Because it could be my baby

Certain things are supposed to happen a certain way. We can accept, if begrudgingly, that sometimes things don’t go as they are “supposed” to, we can make allowances for the times when a curve ball is thrown and we swing hard only to strike out. For many of us, when it comes to breastfeeding, that’s what formula is for. When what is supposed to work doesn’t.

But did you know that formula is the 4th and last option the World Health Organization recommends as a substitute for a mother breastfeeding? The WHO ranks infant nutrition in this order: 1) direct breastfeeding; 2) the mother’s pumped or expressed milk in a bottle; 3) another mother’s donated human milk, and 4) artificial breastmilk substitute.

Look a little further into breastmilk it’s not difficult to see why. From lower infant mortality rates to a marked reduction in SIDS, from lower childhood obesity to disease fighting antibodies, from optimal nutrition to increase protection against allergies, and new studies showing that stem cells are present in breastmilk as well. And then there are the risks associated with formula feeding. With all this and then some, it is no wonder that donated breastmilk ranks higher in priority for infant nutrition than artificial breastmilk substitutes, AKA formula. So when things don’t work how they are supposed to, for whatever reason, and pumping isn’t a viable option, again for whatever reason, then before reaching for formula the World Health Organization recommends families find donated breastmilk.

The problem is how difficult it can be to get donated breastmilk as Karen shared in a guest post not too long ago. Whether it be via milk banks through such organizations as The Human Milk Banking Association of America or informal direct donation as found through places like MilkShare, Human Milk 4 Human Babies, or Eats on Feets, there simply isn’t enough donated milk available. And the price can be prohibitive even through direct donation if shipping is involved. This further complicates the problems of what was supposed to work, not working.

I am a milk donor. I have 4 milk babies and all of them came to their families through adoption and though their mommies tried, they were unable to induce lactation or relactate to a point to fully meet their babies needs. It has been an honor to assist these families and something I am proud of. All of my milk donation has been through informal, direct donation. Sometimes the need is because of adoption and sometimes it is for physical reasons where the mother is unable to breastfeed or has insufficient milk production. This past week I read several stories from families needing milk but one in particular stood out: a father looking for donated breastmilk for his newborn baby boy. This mother had planned to breastfeed when her son was born at the end of August and she did, for 6 days until she died unexpectedly in her sleep. Now, to honor his wife’s wishes and to do the best he can for his son this father is looking for donated breastmilk. MckMama blogs about the situation, her emotional response to it and drives this father’s plea further in her blog piece “The Post In Which I Ask For Your Breastmilk” asking for more lactating women to step up and help this family get the milk this little boy so needs. When I read this story and others, my mind jumps to the bags of frozen milk in my freezer and I wonder if I could increase my supply to meet these needs. Somehow, some way I want to personally provide every baby in need of breastmilk with enough milk to meet their needs. Even as I write this my eyes fill with tears again because of this tragic situation and as I fight the sting I realize something.

I donate because it could be my baby.

Because it could be my breasts that didn’t produce enough or even any milk.

Because it could be my baby born in my heart but came from the body of another woman.

Because it could be my breast surgery done when I didn’t think about breastfeeding my future babies.

Because it could be my baby born too early or with other complications and it could be my breasts that don’t produce enough through expressing and pumping.

Because it could be my health failing, it could be my heart surgery, my cancer, my complications.

Because it could be my family grieving my death and my husband looking for milk for my baby.

Because it could be my baby that needed the milk of another woman and I hope it would be there.

A few months ago a friend was very close to having her little boy and she sent me an e-mail asking me a favor: should she die would I please help her husband find breastmilk for their new baby? I wanted to tell her not to think like that, only positive thoughts going into birth but something held me back. The pure honesty in admitting a fear that I have pressed down in myself demanded an honest answer. Yes, I would do it. I also told her that I understood her fear. Because I do. In that moment all the statistics in the world don’t matter, what matters are the ones that will become the reality for you family, for your baby. And you need to know there are provisions should you need them. Because it could be your baby.

