Tuesday, 1 August 2017

Sharing Breastmilk in Korea: Donating and Receiving

 Linsinoh Breast Milk Storage Bags
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Updated 11 September 2018

I know that moms share breastmilk both formally and informally. As a La Leche League Leader, I can only recommend the former, however, LLL allows me to  give "information and support, including information about the benefits and risks of such practices as induced lactation, relactation, wet-nursing, or cross-nursing."

The World Health Organization says that if a baby cannot be breastfed by his or her mother, then expressed breastmilk from the baby's mother, breastmilk from a healthy wet-nurse or a human-milk bank, or a breastmilk substitute should be given in that order.

Ultimately, I can provide information. It is up to you to make the decision along with your health care provider. 

Milk Banks
There are only two milk banks in Korea. In order to get milk from the milk bank, your baby has to be a preemie or have a documented illness. If you want to donate, they will require a test for STDs plus a hepatitis B vaccination. You will have to pay for both of these. I'm not sure how hard it is for non-Korean speaking foreigners to donate milk. I imagine it's like donating blood. In theory, it's possible; in practice, very difficult.
Donating milk to milk banks was in the Korean news. You can see the story here.
  • KyungHee University Hospital at Kangdong in Seoul. The phone number is 02-440-7731.
  • Iksan Jeil Hospital. The phone number is 063-840-7629, 2300
How much milk do you need?
There's an article by KellyMom which explains that babies aged 1-6 months need about 19-30 oz (570-900 ml) of breastmilk per day. Some women get milk from one other women, while others get milk from many different women. Some also supplement with formula. I do not know how much Korean milk banks charge for milk. I know in the USA, it's about $4 an ounce.

Pasteurizing the milk
In milk banks, the milk goes through a pasteurization process. That's not the case if you connect directly with another mom. You need to be able to trust the mom you get the milk from.

Some families decide to pasteurize any and all donor milk they use. Sometimes the baby doesn't like the taste of donated breastmilk. Scalding the breastmilk can help. Eats on Feets also has information on two different ways to pasteurize milk. Milkshare has good info on how to screen mothers that you're getting milk from.

Milk sharing resources, risks, and benefits
I highly encourage you to read these articles as well as do your own research before making a decision. Only you can decide what is right for you and your child.

Where to Find Breastmilk Sharing Communities in Korea
Please check the milk sharing resources mentioned above. MMKorea Nursing Support has information on how to send breastmilk. Most families will pay for the breastmilk storage bags as well as shipping costs.

Eats on Feets: Here are the current offers and requests.
 
Human Milk 4 Human Babies (HM4HB) - South Korea: You can message this group and they will post on your behalf whether it be an offer or a request.

MMKorea Nursing Support: This is not a milk sharing group, but a peer-to-peer breastfeeding support group. With that being said, it's Korea-wide and women are usually able to help.

Local parenting or mom groups: Someone often knows someone. Some women have been known to pump specifically for another baby.

Check military groups: Often moms who PCS have to get rid of loads of milk. If you know someone who's military, ask them if they can post on your behalf.

Other Breastmilk Sharing Options: Currently Not Available in Korea
MilkShare
They have an email list they send out. It's geared towards women in the USA. However, maybe someone in Korea could set up something similar.
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Tender Embrace Birthing offers childbirth, breastfeeding, and newborn care classes and support.


Saturday, 8 July 2017

The Big Latch On Korea 2017

 Eat, Breastfeed, Repeat
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August is Breastfeeding Awareness Month and all over the world people will be participating in events to celebrate. If you'd like to show your support for Breastfeeding Awareness, look at the items below:
There are also a few events going on that you can participate in:
The latter two you can do on your own, but the Global Big Latch On takes place with other people.

What is The Global Big Latch On?
Their website states that "Global Big Latch On events take place at registered locations around the world, where women gather together to breastfeed and offer peer support to each other. Their friends, family and community join this celebration to promote and support breastfeeding. Volunteers from within the community host each location, hosting a Global Big Latch On event creates a lasting support network for the community."

