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Hi Nona:
If I don't produce enough daily milk and my Traditional Surrogate doesn't pump (she may go back east after the birth), then Lenore mentioned that you set up a breastmilk exchange from hyperlactators? I'm interested. What's the basics on that? I would pasteurize it, right?


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Yes I recommend pasturizing now. Lenore has come up with a wonderful way to do it. What I do is match you with a donor. You would then send the donor a cooler and a fedex number and either gerber zip lock bags 4 packs or the money to replace hers 25.00. She would then fill the cooler to the top and ship it back over night. The money would be deducted from your checking account from fedex in a few weeks. With the way I have them ship. No dry ice is needed. Cooler is packed full and insulates itself. It arrives nicely frozen the next day. Ya know.. even if your surrogate moves back east... she can still ship you the milk.


Adoptive mommy to 4 , Last 2 adopted nursed. Youngest nursed till she was 5! Raising 2 grandbabies, as infants they were raised on donor breast milk smile
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Nona, what is the process of pasturizing the milk? Do you just boil it for a certain amount of time?! I am now starting to use my deep freezer stash from my two donors since I just became the proud Mama of fraternal twins! They are 16mths old today.

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HOME PASTEURIZING INSTRUCTIONS
by Lenore Goldfarb, IBCLC


1) Prepare the Jars:
I used the small 8 oz mason jars...the kind for jelly or jams by "Ball". I washed, and then heat sterilized the jars and caps in a large pot of boiling water for 10 minutes. I also sterilized a funnel. Meanwhile I thawed 9 six-ounce portions of frozen breastmilk in a different pot under hot but not boiling, running water.



2) Wash hands and wear gloves: Before attempting to process the milk, I washed my hands and put a brand new pair of rubber dishwashing gloves on my hands.



3) Fill Jars and place in pot filled part way with hot water: Once the jars and milk and funnel were ready, I poured the milk into the jars using the funnel, discarded the bags the milk came in and sealed the jars. Once all the jars were sealed I placed them in a pot with heated but not boiling water so that the water came to the ?shoulder? of the jar, a little below the lids. I turned up the heat and slowly brought the temperature of the milk up to 63.5 degrees Celsius (146 degrees Fahrenheit) and held it there as best I could for 30 minutes. Sometimes the temp climbed higher which is ok...as long as it doesn't go lower. This is called the Holder Method of Pasteurization.



4) Prepare jar with thermometer:To gauge the temperature I fashioned a temperature gauge in the following manner. I filled one of the mason jars with breastmilk, I covered it with stretchable plastic wrap, I made a tiny hole in the centre. I then took a 6-inch strip of aluminum foil and folded it in half so that it was now a square. I placed the square of double thickness aluminum foil over the plastic wrap and made a small hole in the centre. I lined up the hold in the plastic wrap with the hold in the aluminum foil and covered the jar so that the hole was in the centre. I carefully placed a candy thermometer through the hole. The reason for the plastic wrap is to create a vapour barrier and at the same time prevent the milk from coming in contact with the aluminum. I placed this jar in the pot with the others avoiding the center position because that is the hottest. You want to be sure that the temperature is AT LEAST 63.5 degrees Celcius (146 degrees Fahrenheit) in all the jars?.so place the jar with the thermometer in a position OTHER THAN the centre.



Note: It is important to make sure your thermometer is accurate. This is called ?calibration?. To be sure, boil water in a pot and set the thermometer into the boiling water so that it covers as least the first 2 inches of the thermometer from the bottom up.



Celcius:

If the temperature of the boiling water reads 100 degrees Celcius, your thermometer is accurate. If the temperature reads 95 degrees, you must add 5 degrees Celcius to the critical temperature of 63.5 Celcius for an accurate reading. If the temperature reads 105 degrees Celcius, you must subtract 5 degrees from 63.5 degrees, and so on. The temperature and timing is critical in order for the pasteurization process to be complete. It is very important that the temperature not fall below 63.5 degrees Celcius during the entire 30 minutes, otherwise you must start over, and process for another 30 minutes.



Fahrenheit:

If the temperature of the boiling water reads 212 degrees Fahrenheit, your thermometer is accurate. If the temperature reads 202 degrees Fahrenheit, you must add 10 degrees Fahrenheit to the critical temperature of 146 degrees Fahrenheit for an accurate reading. If the temperature reads 222 degrees Fahrenheit, you must subtract 10 degrees Fahrenheit from 146 degrees Fahrenheit and so on. The temperature and timing is critical in order for the pasteurization process to be complete. It is very important that the temperature not fall below 146 degrees Fahrenheit during the entire 30 minutes, otherwise you must start over, and process for another 30 minutes.





5) Agitate the pot for 30 minutes: This simulates the shaking water bath used by the milk banks. During the 30 minutes I agitated the pot so that the milk would heat evenly. I also turned each jar over and then right side up again every 5 minutes to distribute the heat evenly. It's important not to shake the jars...just quickly turn over and then right side up again and then back in the pot. Make sure the lids are on correctly before you turn over the jar.



