Patricia asks about yeast in milk, and whether or not we should give  
already expressed, frozen milk to babies that was collected during a yeast  
outbreak.  She cites:
 
 
Per  Newman and Pitman in The Ultimate Breastfeeding Book of Answers (2000, 
p.  149):
“Throwing away frozen milk collected while the mother has her problem  with 
C. albicans seems to me a terrible waste. Although freezing the milk does  
not kill this organism, it is likely, given the antifungal factors in  
breastmilk, that the fungus will remain in the form that does not cause  problems.
”>>

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My opinion only:  since we nurse babies during the yeast outbreak,  unless 
this baby is really seriously immune compromised, why on earth are  we 
fussing about giving this milk to the baby once the yeast infection has  cleared 
up?  If you have a vaginal yeast infection, do you never eat yeast  rolls 
again?  Eat blue cheese?  Drink wine?  Have you ever really  looked at a 
totally yeast-free diet?  There is yeast in much of what we  eat.  Seems to me 
that just because freezing doesn't kill the yeast that is  in the milk (and 
remember, you can't culture the yeast unless you add iron to it  to deactivate 
the lactoferrin), doesn't mean we can't give it to the baby.   So even 
though Newman's comment is circa 2000, I totally agree with it.   What a waste 
of excellent breastmilk -- and we are going to what -- give formula  
instead????
 
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education  Consultants
Wheaton IL

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