How to Donate Breast Milk – Ep. 187
January 31, 2022
Listen Now:
Shanna and Laura talk with Stephanie Lehman, Ph.D., from the University of California Health Milk Bank, where Laura is donating her breast milk, about how the milk bank got started, why breast milk donation is important, how a donor can get involved and more! Also, Laura wonders if her 11-month-old is officially a walker now, and Shanna bemoans her family’s out-of-control dinner routine. Finally, they share their BFPs and BFNs for the week. Shanna’s kids are 3 and 5 years old, and Laura’s kids are 2.5 years old and 11 months old.
Show Notes:
- University of California Health Milk Bank Visit the UC Health Milk Bank to learn about breast milk donation.
- UC Health Milk Bank Instagram Follow the UC Health Milk Bank on Instagram!
- Spidey and His Amazing Friends Laura's son loves this cute show on Disney+.
- @ParentingCoach on TikTok Laura likes this TikTok account and talks in this episode about some good advice she got recently from the account.
- Saalt Menstrual Cup* This is the menstrual cup Shanna talks about in this episode.
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Episode Transcript
Shanna
Hi, welcome to Big Fat Positive with Shanna and Laura. On this week's episode, we have our weekly check-ins. We have our special segment, which is an interview with Stephanie Lehman, the donor coordinator at the University of California Health Milk Bank, where Laura is donating her breast milk. And we wrap it up with our weekly BFPs and BFNs. Let's get started. Hi, everybody. Welcome to the show. It's episode 187. And Laura, Laura, are you with us? Hello. Hello. I'm here. Hi. Oh, good. How's life? How is everything going over there?
Laura
Good, good. So I have an 11 month old officially as of yesterday.
Shanna
Can we just pause for a moment to make this about me really quick and be like, I've seen your sweet child like three times total and now he's like 11 months and like, how is that possible?
Laura
I need to see him more. When you put it that way, it makes me really sad.
Shanna
Oh, I'm sorry.
Laura
It's a stupid pandemic, man. And you know, also like non-pandemic stuff, because I feel like we wouldn't have seen each other if any of our kids were sick anyway. True. I mean, that's the reason we didn't see each other for like two months before the pandemic even started, right? Do you remember? Yes. Which, yes. I still contend that was COVID, like you guys had COVID back then. But yeah, you know and we've like in December we were sick like you know I lost my voice all that stuff and we wouldn't have seen you even if it wasn't a pandemic time so you know I think that when you have four kids It's not a surprise that like most of the time one of them is going to have some kind of snivel.
Shanna
That's true. The stars have to align for a family of like four children, two families of four children to be able to get together.
Laura
Yeah, for sure.
Shanna
But anyway, so okay, so he's 11 months old. Oh my God, he's almost a year. What, how is he? What's going on?
Laura
Well, I think we have a walker, Shanna. Oh my god, and he's walking he's a toddler now this whoa whoa well first of all no I'm not calling him a toddler until he's officially 12 months old okay, okay, okay, okay like leave my infant alone He's a baby I take it back. I don't care if he's standing on his two legs and toddling around he is a baby And he will stay that way until running marathons. But if he is not 12 months old, he's a baby. Got a baby infant. My little itty bitty baby is walking. I guess I don't know. Like the question is, where do you define walking? Because like he has taken one or two momentum driven steps like between our couch and very soft ottoman for the last couple weeks like hill sort of turn around while cruising and like launch himself towards the ottoman and take one step between there right. So, he's done his quote first steps.
I'm not entirely sure when it happened because I didn't like mark it down. It was always like, was that a step or was that just him falling and catching himself, you know? Like, what was that? But this week, he took four clear steps in a row. Step, step, step, step. and then fell on his butt. Now, he's not like ambulatory, right? He's not like getting places by walking, but he has the ability to take multiple steps in a row. So is that a walker? Like, is he walking?
Shanna
Yeah, yeah. I think so. I mean, he's balancing, standing upright, moving with his legs and feet. Yeah, I think so.
Laura
Yeah, that does sound like walking to me. When you put it that way.
And then, you know, the other thing he's doing too is he's pulling himself to stand on like nothing things like things that do not provide any stability. So the most clear example I've seen is this lawnmower toy we have. Yeah. That's like made out of plastic. And it weighs nothing. And when you like lean on the handle, it just it takes no pressure to pull it down. And the other day we were in the backyard and he just like crawls over to it, reaches up as though it were like a stable, you know, tabletop or something, something he could pull up on. And he quote unquote pulled himself to stand on the lawnmower. Oh. And so I'm like, is it all psychological? Like, could he just be walking all the way across the room if He didn't realize he wasn't holding on to something. Oh, maybe. Because he will also hold stuff, and he'll take extra steps.
The four steps, I think, happened when he was holding something in his hands. So I'm like, oh, it's all psychological. Yeah.
Shanna
Yeah. He needs that sense of security, I think, right in the beginning, right? Because this is all so new to him. So I totally get that.
Laura
Can I send you the video of the lawnmower trick?
Shanna
Yeah. Okay. Okay. I am like going back to analyze this, this pull to stand. Oh my God. He's, he's so agile. He's effortless. It's standing. He doesn't even need that thing there. Yeah. It's just the presence of something in his hand to give him confidence, but he should be doing this on his own in no time.
Laura
Yeah. It's imminent. So that's exciting. I mean, yeah. It's cute. Augie didn't walk till after he was one, so it's kind of cute to have a earlier walker. Yeah. The thing I can't post to our social media is the naked walking, which is just like the cutest thing ever. Little baby bum. Little baby butt. They're like cellulite. So cute. So yeah, that's what's going on with my little itty-bitty baby who is not a toddler, not at all. Okay, definitely not. Not for another 29 days or something.