In the case of my friend, she and her little guy are doing well and I am grateful I did not need to help her husband find donor milk for their son. This other family was not so fortunate and they do need donor milk. As do many others. There are far more babies who do not need donated breastmilk than do but for those that are in need the difficulty and expense in finding human milk can be too much. For these families to follow the recommendation of The World Health Organization and get donated breastmilk for their babies we need more donating moms. Have you ever wondered for even the briefest moment if your baby was getting enough milk from your breast? Have you ever been concerned that your health or medications you require could prohibit you from breastfeeding? Or have you ever let your mind wander to the fear of you not being able to get to your baby in the case of some kind of disaster or emergency? Then you can understand a fraction of the worry a mother or father with a baby in need of donated breastmilk. If you are one of those mothers or fathers please know that my heart, and my milk, goes out to you. To any woman currently lactating or will be some day, would you consider adding even just one pumping session a day into your schedule to help out these families? If you respond well to expressing your milk, please consider becoming a milk donor either through safe direct donation or by becoming a screened milk donor with a milk bank in your area. Anyone with milk already stashed in your freezer but more than you require, please explore the possibility of sharing that milk if it isn’t more than 6 months old, passing it on to another family in need. If you are interested in helping the family whose story I shared briefly here please follow the hyperlink to MckMama’s blog for more information and check out this information on shipping frozen breastmilk if you are not local to that family or have found another family in need of milk but not in your area.  If you’d like to explore how you can donate to another family in need check out The Human Milk Banking Association of America, MilkShare, Human Milk 4 Human Babies, or Eats on Feets. Because it could be your baby.

Every human baby deserves to have the normal nutrition for a human infant: human breastmilk. To every lactating woman, past, present and future that has ever shared or will ever share even a drop of her milk with another woman’s baby I thank you. From the bottom of my heart, thank you. Whether you give through safe direct donation or through an established Milk Bank such as one approved by the Human Milk Banking Association of America, I thank you.

Because it could be my baby.


Please note:
For families looking for milk, it is important that you be informed on the potential risks of receiving breastmilk through informal donation vs. a recognized milk bank when making your decision. It is my personal opinion that there is room for both direct donation and milk banks, both are important.  I do advocate informed decision making and safe practices either way, whatever you do, may it be an informed choice.  If you need human milk for your baby check out
The Human Milk Banking Association of America, MilkShare, Human Milk 4 Human Babies, or Eats on Feets,

I’d Like to Make a Withdrawal, Please

My friend Karen is such an incredible mother, giving everything she can for her daughters. Her story brings tears to my eyes and reminds me why I pump and donated my milk. I am honored to be bringing you this guest post.


Breast is best, and natural they tell me. Breastfeeding is apparently what these boobs I have been burdened with since a young age are made for . . . but my boobs didn’t get the memo. After working through some issues, I tried to breastfeed with my second child. But they would have none of it. There were three fundamental problems: 1) no milk, 2) faulty design and 3) lack of support. This led me with only 1 option, I had to make a withdrawal from the local milk bank.

I spent the entire first trimester of my pregnancy hooked up to an iv to sustain bare minimal hydration and nutrition thanks to a pregnancy disease known as Hyperemesis Gravidarum (HG). There were times when it took 5 nurses 8 attempts in over an hour to get an iv started. They called in the big guns, the nurse they sweared could ALWAYS get an iv started. Ah, but my body, it was bound and determined to foil even she. So finally they put in a port, sent me home and a nurse came to my house every 3 days to check it and change the location if needed. My wonderful husband set his alarm clock for 3 a.m. so he could wake up and change my iv bags. In my third trimester, I was hospitalized another 3 times for extreme dehydration. So it shouldn’t be surprising, but it was emotionally devastating, when I tried to breastfeed and simply couldn’t. Apparently, in basic math terms, 9 months of extreme dehydration=no milk.

The faulty design problem became apparent when it turned out there was no nipple for the baby to attach to. A lactation consultant was called in to, well, consult. She walked in, tore open my hospital gown with no announcement or, better yet, permission and declared, “yep, you have flat nipples.” Nice. Since I had given birth the day before Thanksgiving, everyone seemed more in a rush to make pies than to help a struggling mother so their basic advice was to pump as it would help bring the nipple out and the baby could create a latch. So I sent my husband to the store and he bought a pump and we were on our own for the next few days.

