In a message dated 1/28/2006 10:19:02 AM Eastern Standard Time, AnnMBP
writes:
Nikki, and others, I ask this question: with your worries of informal milk
sharing how many mothers are breastfeeding their own children with HIV or
HTLV-1?
Dear Friends:
Ann poses a good question. I am sure the answer is yes, that there are
women breastfeeding with these viruses. And there isn't anything we can do
about it. And that is one reason that donor milk is pasteurized.
However, when we, as healthcare professionals and knowledgeable people,
are asked our opinion, we have to consider the minimum standards of safety in
our answer.
Can you imagine how breastfeeding in the US would be set back if one
case of serious disease is linked to informal milk sharing?
Lawrence and Lawrence discuss this issue; if mothers want to share milk,
they are advised to get blood tests, and no healthcare professional can be
the agent of arrangement.
Would you use your best friend's toothbrush? Or her husband's?
If not, then how could one share milk without some precaution? At a
microbiological level, there isn't much difference.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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