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Subject:
From:
Arlyhelm <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 5 Aug 2002 08:38:02 -0700
Content-Type:
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A young couple came to my breastfeeding class during pregnancy and became
quite enthusiastic about the power of breastmilk.  Unfortunately, the mother
died on the third day postpartum.  The father wishes his child to be
provided breastmilk (and why should he settle for less?).  Unfortunately, he
cannot afford to purchase milk from San Jose Human Milk Bank and insurance
will not cover (California Blue Cross).  He has appealed the decision and
has had his appeal rejected once.  He intends to appeal again, but would
like to strengthen his appeal.

The medical indications do not show a clear risk to life of depriving this
infant of human milk.  However, the paternal grandfather does have
insulin-dependent diabetes mellitus and received a simultaneous
pancreas/kidney transplant, and the infant's father has eczema (but not
asthma).  The infant has no siblings, and so there is no sibling history to
examine.  There is a cousin with asthma.

I am asking for any successful wording for claims for human milk.  Also,
would anyone who works or volunteers for any of the human milk banks or the
North American Human Milk Banking Association care to offer their thoughts
or suggestions?

Otherwise, he intends to do his own screening and milk treatment from donors
in his own home in his off-work hours.  (Are there any "off-work hours" for
a single parent of a newborn?)  Naturally, his two primary concerns are
potential exposure to drugs and transmission of illness; however, with
careful screening and handling, he feels the risks are lower than in
providing artificial baby milk.

He has called me and asked me to provide him with:

a) the best approach to getting banked human milk
b) a screening tool for his own donors
c) instructions for home heat treatment
d) instructions for sending the milk to be tested to determine whether his
methods are successfully eliminating [in reality, reducing] the risks of
drug and viral/bacterial contamination

Arly Helm, MS, IBCLC

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