All right, all right, I'll give it to you. So what's going on with Augie, my almost three-year-old. He's three in two days, Shanna, by the way. Wow. Two days. Oh, my God. This is wild. Our kids are so big. I know. I know. I know. I feel like we hear from listeners who binge listen to our podcast, and it must be so weird to hear our kids grow up so fast. Yeah.
Shanna
That's like supersonic speed.
Laura
Yeah, yeah. Don't worry if you're like pregnant and binging the show, it doesn't actually go as fast as it seems. I mean, it does go fast, but not this fast. So yeah, you're okay. Just, you know, savor your moments. But my almost three year old is just like very clearly more complex. all of a sudden, like, I've noticed this week that he's just kind of like having a little bit more of higher level thinking and expression. And the two examples I have of this that are like more concrete are one, he is talking in like the most intense run on sentences that I've ever heard. Yeah, like, First we're gonna go to the store, and then we're gonna get some chips, and when we get the chips, we're gonna eat the chips, and the chips are good, and then we're gonna get more chips, and then it's going to be playtime. I'm gonna be Yoda. You be no. I'm gonna be Luke Skywalker. You be Yoda.
No, I'm Spidey, and you're ghosty. No, I'm ghosty, and you're Spidey. And then we're gonna get chips, and then, like, literally no breath. It just keeps going, and I'm just like, Cory and I just stare at him, and we're like, uh-huh, uh-huh. You know, just like, wow. I mean, chatterbox, he's always been a chatterbox, but the stream of consciousness stuff coming out of him.
Shanna
It's such a great window into the brain of a three-year-old or almost three-year-old. It's like, oh, okay, that's literally what you're thinking and it's just coming out of your mouth.
Laura
Now I know. Now I know. But the other example I wanted to give about how he's like processing things differently is we were driving the other day And he goes, mama, people are called people because they pee pee.
That's amazing. I love that logic. Yeah. And I'm just like, well, no, but sure. Yeah. Great. I like, but you know, I was like, that's an interesting connection you've made there. You've made a connection to the sounds of those two words and the fact that people pee pee. And of course this is on his mind because we just potty trained, right? Yeah, true. But yeah, but I thought that was really funny. Yeah, it's just very clear to me that he's getting older and smarter and yeah. That's what they do.
Shanna
It's fun to watch. I know. Cool. Well, that is fun. Yeah, so we've had a fun week. How about you?
Laura
How are your girls?
Shanna
Oh, we're hanging in there. CECE is a couple weeks past three and Elle is off school for her winter break, you know, for three weeks. And so there's just like a lot of kid action all day, every day in our household. And it's really great at times because CECE has a playmate, you know, all day and they play really well and stuff. And then on the other hand, it's like fueling her jealousy and her neediness of me. She is just on fire with, like, Mom, I need you, mom, I need you. And usually that means she wants me to pick her up and take her everywhere with me. Like even if I get up and I'm like, I'm gonna go to the bathroom real quick. It's like no, like has to come with me. And it's this big thing. And so very needy of my attention. I think a lot of it is driven by this like jealousy of seeing her bigger sister also need attention from me. It's the other day we were sitting on the couch.
Cece was sitting on my lap. I don't know, we were reading a book together or something. And Elle came over and sat right next to me to join us. And Cece got pissed. She was like, no, no. I want mama. I don't want Elle to use mama. And I was like, use mama.
Wow, I have been reduced to a prop being used by my three-year-old. She just had never put it that way before, but like the way she articulated in that moment, I was just like, wow, that explains so much.
Laura
Like you're a toy they have to share or the potty. Yeah.
Shanna
Yes, exactly. Oh, no. No, I don't want L to use mama. Like, sorry, honey. Everyone gets to use mama. Mama's here for the using. Mama's working for use. Yeah, here for you. So, you know, that's been a challenge, but it's fine. A bright spot in the week is that Aunt Leslie has been in town visiting that Steve's sister. Yeah, she's amazing and wonderful. We haven't seen her in two years, but She finally got the chance to come out and they love her. Oh my god. They just, especially Elle, has always hit it off with her. So they spend a lot of time laughing, like building Legos, playing games. So that's been really, really nice.
Laura
Oh, that's great because I love Leslie too. She actually just sent me some TikToks today. I got to go check my inbox. It said Leslie sent you some TikToks.
Shanna
Awesome. Yeah, she's great. The other thing I was going to talk about this week is dinner time in our house.
Laura
Oh, yeah.
Shanna
Our dinner times have been an absolute fucking shit show over here. Like I get so stressed about dinner and I'm talking like my kids dinner, right? Because yeah, most of the time we don't eat with the kids, like when they get older and stop acting like wild animals at the table, like we will have a family dinner time, you know, but for now it's like, for now we just hang out with them at the table, they eat, we chat or whatever. But they can not focus. on eating it is like and we have not done a great job instilling any type of table manners like we try and just give up because it's the end of the day and our will has just been completely depleted for the day and L is like up from the table running around telling jokes dancing playing with stuff CECE follows suit they stand at their plates they like wriggle their butts in each other's faces. And in the meantime, they like forget to eat.
And then it's like, okay, we gotta like wrap this up and get on to bath time. And then at bedtime, Elle is like, I'm hungry. Well, you should have eaten at dinner time. You know, let's wait till tomorrow. No, I'm hungry. And I'm like, oh, great. Now we're going to have like a snack before bedtime routine, which I'm not into. I'm just like losing my mind.
