Breastmilk Donations• If a mother is seeking donated milk, the first question to consider is whether or not she can supply her own milk.• Our priority is to help mothers breastfeed their own babies.• Seeking donations on the long run is not sustainable.
Breastmilk Donations• We honor donating bm, wet-nursing & cross- nursing but we recognize there are risks.• We will not initiate the suggestion of an informal milk-donation arrangement or act as an intermediary in such a situation.• It is preferable to refer them to milk banks where milk is screened and pasteurized.
Breastmilk Donations• Mothers should make an informed choice regarding donated breastmilk. – We will provide information on benefits and risks of unpasteurized expressed breastmilk.• If the baby is hospitalized or is sick, mothers should be directed to seek their doctor’s advice on the pros and cons of unpasteurized breast milk donation.
Risks of Unpasteurized Expressed Breastmilk• transmission of certain infectious agents, like bacteria or viruses*, which may be found in milk expressed by asymptomatic women• Drugs ingested by donor• possibly some environmental contaminants• potentially unhygienic storage & handling of unprocessed donated milk.*including but not limited to HIV, Hepa B, Hepa C and syphilis.
Prioritization/Steps to Help Mothers1. Help mothers breastfeed their babies directly.2. When direct feeding is not possible, help mothers express milk for their babies with the goal to direct breastfeed eventually.3. When need is urgent/immediate, direct mothers to milk banks.4. Inform mothers of risks of donated expressed breast milk, suggest donor gets screened.• When child is sick/hospitalized, YIELD to pediatrician’s advice.• After a mother has been informed of all risks but still seeks your help to find donors, it is your call but you must say you are doing this outside of LATCH.