6) Once the pasteurization process was complete I quickly removed the pot from the heat, and put it in an ice bath in the sink to rapidly bring down the temperature within the jars to 40 degrees Celcius. Do not put hot jars into the ice bath directly because they may burst. Once the temperature was down I could then carefully open the jars and pour the milk into the Gerber breastmilk storage bags. I did not use a funnel. It's too difficult so I just poured from the jar directly into the bag.



7) I labelled each bag with the name of the donor and today's date. I turned each bag upside down to verify that it was properly sealed. Then I put the bags in the fridge to chill. About 2 hours later, I laid the bags flat inside a large ziplock, labled it with the donor's name, today's date and the word "PASTEURIZED". I lay the bag flat in the freezer.



I repeated the process so that I pasteurized 18 bags of breastmilk, which is enough supplement for my baby for about 4 days. If you use two pots, you can double your efforts and process 32 bags which is enough for my baby for about a week. Another option is to use larger jars.



Note: Once the pasteurization process is complete, the breastmilk may be used immediately or frozen for future use.



Questions? Feel free to email me at Lenore@asklenore.info



References:



Milk Processing by the Human Milk Banking Association of North America

Internet link: http://www.hmbana.org/processing.htm



How to pasteurize at home: raw milk and your health.(Country Vet)(Brief Article)

Mother Earth News, August-Sept, 1998, by Elizabeth Barnes

Internet link: Mother Earth News: How to pasteurize at home: raw milk and your ...



Milk Pasteurization: Guarding Against Disease by Furthering Families

Internet link: http://www.fcs.msue.msu.edu/ff/pdffiles/foodsafety2.pdf

(requires Acrobat Reader to view)

I will be pasturizing a shipment I get the end of the week. But I am using the 16 ounce ball canning Jars. <img src="http://www.asklenore.com/ubbthreads/images/icons/smile.gif" alt="" />


Adoptive mommy to 4 , Last 2 adopted nursed. Youngest nursed till she was 5! Raising 2 grandbabies, as infants they were raised on donor breast milk smile
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Nona,

If you have anyone you could pair me with right now, I would be very grateful. I posted last week that I was in need and have had some help from Jenn Connel, but still do not have enough milk for Henry ... who is taking in between 40 - 50 ounces per day at 23 days old! When he is constipated, he takes in about 40 ounces, but if his bowels were moving like they were when I had the two week supply of my friend Rebcecca's milk, he'd eat closer to 50 ounces.

I live on the Central Coast of California ... Santa Maria ... if you have anyone in this neck of the woods, but I'm not picky. I already have a FedEx account number, too.

By the way, I am up to 1.5 ounces per day of my own milk now ... small improvements.

Jenn also recommended the home pasteurizer machine to me .. she says the "Safeguard Home Pasteurizer" by www.Schleuterco.com for about $300 is well worth the money because the temperature can be easily controlled. Plus she says, it takes a lot less time and energy.

Mahalo (Thank you),
Christina


Christina ~ Wife of Henry, Jr. and mother of Henry III, born with the help of our Angel/GS
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OH MY! Now I don't know if I want to use my donor milk because I just don't have the time to even begin this process with two new babies and two preschoolers at home! I didn't realize that pasturizing the donor milk was important and was under the assumption that it was just fine raw as most bio mothers do not go through this process when they give frozen MM to their babies. Sadly to admit, opening a can of formula is beginning to sound more appealing every day as I have had no luck with bringing much milk in myself after months of preperation and now to add the work of pasturizing to an already crazy days with the babies! Then to add the fact that the babies are already 16mths and are not going to take to the breast very easily. I'm seriously feeling discouraged with the whole abf and wondering why I began the whole journey to begin with.

Sorry to sound so down and negative but I am feeling really disappointed with the entire outcome and loosing hope that it's possible and now I don't know that I'll even have the time to give my baby donor MM. I don't want to spend all my time in the kitchen or pumping etc rather than cuddling, holding and playing with my babies. Does this make sense? I probably will regret posting this in the morning when I come to my senses but I needed to get my true thoughts out.

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Pasteurizing milk isn't something you HAVE to do.

Personally, I won't do it if I use donor milk in the future again. I know it's being super precautionary, and protecting our babes is important, but I also believe that raw milk has more nutrients and goodness than processed milk.

If you're getting milk from someone you know and/or trust, or from someone who's had bloodtesting, it's optional. We've all been using donor milk for years without doing this added step, so don't feel it's more work than formula. It's about the same amount of work, but it's so much better for your little one!

Kerri


Mama to Cole, Naomi, Adam, and baby Noah All wide-open adoptions through LDS Familiy Services La Leche League Leader and Doula
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Christina, I was born and raised in Santa Maria! My Dad and some of my siblings still live there. <img src="http://www.asklenore.com/ubbthreads/images/icons/smile.gif" alt="" /> It is a beautiful place. Wish I kew someone there who could help you out.


Laurie~Craig's wife~Mom to 4 blessings nurtured at the breast CJ(24)Travis(21)Beka~adopted(9)Rab(6)
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Lalle - You'll have to give me a call when you visit home ... my number is (805) 937-4568. Thanks for the thought! <img src="http://www.asklenore.com/ubbthreads/images/icons/wink.gif" alt="" /> C

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Whoops ... I forgot to login ... that was me.

Aloha,
Christina


Christina ~ Wife of Henry, Jr. and mother of Henry III, born with the help of our Angel/GS
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