 It started in New Zealand in 2005. There are many reasons behind this event, according to their site.
"Global Big Latch On events aim to protect, promote & support breastfeeding families by:
  • Provide support for communities to identify and grow opportunities to provide on-going breastfeeding support and promotion in local communities.
  • Raise awareness of breastfeeding support and knowledge available locally and globally. 
  • Help communities positively support breastfeeding in public places. 
  • Make breastfeeding as normal part of day-to-day life at a local community level.
  • Increase support for women who breastfeed – women are supported by their partners, family and their communities.
  • Ensure communities have the resources to advocate for coordinated appropriate and accessible breastfeeding support services."
Who Can Participate?
Breastfeeding moms, their partners, and their supporters are welcome to join. They will count three different things: the number of latches, the number of breastfeeding women, and the total number of people. They recognise that breastfeeding journets are different. As such, in order to be counted as a latch, you can have
  • A direct latch
  • A supplemental nursing system or nipple shield
  • Express milk using your hands or pump
  • Feed your child breastmilk using an alternative method
In Korea there will be 2 events, one in Yongsan, Seoul and one in Songtan, Pyeongtaek. Be sure to check out Big Latch On Korea on Facebook as well.

Want to Donate or Help Out?
If you're a small or local business, consider donating a prize for the raffle. If you'd like to donate money, please do so on The Big Latch On website. If you'd like to donate your time, please contact Sheila (Seoul) or Sharon (Pyeongtaek) to find out how you can help out.

Yongsan, Seoul: Friday, August 4th from 10-11:30am
The location is TBA. You can register on the Facebook page or on the Big Latch On website. The location code for this event is 1324. Victor will be there to take photos. There will be a raffle and the following businesses will be providing prizes.

Songtan, Pyeongtaek: Saturday, August 5th from 10-11am
The event will be held at Cornerstone, which is a coffee shop near Posco. You can find a map on the Facebook event. Since they are letting us use the location they have asked that people buy one drink. You can register on the Facebook page or on the Big Latch On website. The location code for this event is 1326.
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Tender Embrace Birthing offers childbirth, breastfeeding, and newborn care classes and support.

Thursday, 1 June 2017

Where to Buy a New Breast Pump in Korea

 Spectra S1 Double Electric Breast Pump
Spectra S1: Buy from Amazon
When planning on what to get for your baby, you need to consider how you will raise your child. Different people will spend money on different things. Pumps can be expensive but you can also put them on your baby registry.

How Long is a Pump Good For?

Many people make the mistake of asking long a pump is good for. The problem with this is that pumps aren't good for weeks, months, or years, they're good for a certain number of hours. Most breast pumps are good for about 400 hours.
  • Someone has a baby in the NICU and they need to pump 10 times a day for about 20 minutes each time. After one month of doing this, the pump would have clocked 100 hours. 
  •  Spectra 2 Hospital Grade Breast Pump
    Spectra S2: Buy from Amazon
  • Someone pumps twice a day for 10 minutes each time. Assume that they work 242 days in the year. After a year of doing this, they would only be at about 80 hours.
Closed vs. Open Breast Pumps
A closed pump keeps the milk from entering the tubing. The Pumping Mommy and Kelly Mom also have some great info about why you should buy a closed breast pump, especially if you're buying a used one. Closed pumps are WHO compliant. Open pumps are not.

Closed Breast Pumps
Here are some closed breast pumps. There are hospital-grade, double electric pumps, single electric pumps, and single manual pumps. Be sure to read the reviews to see which one would be best for you. I always read the negative reviews first. You can also filter them to only see verified purchases.


Stores
Baby Fairs are a good place to check out different breast pumps. Sometimes it's cheaper to buy a pump at a baby fair than at a store. Stores dedicated to families, such as Moms Mom and Toys R Us
may have them. Bigger department stores such as Lotte and Shinsaegae may as well. In Lotte in Myeongdong, there is a place called BB on the 7th floor that has some pumps. Around women's hospitals there are often stores dedicated to families and some bigger hospitals may actually have a store inside. Mothercare is located inside Homeplus and they may have some pumps. Sunny Smart Shopping and Go Wonderfully are services that can help you locate a pump whether from a brick-and-mortar store or an online store. 