Laura
Well, yeah, especially if you've probably brushed teeth.
Shanna
It's like exactly because you have to start the routine all over again. Right.
Laura
Last night, literally right before bed, I was reading a book with Augie, and it ends with them eating ice cream. And first of all, I'm like, don't end a book with kids eating ice cream, please. Oh my god. And yeah. So he's like, I mean, he's so tired. And then he goes, ice cream? And I'm like, no, honey, do you want ice cream? And he starts like almost having a tantrum about it. And I'm just like, we're not, we're not, like there's no world where we would be having ice cream right now. You're like in your jammies, under your blanket, like.
Ice cream. I was just like, maybe if you had eaten your goddamn dinner. I think you would be hungry right now. But yeah, I feel you on that. I feel you on that.
Shanna
Yeah. So I just don't know what to do. I feel like we need to be more strict with table manners. And we try to do like this Janet Lansbury thing. It's like, well, if you leave the table that shows me you're done. I'm going to clear the plate. And it's like they took one bite and I'm going to clear the plate and then I'm going to pay for that later because of the meltdowns and blah, blah, blah. So I always cave and just put the plate back and yeah. So yeah, I don't know. Listeners have any strategies on how to manage dinner time. I could use all the help I can get and I really should look up some advice online because we're losing our minds.
Laura
Yeah, I'm kind of in the same boat. I don't really have any advice for you. But yes, I'm looking forward to hearing from our listeners because yikes, yikes, double yikes.
Shanna
So yeah, that's that's a part of our life that needs a little work. And I don't know, we'll figure something out. But that's where we are now. What's for dinner tonight? Oh, God, who knows? Probably hot dogs.
Laura
You know what? I've actually never given Augie hot dogs just because we don't eat them and it hasn't crossed my mind. But I think I need to get some because as you know, our dinners are also a shit show. So thanks for the inspiration.
Shanna
Yeah, they're good. That's one thing they almost always reliably eat. So yeah, might want to give it a whirl. But anyway, shall we take a break and move on to a special segment?
Laura
Yeah, let's do it.
Shanna
Quick heads up before we start our special segment, which is an amazing interview with Stephanie Lehman from the University of California Health Milk Bank. When we asked Stephanie about working at the milk bank, she does mention bereaved mothers. So if that's something you'd rather not hear about, please skip ahead about five minutes at that point.
Laura
Hi, everyone. Welcome back to the show. So for our special segment this week, we have an interview with Stephanie Lehman. She is from the UC Health Milk Bank, and she's here to talk about human milk donation. That's also known as breast milk donation. And it's a thing that I'm currently in the process of doing. So we wanted to bring her on the show so we could learn more about it, because it's a super fascinating process and a really great resource. So hello, Stephanie. Hello. Thank you for having me. Thank you so much for coming on the show so we have talked a fair amount over the last couple months i feel like we talked on the phone a couple times and we've sent emails back and forth but this is the first time i think we really will get to sit and have a real like. In depth conversation and i'm super excited about it so. I think we should just jump right in.
And I'll just ask the first question, which is like, what is the UC Health Milk Bank? And like, when did it start?
Speaker 1
So the UC Health Milk Bank was a dream of our director, Dr. Stowagen, probably for the last 15 years. and she and Dr. Kim have worked really hard over this time to try to ensure that there was some milk bank in Southern California because until us there was only one milk bank in California and we wanted to make sure that the needs of Southern California were being met so that the most critically ill babies had access to donor milk. About five years ago, a wonderful donor stepped in and made this a priority. And we were able to really get up and running about a year and a half ago. And it's been a long process with a lot of ups and downs, but it's become a reality. And Dr. Stellwagen has put everything into this and making it the most up to date, most, you know, just really, really state-of-the-art milk bank to ensure that these babies are getting the best product possible.
Shanna
And for listeners who might not know, UC stands for University of California. And you guys are the San Diego branch of the UC system. Is that right? We are all of UC.
Speaker 1
We happen to be located in San Diego. And Dr. Stilwagen has been a pediatrician at UCSD for, gosh, probably 30 years. And actually, that's how I met Dr. Stowagen. She was the physician on charge when my daughter was born at UCSD almost 17 years ago, and she was born prematurely, 27-week-old, born at just over a pound.
Laura
Wow.
Speaker 1
Dr. Stellwagen was incredible. And she made it possible for me to get a hospital grade pump and ensure that I could provide human milk to my daughter. And I got to know her really well and ended up wanting to give back. It's like, how do you give back to a group of people that saved your daughter's life? About five years later, I worked with her on a whole program on infant nutrition. And as part of that arm, we created a mom-to-mom support group for new moms of premature babies. And then one thing led to another, and I started helping her write some grants. And then eventually our private funder came through, and this became a reality. And so it's not only a love for Dr. Stellwagen, but it's very close to my heart as well.
Shanna
That's an incredible story. Thank you for sharing that.
Laura
So you said you've only been around for about a year and a half, which totally explains why I hadn't heard of you sooner, because you weren't around when my first baby was born three years ago. And so can anyone in the country donate or do you have a geographical limit?
Speaker 1
You know, we try to focus on Southern California, all of California. And, you know, we can take milk from most places, but there are 30 milk banks, Humbana accredited, which is the Human Milk Baking Association of North America across the country and in Canada. And so we do, you know, each donor should sort of can look on the website for Humbana and find the closest milk bank to them. And so that's probably the first place I would start. But like I said earlier, we are the only milk bank that's affiliated with a university, which makes us a little bit different.
