I Still Trust Online Breast Milk Sites For My Baby

A Florida mother responds to reports that there are high bacteria levels in breast milk purchased via milk exchange websites

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Courtesy of Morgan Latimer

The Internet has made it a lot easier for women who have ample breast milk to connect with those who seek it for their babies. But a new study published recently in the journal Pediatrics is causing a stir among parents who rely on breast milk donated or sold via milk-sharing sites.

The research indicated that milk purchased online contained potentially disease-causing bacteria, like salmonella and staphylococcus, in greater quantities than milk donated to milk banks, where it is pasteurized and either sold or dispensed with a prescription to premature babies.

Morgan Latimer, a 27-year-old mother of two with one on the way, says she relied on 18,000 ounces of donated milk to feed her youngest. Frustrated by the study’s depiction of the online milk sharing culture, Latimer explained to TIME why she will continue to use non-pasteurized milk from milk donors and is stocking her freezer right now, despite the new findings.

(MORE: Why New Mothers Stop Breast-Feeding)

Here is her story, as told to Allison Yarrow:

In his first 22 months of life, my youngest son was nourished with breast milk from about 30 women, myself included. I have insufficient glandular tissue (IGT) and don’t produce much milk. I tried everything, including medication and herbs, to stimulate milk production but nothing worked.

My midwife introduced us to milk sharing. Her clients donated breast milk to supplement my milk. Some would nurse him for me. The first time I watched him nurse from another mother was emotionally really hard. I wanted to be the one to give him milk, but he thrived on donor milk. He immediately started gaining weight, he was sleeping better and he was not unhappy anymore. Breastfeeding is so much more than just nutrition—I could still breastfeed my baby but also supplement with the best substitute available.

My husband and I have driven all over the state of Florida, where we live, for breast milk. It’s important to me to know who I’m getting milk from, to see that they are nice, and have a clean home and healthy children. The first time I picked up milk from someone I didn’t know was nerve-wracking. I asked the questions most recipients ask—did she smoke cigarettes, drink alcohol or take medications? Some medications are breastfeeding friendly, and I wouldn’t mind if she had a glass of wine at night or something, but I’m not comfortable accepting milk from a smoker. Her three month old was thriving on the same milk she was giving me, which was such a comfort.

(MORE: Is the Medical Community Failing Breast-Feeding Moms?)

Once I met a working mom in the back of a Lowe’s parking lot. I always replace donor’s Ziplock bags designed to hold breast milk for them so they don’t have to cover that cost. For longtime donors, I always gather together a gift. For one mom we regularly picked up from, I bought her a pendant on Etsy that an artist made from that mom’s breast milk. It had two white hearts on it—one for her baby, one for mine, and she can wear it around her neck.

Buying breast milk from someone online is totally different than finding a donor using a milk sharing website like Eats on Feets and meeting face-to-face. Mothers who sell their milk online are more likely to be doing it for financial gain; mothers who donate their milk to women like me, are doing it because they believe all babies deserve breast milk–two opposite crowds of people.

I never considered using a milk bank because I prefer unpasteurized breast milk, which is full of the natural antibodies killed off in the pasteurization process banks use. Milk banks are also expensive to use, charging as much as three to five dollars per ounce. When my son was really little, I was using between 25 and 30 ounces each day, and milk purchased from a bank could have cost as much as $150 per day.

(MORE: 20 Ways to Make Breast-Feeding Easier)

I’ll try to exclusively breastfeed my third child, due in March, but I accept that I’ll likely need to supplement again. I’m already stocking the freezer with donor milk, and I won’t stop using milk from others because of this study criticizing it.

This new study may represent the buying of milk, but not the sharing of it.  I believe that the study was inherently biased in favor of milk from milk banks. Purchased samples were sent to a rented mailbox, and according to the report, most of the bacteria growth happened during transit. If you ordered frozen meat in the mail, and it arrived thawed and warm, would you serve it to your family? No, you would toss it and complain. Same thing goes for breast milk. Comparing the process the researchers used with the way that a mother would handle the milk sharing isn’t fair. With my children, I’m careful, storing milk in a deep freeze and getting to know donors personally.

(MORE: More Breast-Feeding Could Save Billions and Prevent Thousands of Breast-Cancer Cases)

Women who give their breast milk on top of feeding their own babies are selfless. It’s a special gift, and no thank you could ever be enough to show my gratitude.