Online direct from companies
Online from people
Sometimes people buy a pump or are given a pump and never use it. You might find one listed on one of the sites below. 

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    Tender Embrace Birthing offers childbirth, breastfeeding, and newborn care classes and support.


    Monday, 1 May 2017

    Why the Words "Low" and "High" Should Not be Used by Your Doctor

     Ina May's Guide to Childbirth
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    It often happens like this. At a routine doctor's visit you're told . . .
    • your heart rate . . .
    • your baby's heart rate . . .
    • the amniotic fluid . . .  
    • the baby's weight . . . 
    • your blood pressure . . .
    is too low / too high so we need to do . . .
    • an induction.
    • an (emergency) C-section.
    • more tests. 
    More often than not it's accompanies by fear and guilt techniques such as if you don't do this your baby could have serious long-term problems or even death. This is absolutely horrible and bullies parents into making decisions when they have not received complete informed consent. When you're told this by your doctor, you blindly do what they tell you. Granted there are situations that do merit immediate care. However, usually things are normal.

    Another example
    Let's step away from doctors and get a different perspective. Imagine you want to find out the weather forecast for the next week and all that you can see is the date and "hot" or "cold". That's it. No temperatures. That's not very helpful, is it?

    That's precisely what doctors are doing when they tell you your numbers or your baby's numbers are "low" or "high". They're not giving you the complete picture, so how exactly can you make an informed decision when you're missing the vital information?

    Here's what you need to do
    Always, always, ask for numbers. "Low" and "high" are subjective. Numbers are concrete and objective. Only then, can you make an informed decision. Let's look at two different situations. You need two numbers:
    • what the normal range is
    • what your number is.
    Situation A
    You go in for a routine visit and are told your X is low. You ask for numbers and are told that the normal range is 100-120 and you are at 98. You're 2 numbers away from being within the normal range. You now know the complete picture and can decide what to do. That might be to follow the doctor's advice, ask for re-testing, check and see what can cause low numbers and try to fix it and then re-test. 2 numbers isn't that drastic and remember that there is room for error in all tests.

    Situation B
    You go in for a routine visit and are told your X is low. You ask for numbers and are told that the normal range is 100-120 and you are at 50. Now this situation is very different than Situation A. Here you are 50 numbers away from being within the normal range. Knowing this you will probably make a very different decision that what you would make in Situation A.

    Conclusion
    Doctors do tend to have your best interests and the baby's best interest in mind. However, there are also many other things that come into play.
    • They're following hospital policies.
    • They actively manage births instead of using expectant management.
    • They want to go home because it's Friday / they have plans the next day.
    • They're afraid of being sued.
    The bottom line is that it's ultimately up to you to get the complete picture and make a decision based on concrete, objective numbers not abstract, subjective adjectives.

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    Tender Embrace Birthing offers childbirth, breastfeeding, and newborn care classes and support.


    Monday, 3 April 2017

    Miscarriage, Pregnancy Loss, Neonatal Death, and Infant Loss Support in Korea

     Beyond Tears: Living after losing a child
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    Updated 23 March 2018

    Losing a child is something no parent should ever have to go through. There are technical names for the losses depending on when they occurred, however, the result is the same: the baby is gone.

    Many women suffer from miscarriages and some do not even know they were pregnant. A baby is usually considered stillborn if the loss happens after 20 weeks and if it happens before then it's considered a miscarriage. A very early miscarriage (before 5 weeks) is usually considered a chemical pregnancy. Neonatal death is when a baby dies within the first 28 days of life. Infant death is between 28-364 days.

    Time legally allowed off work
    This is from Live in Korea.

    image source

    What to do
    There are places to seek out help and talk to people who have been through the same experience, trained volunteers, as well as professional counselors and social workers. There are also a number of books written on this topic.

    Depending on how old the baby was, many families find that photos or memory boxes (here's a list of what you can add to your memory box) can be very comforting. Others create certificates of life for their child that they lost in utero, such as the ones available at Bears of Hope, Grief Watch, and Memorial for the Unborn.


    Support in Korea, both online and in person


    Online Support in Korea (these do not deal with loss specifically)

    Counselors and Social Workers in Korea


    Online support, not specifically for Korea
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