Shanna
So once a donor has gone through the process and is approved, how much milk do they need to donate? Because I'm thinking about when I used to pump and I'd like eek out maybe two ounces. Is that enough? Or do you guys kind of want donors to collect up milk and then donate like a lump sum? How does that work? So that's a great question.
Speaker 1
So for our donors who are here locally in San Diego, we ask that there's a minimum of 100 ounces before making their first donation. And for moms who are out of the area who will be shipping, we ask that there's a minimum of 200 to 250 ounces before shipping their milk. And a lot of moms are just overproducers. They make a lot of milk. It's much more than their own baby needs. And so they're able to share with us. It is something that oftentimes it's just genetic and it happens. It's nothing you can make yourself do. You can, however, increase your milk production by making sure your breasts are emptied and pumping throughout the day.
And we do need these minimum amounts in order to have enough to do our bacterial testing and to have enough to do our nutritional analysis, which is something really cool we provide to our moms is our milk techs will do a nutritional analysis of every donor's milk. So we'll be able to let our donors know what the calorie, fat, protein, and carbohydrate composition is of their milk. which is kind of a fun thing to know and it's reassuring to moms. I often get the question, how do I know if my milk is good? And my answer is usually, look at your baby. How's your baby doing? But this is just verification for a lot of moms that your milk is great and we do use this milk in a very clinical or the nutrition analysis in a very clinical way. So our milk techs are able to very precisely on every single bottle of milk, which is a pooled sample.
So you should know that the milk techs will take milk from about four different donors, combine it to make one milk product and then give that out, pasteurize that, and then it will go out to NICUs. The reason that we do that is twofold. The first thing is we want to make sure. There is a range of bioactive factors, nutrition in mom's milk. By combining milk from four different moms, we're really guaranteeing that we get that whole range to make sure we're getting the best mixture of milk and all the wonderful things that come with milk. and get that to the babies who are critically ill. And then the other reason is that one of the incredible benefits of human milk is the prevention of something called necrotizing enterocolitis, which is an awful infection of the gut of typically micro-premies, which are premature babies born at about 1,500 grams or less.
So that's like right around three pounds or less at birth. And unfortunately, a lot of these babies do get necrotizing in our colitis. And really in terms of treatment, the only thing that can be done is surgery and cutting out parts of the bowel. And unfortunately, that oftentimes will lead to death. And so If these babies who are micro-premies receive human milk, whether it's donated and pasteurized or mom's own milk exclusively, so no other product, these babies, then the incidence of necrotizing enterocolitis goes down by almost 95%, which is remarkable.
Shanna
Wow.
Speaker 1
And so I really want to express to our donors like you are not just providing a gift of nutrition to these babies. You are providing medicine. You're providing something that will save babies lives is saving babies lives. And I know that sounds you know, right, but it's true. It is the only thing, like anything that can prevent an awful thing like necrotizing internal colitis by up to 95% is remarkable. And so we just want to stress how important this gift is, how impactful this gift of milk is, and get the word out that these donations are imperative for the health of our most at risk patients in the hospitals. And we are doing everything we can to get the best milk product out to these hospitals. And if a mom has her milk is particularly high in protein and calories, our texts are able to combine that with other moms of similar nutritional value milk.
and create a product that has really high calories and protein. And that is really important for these teeny tiny babies who their guts cannot tolerate a high volume of milk. It's often going down to two and their bowels just can't handle a high volume. And so oftentimes what would happen before is a hospital would take human milk, pasteurized human milk, donor human milk and add fortifier to it. Well, every time you add fortifier, that increases the volume. And so by using a product of milk that has higher protein and calories, but the lower volume, these babies are able to tolerate that milk much better and they're just growing better and all around just enhanced health. So there's a lot of really great things, you know, with the technology that we have, we're able to do. And we are a nonprofit milk bank.
And so we are doing everything we can to ensure that every child's baby who needs donor milk has access.
Laura
Yeah, you know, I feel like it's not often remembered that when we're talking about human milk donation, I think the first thing that pops into a lot of parents minds is this like Facebook sharing, right? Right. But what people don't always think about are these teeny tiny micro-premies and how it's, like you said, it's actually equivalent to medicine for them. It's hugely beneficial for them. It gives me an opportunity to feel very smug and holier than now that I get to... to squirt this boob medicine out and send it to you guys. I'm gathering it up. I just hit the 200-ounce mark. I fell behind because I had to take antibiotics for this cold that I had that turned into a sinus infection. And so I couldn't donate during that time. And so I was like, oh, my goal. It's so far away. But I'm getting there. I've now crossed the 200-ounce mark. So I'm definitely going to be sending that in.
Speaking of the interview we did, maybe we should talk a little bit about what the process is of becoming a donor, how it happens and what people would expect if they decide to start this process. Absolutely.
Speaker 1
So there's a little bit of computer time where you have to fill out a couple of questionnaires. One of them takes a little bit of time. It's a lot of questions about health, medications, lifestyle, things that might put milk at risk. And so, you know, part of this process is quite rigorous. We want to ensure number one, the safety of the milk because it is going to the most at-risk babies. I can't express that enough. And so it is a bit of a process, but it's for a reason, and it's for a great reason. And so after these questionnaires are filled out, then like you said, we do an interview to verify some of that information. I can follow up on some of the information that you give us. We do require that consent form is filled out by the maternal provider so that could be an OB or a midwife. And so once we get that signed then we can go ahead and get the lab work done.