So here I was, trying to breastfeed and my days went something like this: Feed the baby for over an hour, because she wasn’t really get any milk. Pump for two hours, and get half an ounce. Feed the baby for over an hour. Pump for two. All I did was feed and pump, pump and feed. And cry. Remember that excellent husband I mentioned above, here he made a misstep. One day as I cried about it all, he suggested that maybe I was doing it wrong. Or was, in subtler but no less stinging words, a failure – and maybe I should just give up.


Our pediatrician wrote me a prescription for a medical grade pump, which failed to deliver on its promise quite frankly. And the lactation consultants, there is apparently only one in our county, failed to return the messages I left over Thanksgiving weekend. We were, as they say, winging it – and quite unsuccessfully at that. Then, the unimaginable happened, my baby developed severe GERD. There were frequent trips to Children’s hospital (seizure like episodes, apnea that resulted in her turning blue) and the recommendation was that we try changing formulas (we were supplementing as we tried to navigate our bfing nightmare). In the end, we had to use an amino acid based formula to minimize her symptoms that she is quite frankly still struggling from at 20 months.

In all of this, I did a ton of research, which is where I stumbled upon the idea of a breast milk bank. What a glorious idea I thought. I wanted my baby to get the health benefits of breastmilk but couldn’t deliver traditional, but now there appeared to be a nontraditional way for me to help my baby get what was best. So I called the nearest big city hospital and due to my baby’s feeding issues it was determined that I would qualify to purchase breastmilk with a prescription from my doctor. My doctor was a little more fuzzy on the idea: He was worried about sanitariness. And of course since my baby appeared to have food allergies, well – that was a different concern. But in the end we all agreed that I really, really wanted my baby to have the health benefits of breastmilk and it couldn’t hurt to try.

Well, it did hurt my pocket book. Donor breastmilk was almost as expensive as the amino acid based formula I had to buy. In the end, we could only afford to give her 1 6 ounce bottle a day for about 3 months. But, they say that a little is better than none and I hope that is true. My secret hope is that the antibodies from the breastmilk helped to make her food allergies less severe. I will say that despite her incredible issues with food (I mentioned she has incredible issues with food, right?)- she has had no other types of illness. No flu. No colds. No croup. A couple of ear infections that didn’t require treatment, but that was more than likely from the food allergies.


Since donated breastmilk from a hospital bank is pasteurized, there is some question as to how the antibodies compare to unpastuerized breast milk. But again, I am going with the some is better than none theory unless science comes back and tells me differently. I have heard that some moms are able to get donated milk from someone they know that is unpasteurized making this a moot point. I did the best that I could do for my baby – and I hope that other moms will have the opportunity.

To tell the truth this isn’t really that bizarre of a concept – when the Earthquake in China killed many of its citizens a couple of years ago, one of the stories that came out was about how one woman breastfed some of the orphaned babies to keep them alive. Imagine the generosity involved in giving not only of your nutrients, but your time and body in this way.

I am very thankful to the women that donated breastmilk to the bank I used. And now I encourage everyone who can to do so. There are many medical reasons why a woman may be unable to breastfeed, and donated milk can help their babies get the gift and benefits of breastfeeding. Do research to determine where a milk bank near you is and sign up to be a donor – it was such a blessing to my family, and it will be to many more. I am not the only woman who is looking to make a withdrawal.

Jenna, Gianna and Athena- Breastfeeding after Breast Reduction Surgery


We’re happy to share a guest post by our friend Jenna and her breastfeeding experience. Heather has breastfed two little girls so far and has overcome some serious obstacles to do so. A story of love, determination and commitment, Jenna share the heartache, joys and triumphs she has experienced in her breastfeeding journey. We appreciate Jenna’s voice and her sharing her story with us. We hope you enjoy and are as inspired as we are by her story.

The only thoughts going through my head the day my surgeon set the date for my breast reduction was how the pain in my lower back and shoulders would finally go away and my self esteem would return. Living with a tiny body and DD breasts was not easy. Little did I know that by signing on the dotted line, I was also signing up for a world of heartache many years later.

