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Human Milk 4 Human Babies » Frequently Asked Questions

Frequently Asked Questions

Q: What is the mission of Human Milk 4 Human Babies Global Network?

A: The mission of Human Milk 4 Human Babies Global Network is to
promote the nourishment of babies and children around the world with
human milk. We are dedicated to fostering community between local
families who have chosen to share breastmilk.

Q: What is informed choice?

A: Informed choice
is a choice made by competent individuals, free from coercion, that
takes into account sufficient information to make a decision. This
information should include the benefits and risks of a course of
action, as well as taking into account what alternatives are available,
and an individual’s intuitive feelings on the subject.

Q: How does it work?

A:
* Find your local chapter on Facebook.
*
Post on the page if you would like to donate or receive breastmilk.
Different communities will use Facebook’s features in various ways:
some pages use the Wall exclusively, some pages use a third-party forum
application, and some pages use a combination of both.
* Talk to other mothers on the Wall and check for reminders posted there.
*
If you see a post from someone who is a potential match for you,
contact them directly via private message or on the related post. Here
are some guidelines for safe social networking.

***It
is in the spirit of informed choice that milk sharing on these pages
will occur, and all people posting here will take complete
responsibility for the outcome of milk sharing.***

Q: What does HM4HB Global NOT do?

A:
* Support or approve of the selling of breastmilk on our network.
* Provide medical advice or clinical care.
* Screen donors or recipients.
* Provide contracts or questionnaires.
* Decide who should receive breastmilk.
* Collect, store or distribute breastmilk.
* Receive money, payment, donations or funding of any kind.
* Reimburse volunteers/supporters.
* Act as mediators or advisors if difficulties or misunderstandings occur between parties.
* Accept liability for the outcomes associated with sharing breastmilk.
* Expect mothers to try to increase their supply in order to donate or receive milk.

Q: What may be expected of me as a donor and/or recipient?

A:
Expectations will vary depending on the family shared with and the
donor. You can work out the details together until you are satisfied.
Openness and honesty is expected, as well as full disclosure, on the
part of all parties involved. The principles of informed choice are of
utmost importance in the context of peer-to-peer milk sharing.

Q: What if I am unable to reach an agreement with my donor/recipient or I don’t feel comfortable receiving/giving milk?

A: If the recipient does not feel comfortable with their donor,
or vice versa, (s)he is under no obligation to participate in milk
sharing with that person. Please post on your HM4HB Global chapter to
find a more suitable arrangement. HM4HB Global is not responsible for
the outcome of any milk sharing arrangements.

Q: What can I do to provide to my baby the safest possible breastmilk?

A:
Full disclosure reduces risk. Suggested points of discussion can
include medications, alcohol and drug use. In many countries, testing
for infectious diseases is done during routine prenatal/antenatal care.
You may be able to consult a health care provider to obtain further
testing if desired. Some diseases to consider are HIV, hepatitis B and
C, syphilis, HTLV, as well as cytomegalovirus (CMV) and tuberculosis.
You can ask for copies of those test results.

If you cannot get a complete picture of the health of your donor, one option is to look into at-home pasteurization.

Q: Is it possible to pasteurize breastmilk at home? What pathogens are destroyed by this process?

A:
There is a simple, low-tech form of flash pasteurization, called
“flash-heating,” that can be done on stove-top at home. Research
indicates it can destroy a number of pathogens while retaining the
greatest amount of beneficial properties of breastmilk when compared
with other types of pasteurization. This process can be done by the
recipient just prior to feeding the baby. See this straight-forward explanation for a “how-to” on flash-heating.

Q: How (and for how long) can milk be stored?

A:
Expressed milk can be stored in various breastmilk containers following
the manufacturers’ instructions. Noting the date on the container will
make sure it is consumed within a safe time frame. Storage times will
vary based on where it is stored. This link gives information on storage.

 

Q:What can I do to reduce the risk of contamination?

A:
Whether you are using hand expression, a pump, or wet nursing, your
hands and supplies should be clean and dry, and your breasts should
also be clean and free of sores or blisters. Your pump manual will
have information about how to properly use and clean your pump. For
more information on hand expression technique, see this video. Also, this page may also be useful.

Q: My baby is healthy, can I still ask for donor milk?

A: Absolutely. There does not need to be a medical reason for
your baby to have breastmilk. Human milk is for human babies and
children. The Global network does not prioritize recipients, but simply
offers an online space where families can connect and make informed
milk sharing choices. You can ask for milk for your child at any time
and for any reason, regardless of age.

Q: My baby is 4 months old, can I receive milk from a donor whose baby is 12 months old?

A:
As babies grow and mature, their nutritional needs also change. It is
therefore ideal for donor breastmilk to either come from a mother whose
baby is around the same age or from a mother who pumped when her baby
was around that same age. However, as per the World Health
Organization’s guidelines, in most circumstances human milk is
preferable to milk substitutes, even when there is a difference in age.

Q: Do I have to use a bottle to feed my baby donor milk?

A:
No, many mothers use an at-the-breast supplementer to feed their
babies. This device includes a container attached to a small feeding
tube that is either taped to the breast or placed inside the baby’s
mouth while the baby is latched onto the breast. This allows the baby
to receive the donor milk while still stimulating mother’s breast and
taking in any milk she is making. While this device can be purchased,
you can also make your own. Some families use a small cup, a dental
syringe, a spoon or other methods.