So we want to make sure there's No illness, infection, anything that would put the baby at risk that would be transmissible through milk. So that's what we are testing for. And then once we get that back, we can do the milk shipping and then they'll drop off.
Laura
I think it's really interesting how rigorous you are with it. And it's great, obviously, because obviously you need to know that the milk you're providing these vulnerable babies is good. And one thing that's interesting is that I took these antibiotics which were totally safe for me to breastfeed my full term healthy 10 month old, right? But it was also disqualifying at the time just while I was taking it and for a few days till it cleared my system for your donation, which just goes to show how it's, you know, it's a different process and it's meant for a different recipient, right? And I think that it's great that you are that thorough.
Speaker 1
Yeah, I mean, and we have to be, I mean, this is, part of our process. And we have to abide by the standards of the Human Milk Banking Association of North America. So any human milk bank that's accredited really has to comply with the same standards. And so, you know, those standards are being changed all the time as more research comes out. And so if there's something that a mom is taking that maybe there's just not enough research done yet to know how transmissible it actually is through milk, then we're going to hold off on that, accepting milk while the mom is taking that. So it is a very, very conservative process, but understandably so.
Shanna
One of the things Laura mentioned about the process is she's not going to be able to donate once her baby turns one year old. So I assume that's part of the criteria. Can you explain the reason for taking milk from babies that are under a year old? Sure.
Speaker 1
So women and their milk production is incredibly amazing. So somehow your body knows that your baby's needs change over time and the milk will reflect that. So the nutrition composition of milk for a one month old looks very different than the nutritional composition of milk for a one year old. And somehow your body knows this one year old is taking in solids and getting nutrition from other places. And so your body adjusts to that. And so it's about the one year mark where you start to see a bit of a drop off in the nutrition and other factors. And so Even though that milk is perfectly suited for the baby who's one it's not it doesn't necessarily have the components that we look for for an infant and then especially an at risk with infant. And so we kind of choose that one year mark as you know. We're not taking milk right now, that has been expressed after the baby's first birthday.
And another really important time measure for us is we accept milk that's been frozen for up to eight months. So milk that is in the freezer for about a year is what we kind of consider milk that is still viable to use for donation. Some of the bioactive factors tend to trend down after the milk has been frozen for more than a year. And so that eight month mark gives us time to go ahead and collect your milk, process it, pasteurize it, and then it get it back out to hospitals and the babies who need it the most with a little bit of leeway in that time before that one year mark of frozen hits.
Laura
I see. Well, that's also interesting because I feel like there's such a debate about how long your milk is safe. And if you're okay with up to eight months, I feel like we should be okay with up to eight months is my guess.
Speaker 1
Yeah, I mean, we're okay with with a year. It's just that we need that little time for processing. Yeah. You know, and I don't think it's not like milk spoils. If it's been in the freezer, it just might lose some of its efficacy in terms of nutrition, nutrients and bioactive factors. So I want to get that message out there that that milk is definitely for your own use more than okay. at that one year mark.
Laura
Well, speaking of processing time, I know that you have all the analysis you do on the milk for donation, but I know you're also affiliated with a research aspect that's happening with the UC system. Can you talk about that?
Speaker 1
Sure, no problem. So we are able to pasteurize milk for some of these amazing research projects that are going on. And Dr. Pia Panargett, Children's Hospital of LA, we worked with her and her group. And we actually, they were able to find that the COVID antibodies actually do show up in donor milk. for up to six months after a vaccination. So human milk carries these antibodies from not just from COVID, the virus itself, but if a mom is to get vaccinated, these antibodies really peak at about one month, but seem to last up until about six months. And this is even after we pasteurize the milk. So that's pretty incredible. So that means the babies who are receiving our milk are getting the benefits of those vaccinations, which is remarkable.
And then the other big set of research that's coming out with Lars Boda and Christina Chambers here at UCSD is the reassurance for moms that COVID, the virus does not transmit from mom to baby through mom's milk. So the virus itself not replicating mom's milk, because mom's milk is magical. Super. And so mom's can be rest assured. Like we accept milk from moms who have been positive with the COVID virus, depending on what medication they're on that might exclude some milk. But the virus itself, there's no cause for worry for the milk itself.
Laura
Good to know, that's amazing. And I'm happy to say that I was boosted during my collection period for y'all, so you're gonna get some freshly boosted milk coming at you.
Shanna
That's great. The Health Milk Bank sounds like an absolutely amazing place. I'm so glad you shared all of this with us. On a personal note, I'm curious, what's your favorite thing about working for the UC Health Milk Bank?
Speaker 1
My absolute favorite thing about working at the UC Health Milk Bank is getting to meet the most incredible women. Our donors have such stories, reasons for donating, the generosity is phenomenal. And to know that we're in this community where these women want to and it's such a tangible way that and pretty immediate way that they can impact the babies of their community. And I am just so fortunate to get to meet these women. you know, I know when we opened, which we did in a pandemic, which is not the way you want to start. Right. But to know that this community shows up and we're so, so, so grateful. And, you know, I know it's hard when COVID's around and with this new surge now, you know, donors are kind of taking a step back.
People are staying home a little bit more, but as it starts to subside, which research is showing, it's on its, it's on the down, down, hopefully finger, I'm crossing everything. Yes, you know our donors will feel comfortable again coming on out and it's by far just the most rewarding position to be in and I would like to kind of piggyback that into one program that we're doing that is so near and dear to my heart. And again, meeting some incredible families and moms is what we call the Cherry Blossom family. And so about five to 10% of milk donors are bereaved moms. And so their babies have passed away, their babies have died and their bodies are still producing them. And what do we do with that? You know, and it hurts and it's confusing. And that's a very ambiguous time for these moms.
