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Why I Don’t Support Importing Or Selling Human Milk For Profits

This week a story has hit media outlets about an Indian company looking to sell breastmilk in Australia.  Every now and then the topic of commercialising the sale of human milk comes up, and it makes me shudder.  I am a big fan of milk sharing, but I feel commercialising it is wrong.

The main thing that makes a commercialised milk bank sound attractive is the idea that we could earn money from our milk.  Instead of families donating their excess milk for goodwill, there would be remuneration involved.  As a breastfeeding mum who has the ability to express far in excess of what we need, this is appealing to me.  If you have not returned to work due to family commitments, the idea that you could earn some money from doing something that you already do for free is obviously tempting – plenty would agree.

As it currently stands in Australia, if you donate breastmilk, you do it for nothing.  Well, not really nothing, I mean you get to know you did something really really good for someone else, and you might get some good karma in return.  But no one donates their milk for a profit, and that fact has always made me feel comfortable about the type of people who are doing it, and therefore the level of risk involved with the whether the donor uses illegal drugs or has any diseases that can be transferred through their milk.  But if people stand to profit from the sale of breastmilk, the risks become unacceptably high.

Imagine families that are so desperate for money, that they deprive their own children of the milk that was intended for them, opting to give them a less valuable (and less healthy) option.  What if people began selling their milk to fund their drug habits?  If money is involved, where’s our guarantee of clean, safe milk?  Will people lie about their health or disease status because they need the money?  Will people in key positions within businesses become open to bribery? Or what happens if the milk bank can’t source enough milk?  Will they dilute the product they have with water or other substances to stretch it out, so they can make more money from less milk?

And then if we are paying people for their milk, that means the cost of the pasteurised product increases.  Do we want to get into a situation where only the very wealthy can afford to pay for human milk?  Will the milk go to whoever needs it the most, or will it go to the person who can pay the most for it?  I donate my milk to to families – I wouldn’t donate it to body builders.  If I sell my milk to a business, they will sell it to whoever has the most money, not to whoever I want it to go to.

The situation in the news this week was about a company selling milk from India.  India has previously been in the news for their “baby farms”, where women are paid for their unwanted babies.  Some baby farms hold women against their will, forcing them to carry babies and then taking them away to be sold to wealthy foreigners.  Will someone start running illegal “milking farms”, where women are held against their will and forced to lactate, so that criminals can sell the product for a profit?

Abbie (also pictured above) with human milk ready for donation. Her mum Sarah Hopps expects nothing in return for her milk.

In Australia, we have a few not-for-profit milk banks.  “Not-for-profit” doesn’t mean that everyone works for free, and it definitely doesn’t mean they operate at a loss, or are “pro-defecit”.  It doesn’t mean that one person has to fund the project from their own pocket.  Generally they focus their resources on finding donated milk from families with a child up to 6 months old, and most of the milk is sold to hospitals for premature or sick babies.  The milk is sold at a rate that is designed to cover the milk bank’s operating costs (eg pasteurisation, storage, staff wages and then all the usual overheads, like rent, utilities, etc).  It means that the income generated by the milk bank is invested back into the business to maintain and possibly improve their services.

I wish that our current milk banks could take donated breastmilk from families with kids older than 6 months of age.  I wish that they could provide milk to the wider community, and not just babies who are premature or sick.  I wish that those who choose to give away their milk could be rewarded in a meaningful way (although the love and goodwill IS valuable).

And I hope that one day our governments will realise the value of breastmilk, and see that investing in milk sharing is an investment into the health of our nation and will therefore decrease health costs in the future.

But I will never support commercialised milk banking.

Did you know you can also donate your milk informally?  Human Milk 4 Human Babies and Eats On Feets are two organisations that facilitate peer-to-peer milk sharing

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Milk Sharing Networks – When things just work!

BreastmilkI want to share a story about milk sharing that happened recently.  I apologise if it seems a bit disjointed – I didn’t learn about the whole story chronologically.  I have also made some creative changes to names.

Emma from far North Queensland recently gave birth to her third child, a boy named James.  She was staying with family in the Hunter Valley, NSW, while recovering from the C-Section birth of her son.

James wasn’t gaining weight.  Emma sought help from doctors, but she was left with a routine of feeding and expressing that was unachievable, given she had two young daughters to also care for.  She wasn’t getting a break between feeds/pumps and nor was she expressing enough for the top ups.  So she ended up supplementing with 20ml top ups of formula, given by a syringe.  She understood the risks of nipple confusion and did not want to jeopardise her future breastfeeding relationship.  Emma didn’t expect to experience this problem after successfully breastfeeding her two older children.  She expressed this frustration to an aunt and cousin.  Her cousin suggested Emma try to see Amanda Pauley, a local IBCLC.  Amanda had a very good reputation for helping breastfeeding women, and had saved many breastfeeding relationships with her ability to identify tongue ties.  Emma’s aunt piped up that she was a patient of Amanda’s husband Jon, who was a GP.  Emma’s aunt agreed that Amanda had a very good reputation.  While Emma continued trying to juggle everything, a few days later her aunt called. “I hope you don’t mind, but I’ve booked an appointment for you to see Amanda”.

Emma went along to the appointment.  Amanda found a tongue tie and had it corrected at the appointment.  She then addressed the top ups.  Baby James was 6 weeks old and still had not reached his birthweight, so top ups would continue to be necessary for the time being, however Emma would be switching from syringe to an SNS. SNS Emma expressed an interest in donated breastmilk, and had a cousin named Lauren who had posted on Facebook about it before.  Amanda knew a Lauren too – Amanda had attended to Lauren’s second daughter when she was a newborn, and Lauren also ran a large breastfeeding support group on Facebook and had previously worked with Amanda through an organisation called BANC (Breastmilk Advocacy for Newborns Collective).  In a town with a population of around 70,000 residents, Amanda knew Emma’s cousin Lauren (that’s me!).

Long story short, Emma was able to swing past my house on the way home from her appointment to collect 400ml of breastmilk that was stashed in my freezer.   In a society where many women are happy to supplement with formula, this feels like a miracle, but it was not complete chance that facilitated this breastmilk transaction.

  • Some professionals are informed enough to educate parents on the subject of comparative risks between formula and unpasteurised breastmilk. In this case, Amanda helped reduce the level of risk by offering to refer the donor for a variety of blood tests
  • People are sharing information about milk sharing on social media, and other people are taking notice
  • Milk sharing happens frequently around in Australia, and I am blessed to be a part of a very active milk sharing network in the Hunter/Newcastle area. If I did not have 400ml of breastmilk available to share with Emma in my freezer, it would not have been a huge feat for me to source it for her from another donor.

While I am chuffed to be involved in this particular incident of milk sharing, I can’t take credit for the ease in which it happened.  Higher powers were at work!  Sharing information about milk sharing, being vocal about participating in it and demanding our professionals are up to date with their information are making massive inroads into normalising breastfeeding, and with it, milk sharing.  Emma may not have been as open to the concept of donor milk if the term and concept were completely foreign to her.  She may not even have considered seeing an IBCLC so far away from home had it not been facilitated by two other relatives.  Thanks to this chain of events, I get to look forward to seeing James thrive, now that his medical issues have been addressed, and I feel some personal satisfaction that I have, in a very small way, helped contribute to his growth.

The current generation of mums are starting to appreciate the importance of breastmilk and want better solutions to their breastfeeding problems then to simply offer a bottle of formula instead.  Reading an article here and sharing something there may not feel like it’s going to make a big difference, but all of these small things are contributing to a big mind-shift in the way we feed our babies.  Thank you for being a part of this change!

 

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