I fell pregnant with my first daughter in August 2006. In the first seven or eight months I carried her, I honestly didn’t give nursing much of a thought. I’d considered it. But my husband and I had stocked up on freebie Enfamil samples and bottles. I bought and skimmed Diane West’s book on everything I needed to know about breastfeeding after reduction surgery and it was all so overwhelming. I joined an online forum, BFAR.org, in hopes that these wonderful women could translate all the lingo.

As I approached my due date, something started to change. I started to feel myself veering onto the unpaved path, away from the mainstream. I signed up for a midwifery-led birth, I started reading more and more about breastfeeding and even attended a few Le Leche League meetings in hopes of meeting someone like me.

Gianna was born on April 25th, 2007 via c-section and when I met her for the first time back in my room, something just clicked. I was this child’s source of nutrition and protection always. I nursed her then for the first time. She latched like a champ and the lactation consultants were impressed. But it wasn’t always bliss.

The first several weeks were torture. I’m not talking about the raw, cracked and bleeding nipples torture. I’m talking about the little to no weight gain torture, the fussy baby at the breast torture, the feeling of not making enough for your baby torture. I gave Gianna a bottle of formula for the first time after nursing her at around 3 weeks old. She hadn’t gained back enough to reach her birth weight and although the pediatrician and lactation consultant insisted I was doing all I could and urged me to not begin supplementing just yet, I followed my mama instinct. She gulped that bottle down and wailed for more. I think she took four ounces that night and I’ve never cried so hard in my entire life.

I refused to be a formula feeding mother so I started taking BFAR’ing a little more seriously. I researched galactagogues, I started pumping after every feeding and I ordered Medela’s Supplementary Nursing System (SNS). I loaded up on fenugreek, blessed thistle, domperidone, goat’s rue and tinctures and teas and oatmeals. I’d been a member of a due date forum on a “mommy board” of sorts and one of the women there offered to ship me her pumped breast milk. She remained Gianna’s donor for months until she returned to work and needed to pump exclusively for her son. Gianna had two more donors after that but we also had to use formula. I hated it but at the end of the day my daughter was breastfeeding and was getting well over 60 percent of her supply from me.

The SNS does not allow a mother to be discreet so nursing in public became my norm. If I wanted to go out then I was certainly going to have feed my child. It sucked having to experience the inconvenience of lugging around bottles of milk (to be dumped into the SNS when time) and a cooling bag and everything a formula feeding mother needs but I felt proud that I was doing what a lot of women in my position say they’d never do.

The camaraderie I found on the BFAR.org forum was the only thing that kept me positive a lot of the time. My family and even my husband urged me to give up the stress and bottle feed my daughter. But if anyone truly knows me, they know I don’t go down without a fight and this was my fight to win.

Soon both my daughter and I got the hang of the SNS. Months went by and there was never a glitch in the program. It was our new normal and we were okay with it.
Gianna nursed with the SNS until she was 15 months old. I weaned off the herbal supplements and medication I was on and then I weaned her from the SNS. She continued to nurse on whatever I made alone until she was 26 months old.

I gave birth to my second daughter three weeks ago. I established a committed, full time donor months ago and have a breast milk stash anyone would be envious of in my deep freezer. I started the domperidone and herbal supplements the day she was born. Athena is a happily breastfeeding baby. Together with the help of her milky mama, she will be fully breastfed for as long as her little heart desires.

Heather and Darin’s Story

We’re happy to share a guest post by our friend Heather and her breastfeeding experience. Heather has 3 children and 3 totally different breastfeeding experiences. She wanted to write to reinforce the last guest blogger. Today is the second and final segment of Heather’s story.

Heather and her children today.

I was fortunate to have a super-healthy 2nd baby, and experienced 18 months of wonderful breastfeeding with him without complications.

My 3rd child, Darin, was born to me by adoption. He was a 33-week preemie who also has Down syndrome, and I really wanted him to have the benefits of breastfeeding. Unfortunately, I did not have a long time to study the inductive lactation protocol. By the grace of God, the time from when we entered the adoption process, to when Darin was in our home was 5 weeks.