And I call them moms very intentionally and purposefully because their babies have died, but that does not mean that they are not moms. And so what our mission and our goal is, is to really ensure that any mom who has lost their baby has access to a pump, has access to information they need. If they do want to donate, if they have every right to change their mind 100 times, they don't have to commit to anything. And sometimes it's just weaning and making it comfortable for them. And what we have found is, and I had the absolute privilege to help in the smallest way, these women to heal and to go through this grieving process on their own time and to make, to add meaning to their awful circumstance and their awful situation. And it's something that only they could do with their baby. They couldn't produce this milk without that baby. And their baby did not die in vain.
And it's something that, We are so grateful that we got some funding for this program. And then recently we found out that the likelihood is we're going to get pumps donated for this program. And so that is something, again, like being a part of these specific women's lives has been just, for me, just probably one of the most meaningful aspects of my job.
Laura
That's so incredible. Wow. I just think that it's a situation that I don't think anyone expects themselves to be in. And so I'm glad you mentioned it because it's good to have that information out there for anyone who finds themselves in that situation or has a friend or family who ends up in that situation. That's wonderful. So this has been a wonderful interview. We've really enjoyed talking to you, Stephanie. So we close every show with a Big Fat Positive or a big fat negative, but we always like to ask our interviewees if they have a positive, just a BFP to share with us. Stephanie, do you have one you'd like to share?
Speaker 1
I mean, I really was, when I thought about it, it was going to be that we, this donation of the milk pump, the breast milk pumps as such a positive, like I am over the moon. so grateful that this is happening and that this program is happening. And that is probably the biggest positive I can think of for my week and actually for my year.
Shanna
That's so great. That's great. I love it. And where can our listeners go if they're interested in learning more about the UC Health Milk Bank or want to donate?
Speaker 1
So if they go to ucmilkbank.ucsd.edu, they can find us. And our phone number here is 858.
249-6455 and our Instagram handle is at UC Milk Bank and we would love to hear from you. We would love any questions. We're happy to help. That's my job as I am here for our amazing donors and I'm here to answer questions and help you through the process. I feel, I hope that you felt that way, that you were kind of helped through the process as you went and felt like you had the support that you needed.
Laura
Yeah, absolutely. I felt like even though it was a number of steps, it was very easy. You made it very easy. There's a really convenient online portal that I can always ask questions. You know, I asked like, I went to the dermatologist and they want me to use this skin cream. Is that okay? You know, like very simple. easy interaction. So you have make the process very easy and it was fun to talk to you on the phone. So I was going to talk to you too. So yeah, I'm really glad that I found you and I hope our listeners can connect with you if they're interested in donation or with another milk bank in their area if they're not in the Southern California area. But Stephanie, thanks so much for being on the show. And also, thanks so much for everything you do. You're providing a really special and unique service that I think should be celebrated. So good for you.
Speaker 1
Well, thank you. It's been my pleasure. And I appreciate the time. And it has been lovely talking with you both.
Shanna
Yes, thank you, Stephanie. So wonderful to talk to you. And Laura, I think it's time for us to take a little break and move on to our big fat positives or big fat negatives of the week. Let's do it.
We are back, and every week we will wrap it up with our weekly Big Fat positives or Big Fat negatives of the week. So Laura, you're up first, and what do you got for us?
Laura
I have a Big Fat Positive. Ooh, okay. And this is something I found on TikTok. Oh, my favorite social media, as you know. Love it. So this is a video I saw from at Parenting Coach, which is like, oh, Parenting Coach, that's what I need.
Like, I will follow you, instant follow. But it was a little tip about how to change your language when you have kids who are like not doing what you want them to do. And it's like a really, really simple change, but it was really very like, it's very concise and very, it wasn't intuitive for me. Like it was really eye-opening for me. to hear this. So the basic premise is that if you've tried using the when slash then language with your kids, so when you get on your pants, then we can go outside. I feel like most people would have used shoes as an example in that sentence, but in my family, it's pants. Pants are always a struggle. Yeah. Like when you sit at the table, then you can eat your raisins or whatever, right?
if that's not working and often it find doesn't work then you move on to the either slash or so either you can get your pants on or we won't be able to go outside and it kind of just shifts you to a little bit more of a consequence. Right. You know, because when then indicates that it's still a wide open world of possibility, right? Like, when you brush your teeth, then we'll be able to read books before bedtime, right? But if that's not working and then you say, either you brush your teeth or we won't have time for books before bedtime. Like, it has a little more weight, right? It's a little more dire, you know, like it really is saying, look, we're just not going to be able to do this other thing until you do the first thing.
Shanna
Right.
Laura
So I feel like, and it also ties in with the rye like natural consequences or logical consequences thing. So it's not like you're just coming up with willy-nilly punishments for kids who aren't doing what you want. And yeah, I just, I don't know, I thought it was very insightful and I just wanted to share.
Shanna
That's really cool. It definitely puts a little bit more onus on the child to make that decision. They're making a decision between the two options because what I find myself doing is if language. If you don't brush your teeth, we won't have time for our books, which almost makes it seem more like I'm doing the consequence. I'm creating the punishing. You know what I mean? It feels like when you give them a choice, but their choices do the thing or have a consequence. They're in control in a little bit. of a way. So that's interesting. I'm definitely going to try that. Have you tried it? Are you having success?