(You can find more about the  Human Milk Banking Association of North America here.)

8 comments
AmyMcKeeGalloway
AmyMcKeeGalloway

Women who sell breast milk do it for the money, women who donate do it because they can and want to know that another tiny person is benefiting from breast milk.  The moms who donate milk certainly have no desire to harm a child, and as such I have yet to meet a woman who donates through local networks that isn't willing to show her pregnancy lab work if asked, to put the donor mom at ease.  These women do it because it gives them joy to see another family/child benefit from something that they are lucky enough to have enough to share!

DMGCNM
DMGCNM

Morgan you are such a Super Great Mom! Your dedication to feeding your babies the best milk ever is impressive!

Scientist
Scientist

"It’s important to me to know who I’m getting milk from, to see that they are nice, and have a clean home and healthy children."

Because no one with a nice clean home and healthy children could possibly be infected with HIV or TB and not realize it.  Blood tests, folks, no donor milk without blood tests.

CaseyStoneClarke
CaseyStoneClarke

This is one of the best articles I've read in a while. Thank you for writing this and good luck mama! 

TimeThoughts
TimeThoughts

After my son was born I dontated milk to an adopted baby whose adoptive mom could not make milk (yes, you can make milk even if you haven't given birth http://asklenore.info/breastfeeding/induced_lactation/gn_protocols.shtml) I did all the blood tests required of blood donors to make sure I would not give my milkbaby any diseases I didn't know I had. (As recommended by http://milkshare.birthingforlife.com/donorscreening)

When we were preparing to adopt I started preparing to breastfeed our prospective baby. For 11 months I filled my freezer with milk that I pumped each day. When she was born I was able to provide most of the milk she needed, fresh from the spicket, so to say. I only needed about 2 ounces of my frozen milk each day. Then when she was a month old we had a freezer accident and I lost 75% of my stored milk. Although I was able to get her to 5 months with only my milk, I then had the choice of formula or donated milk (milk bank milk was too expensive to be an option.) I opted for donated milk and insisted all my donors do the same bloodwork I did. Naturally they all agreed. All my donors lived within a couple hours of my house. The milk was all solidly frozen when I picked it up. Of course I had concerns my baby could get a disease from these people, no matter how nice they seemed. At the same time poisons were found in US made formula. I don't remember what it was, but it was a potentially fatal poison. So, no matter what I fed my baby there were always risks. I made the choice for milk that was made by nature for a human baby. 

She's 5 now. I am so grateful to the women who helped me grow my baby. I would not buy milk from a stranger. If that's their motive, then I'm not comfortable with that. On the other hand, I can see a stay at home mom who needed money using this as a viable option to support her family without having to leave HER baby. 

I am a RN that has worked with a lot of doctors. Some doctors are open-minded and interested in improving medical practice over what it's been before. Many doctors have strong egos and need to always be right and will go out of their way to challenge anything that contradicts what they've always said and done. When I look at the information shared about this study, I think it's likely the second in this case. They were measuring the milk that had bacteria growing on it from transport? Does that mean it was partially thawed on arrival? And they were using a rented mailbox? I would NEVER ship milk to an unmanned address. When I shipped the last of my donated milk to a newborn (my daughter was a year old so I gave the surplus milk to a baby who needed it more than she did) I packed it with so much dried ice that it was practically too heavy to move. And I paid extra to have it arrive before 10 a.m. and I made sure someone would be home to receive it. So, if they're going to do a study, they should at least do one that mimics reality.

DMGCNM
DMGCNM

@Scientist Most HIV or TB moms aren't breast feeding a happy 3 month old baby!


Scientist
Scientist

@DMGCNM @Scientist http://www.ncbi.nlm.nih.gov/pubmed/20231217

3.3% of women who tried to donate at a milk bank were turned away because they tested positive for a contagious disease.  These were women who thought they were healthy, knew they were going to be tested, and were presumably breast-feeding their own babies.  

I'm not saying there should be no donor milk, but I am saying you should insist on blood tests, especially if it's someone you just met.  Yes, your baby probably won't get HIV, but why take the risk?  Formula really is a reasonably decent substitute, and the powdered kind freshly mixed with boiled water is pretty darned safe from food poisoning.