But I still had to give it a shot. After such a successful experience of pumping, and breastfeeding, I was certain that my body could figure out how to feed Darin.

So, I found a friend who had ordered Domperidone from a Canadian pharmacy to help with her milk supply, and I started taking this medication that has a common-side effect of lactation, even in men! I started pumping every 2 hours.

And a little milk started appearing.

A.little.milk.

Like drops.

By the 4th week, a whole days pumping would yield 8 oz. And I had gained 8 lbs.
But the good thing was, Darin was a strong baby. While still in the NICU, he was drinking 4 oz bottles of formula. So, when I put him to the breast, he knew what to do. And even though he didn’t get alot of nutrition from me, we did gain in our bonding from this.

I had to weigh the personal effect of gaining weight so rapidly (others reported 25 lbs of gain during the inductive protocol), against getting 1 bottle of milk per day. And the milk was very watery, thin, and white. Not what hearty breastmilk looks like.
So I gave up the idea of making the milk for Darin, and started working on the next-best thing:
Find donor milk!

I found a huge network of women in my area that were breastfeeding moms who pumped either for work, or just to have a stockpile, who would share with us.
Each week for about 2 months, I’d drive house to house to pick up 3, 10, 15 bottles of milk.
And then I hit the mother-load! There was a mom who had filled an entire deep-freezer, and her son never took a bottle! She donated the whole freezer to Darin. He ate off her for 1 whole month.

Darin today.

Fortunately, due to Darin’s prematurity, Darin was eligible for pasturized donor milk through the Mother’s Milk Bank in Austin. Insurance began to cover a weekly shipment of frozen donor milk to feed Darin from 4 months old until he was 1 year old. Such a gift.

Heather and Darin’s Story

We’re happy to share a guest post by our friend Heather and her breastfeeding experience. Heather has 3 children and 3 totally different breastfeeding experiences. She wanted to write to reinforce the last guest blogger. Today is the second and final segment of Heather’s story.

Heather and her children today.

I was fortunate to have a super-healthy 2nd baby, and experienced 18 months of wonderful breastfeeding with him without complications.

My 3rd child, Darin, was born to me by adoption. He was a 33-week preemie who also has Down syndrome, and I really wanted him to have the benefits of breastfeeding. Unfortunately, I did not have a long time to study the inductive lactation protocol. By the grace of God, the time from when we entered the adoption process, to when Darin was in our home was 5 weeks.

But I still had to give it a shot. After such a successful experience of pumping, and breastfeeding, I was certain that my body could figure out how to feed Darin.

So, I found a friend who had ordered Domperidone from a Canadian pharmacy to help with her milk supply, and I started taking this medication that has a common-side effect of lactation, even in men! I started pumping every 2 hours.

And a little milk started appearing.

A.little.milk.

Like drops.

By the 4th week, a whole days pumping would yield 8 oz. And I had gained 8 lbs.
But the good thing was, Darin was a strong baby. While still in the NICU, he was drinking 4 oz bottles of formula. So, when I put him to the breast, he knew what to do. And even though he didn’t get alot of nutrition from me, we did gain in our bonding from this.

I had to weigh the personal effect of gaining weight so rapidly (others reported 25 lbs of gain during the inductive protocol), against getting 1 bottle of milk per day. And the milk was very watery, thin, and white. Not what hearty breastmilk looks like.
So I gave up the idea of making the milk for Darin, and started working on the next-best thing:
Find donor milk!

I found a huge network of women in my area that were breastfeeding moms who pumped either for work, or just to have a stockpile, who would share with us.
Each week for about 2 months, I’d drive house to house to pick up 3, 10, 15 bottles of milk.
And then I hit the mother-load! There was a mom who had filled an entire deep-freezer, and her son never took a bottle! She donated the whole freezer to Darin. He ate off her for 1 whole month.

Darin today.

Fortunately, due to Darin’s prematurity, Darin was eligible for pasturized donor milk through the Mother’s Milk Bank in Austin. Insurance began to cover a weekly shipment of frozen donor milk to feed Darin from 4 months old until he was 1 year old. Such a gift.