Laura
I mean, everything is a mixed bag, but I did try it. And, you know, I mean, I think it's been working to get bedtime, I think a little bit. More timely I guess like there's just been a lot of like I'm not ready for jammies I'm not ready for brushing my teeth I want to play some more and so I was able to say like well either you get your jammies on or we won't have time to play another round of Spidey and ghostie you know like I mean, I think we need a few more weeks of practice before I can tell you if it's really a surefire way to get them to what we need them to do. But yeah, it's another tool in your tool belt, I think.
Shanna
Yeah. And what was the account again? Is it a helpful account to follow?
Laura
Yeah. So far, I've really been enjoying the stuff she's been putting out. Her name is Tia, and she goes by at Parenting Coach. So definitely give her a follow. I love all the really educational content you can get on TikTok. I feel like it's readily available and it's really fun to get tips on how to wrangle your children in between fun cat videos. So it's a nice mix.
Shanna
Yeah, a good mix. I need you to send me a list or maybe I should just go through all the accounts you follow and then also follow them because when I go to TikTok, it's like funny grandma's and like prancing dogs with two legs and like it is like, I don't know how to curate a list of TikTok accounts, you know, that would be helpful.
Laura
So my understanding is it's less about who you follow, although that does matter. But it's more about how long you stay and watch videos. Like you will have to teach the algorithm what you like.
Shanna
Oh, so it thinks that, okay, so I'm teaching it that I like funny grandmas.
Laura
Basically, but if you say like watch a video three to a hundred times in a row because you forgot to turn it off or you just really got sucked into some like click baby Why is this grandma singing and dancing video? But you actually don't want more of that if you long hold on the in like on the middle of the video You'll get a little menu where you can say not interested Ooh. Yeah. I use that not interested button as much as possible. So if I like, for some reason lately, the algorithm started sending me into like Minecraft and gaming stuff that I'm not interested in. So it's not that there was anything wrong with the videos. It just wasn't my niche. So I did not interested on a bunch of them and quickly got my algorithm heading straight back to the cat videos, parent education videos and crafts. Okay.
Shanna
Got it. All right. That's a hot tip. All right. I'm going to spend some time on TikTok today. See if I can, yes, do my homework, improve my algorithm.
Laura
Go find some baking videos. There's a lot of really good baking videos. And I know you love that, like cake decorating and stuff like that.
Shanna
Yes. Look, here's the thing is like, I get all that on Instagram. So like I do, I follow a lot of accounts like that. Yeah. But I should try TikTok because that's like the cool thing to do and I want to be cool. So I need to do it.
Laura
Yeah. You need to. It's necessary.
Alrighty. Okay. So wait, do you have a BFP or a BFN? I'm guessing yours is not TikTok and how much you love it.
Shanna
It's not TikTok. No, no, no. I have a BFN this week.
Laura
Oh, no. Okay. What happened?
Shanna
So you all have been on a journey with me, things related to like birth control, IUD, just cycle stuff, right? So I thought this would be an appropriate thing to share on the show. If it's not, just tell me and I'll come up with something else, okay? Okay.
Laura
You're saying it's inappropriate thing, not an inappropriate thing.
Shanna
I don't know, you be the judge of that, okay?
Laura
All right, on pins and needles, let's find out.
Shanna
Okay, so, you know, my dance with the IUD did not work out. And so I'm back to getting like a regular period every month. And recently someone posted in one of my mom's groups something along the lines of, oh my God, I just tried using the salt cup and it has changed my life. And other people are chiming in like oh my god it's amazing like tampons be gone with you whatever this cup like everyone's all about the cup and I've heard about the cup before blah blah blah.
Laura
Yeah yeah there's people who like their diva cups and their various menstrual cups are very vocal about it I feel like.
Shanna
Yeah. Yeah.
Laura
And good because otherwise, you know, no one would know about them. So yeah.
Shanna
So I was definitely like, I don't think a cup is for me. Like I was just a hard no. I wasn't really open to the idea. But then the next time I got my period, so I went to the Target app to buy some more tampons. And I remembered that post and I was like, you know what impulse buy. So I bought the salt cup and got it that day and figured out how to put it in. I was very intimidated by it. You know, for those who don't know, it's kind of like a silicone cup that you kind of like squeeze together, like pinch together and put up inside your vagina and like opens up and creates like a suction and catches all the blood.
And when like your 12 hours are up or you want to change it you like just pull it out dump it out whatever it's like I wasn't really into that idea either But people are singing the praises of this thing like so much that I had to see what it was all about So I put it in and went about my day and like about 12 hours was coming up. It was right before bed It was like 10 30 11 o'clock at night and And I was like, all right, time to take this sucker out and see the magic that everyone's talking about. And I went to take it out. Could not get it out. Could not get it out. I was like, I started panicking. It didn't even cross my mind that it would get stuck. I just thought it would be the easiest thing. It has this little pull tab at the bottom. I didn't read the instructions. OK, I'm just going to straight up be honest. I did not read the instructions ahead of time.
