While fully pumping
and
feeding EBM is far superior to ABM, it is not the same as putting baby to
the breast.  The breast plays a role in immune function.  Breastfeeding
plays a role in oral development (among other things).  It is simply not
true that fully pumping and providing EBM is the same as breastfeeding.
 That doesn't mean that isn't the best choice for this particular
mother-baby.

Mary Wagner-Davis, MS, MFT, IBCLC
Roseville, CA


Date:    Tue, 5 Feb 2013 10:21:33 -0600
From:    Laurie Wheeler <[log in to unmask]>
Subject: bottlefeeding ebm

I agree I have never seen specific research confirming a direct mouth to
nipple
immune system connection. They way I interpret it is that mother breathes
in and
takes in (kissing e.g.) baby, exposing her respiratory and GI system to
baby's
flora. She subsequently manufactures antibodies.

I recommend bottlefeeding in a way most similar to bf and then processing
the ebm as
little as possible (giving fresh ebm when she can); but some freezing and
defrosting
is virtually inevitable.

Laurie Wheeler RN MN IBCLC
BMH-UC Breastfeeding Resource Center

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