So I thought I was just supposed to like pull the thing out by the tab and like boom, it'd be like easy peasy. And so I start, I'm like, this is not coming out like I thought it would. So then I like go in the trash, pull out the instructions that I had thrown away. And it's like, it's easy as pie. Just insert two fingers into your vagina, pinch the cups to break the seal and pull it out. And I was like, this is way too much information, I know, but like I could not do that. I could not get, my pinchers up in there. I don't know if I put it into deep like too far up or like I just have two meaty of fingers. I was like, how do I get this out? I was like cold sweating. I'm like, oh my God, I'm going to have to call Steven here. And by some reason, my kids had left like there, they have like kids chopsticks, you know, that they use. They had left
they're like little set of kid's chopsticks in the bathroom because it leaves shit everywhere, right? I was like, oh my God, am I gonna have to go in with chopsticks? Is Steve gonna have to come in? Am I gonna have to go back to the gynecologist and like get more needles put in? I was like panicking. And I was like, okay, my mom's group, my mom's group. I've got to like give an SOS. And so like at 11 o'clock at night, I go to my mom's group and I was like, help! I tried the salt cup and it is stuck. What do I do? And like, Hallelujah. They all started like chiming in. Like all you have to do is pinch it and break the seal. I'm like, I'm trying to do that. God damn it. I can't reach it. And they're giving me tips. And one mom was like, okay, here's what you do. Get in the bathtub, squat down and like bear down. So it like kind of starts pushing the cup down your vaginal canal.
I was like, oh my God, you guys, I have only had C sections. This is like the closest I'm ever going to come to giving vaginal birth. Okay, I'll do it. Oh my God, in the meantime, Steve has no clue any of this is going on, right? Because he's like still watching TV out there. I'm like, I really, really don't want to call him in to help me with this situation. He's like, this episode of Succession is really good. Yeah.
So great. Oh, so my salt cup doulas, aka my mom's group, are coaching me through this. I'm like squatted down in the bathtub. I'm like, oh, like I bear down. When mom's like, you got to bear down, like kind of like, you know, the movement you do when you're about to poop, you know, I'm like, oh my God, okay. I'm like, bear down, like jam my fingers up there. Finally. Finally, like I was able to break the suction and get it out. And I was like, thank God, I have never felt so relieved. So I birthed the salt cup and like, you know, I was like, thank God, cleaned it off. And I was like, well, might as well put it back in. So put it back in. Well, now you know how to get it out. All you need to do is give birth. Yeah, that's all. It's like, well, you know, it'll probably be better next time. And I spent like 30 bucks on this thing. I don't want to trash it. So. Yeah.
I guess it turned out to be a BFP really, cause I ended up just using it for the rest of my cycle. And it is pretty cool because it really feels like you're not on your period at all. Like just, it catches everything way up in there. Like there's no, I didn't have to wear any type of like light pad or anything to catch a need, whatever drips and drops. Like it was, it was pretty great. Like once I figured out how to get it out. But yeah, that like 20 minutes of my life was kind of a nightmare.
Laura
My concern about those cups, well, first of all, I'm like not getting my period at all. So it's not it's all theoretical, but like is the spillage like of menstrual fluid as you try to take it out? Is that an issue?
Shanna
Yeah, I think it probably could be. I at least this period wasn't that heavy. I don't have like super heavy periods. So I was kind of able to control it enough that like once it came out, I could just like pour it into the toilet. OK. This is so TMI. But I could see that if you have a really heavy period, you probably want to change it more, or yeah, you might have that problem. But it really wasn't as bad as I thought it would be as far as that goes.
Laura
And I know you don't like blood. You don't like bodily fluids in general, I feel like. No. I mean, who does? But I feel like on the bell curve of where people's tolerance are for it, your tolerance is low in general. Yes. Yeah.
Shanna
Yeah, I was definitely like gritting my teeth and like kind of squinting my eyes that like, you know, during that whole process like this is too close for comfort.
Laura
Amazing.
Shanna
But well, I don't know.
Laura
All right. Well, I'm glad that it worked out for you in the end. I'm sorry. You have to berth it for the first time. But I guess there's a first time for everything.
Shanna
Yeah, exactly. So can I now say I've had a veg number? I was going to say you've had a feedback.
I had a feedback.
Laura
Congratulations on your bundle of joy.
Shanna
Oh, thank you. I've named her Sally. I don't know. God. All right. So that's my life. Anyway, I think maybe we should wrap this up. Okay. I think we should. Yes. Listeners, if there's anything you want to share with us, we are never afraid of TMI, too much information. So, you know, reach out. Let us know what's going on in your world. Laura, where can they reach us?
Laura
We're on Twitter, Instagram, Facebook, and of course, TikTok at BFP Podcast. We have a website, BigBatPositivePodcast.com. If you want to send us an email, you can just throw a voice memo into that email. We'll love it. Just send it to contact at bigfatpositivepodcast.com. And finally, if you want to join the coolest group of people on the internet, search Facebook for Big Fat Positive Community, request to join, and answer the two membership questions so you can be sent through to our private group full of wonderful, wonderful people.
Shanna
If you love our show, please rate us and review us wherever you listen to podcasts. And Laura, we have another five star review to read this week. We do. All right. Why don't you read it for us? Okay.
Laura
This one is titled a totally binge worthy five stars from a listener in Great Britain. Hello from across the pond. This listener says hot tips and super fun, special segments, smiley face. Thank you, Shanna and Laura for being a wonderful soundtrack to my days over the past few months. Well, thank you for listening.
Shanna
We love having you. Thank you. That's so awesome. All right, listeners, if you want to leave us a five star review, we might read it on the show. So head on over and do that now and spread the word. Let your friends know about Big Fat Positive. Our show is produced by Laura Birek, Shanna Micko, and Steve Yager. And for the record, I did not use my kid's chopsticks to get the salt cup out. I didn't know if that was clear, but I needed to throw that in, just to be sure.
Laura
I'm glad for that clarification. Thanks so much. OK, good. I can wrap up this episode happily now in peace.
Shanna
OK. All right, everyone. Have a great week. See you next time. Bye.

