Donor Human Milk for the High-Risk Infant: Preparation, Safety, and Usage Options in the United States.

TitleDonor Human Milk for the High-Risk Infant: Preparation, Safety, and Usage Options in the United States.
Publication TypeJournal Article
Year of Publication2016
Corporate AuthorsCOMMITTEE ON NUTRITION, SECTION ON BREASTFEEDING, Committee on fetus and newborn
JournalPediatrics
Date Published2016 Dec 19
ISSN1098-4275
Abstract

The use of donor human milk is increasing for high-risk infants, primarily for infants born weighing <1500 g or those who have severe intestinal disorders. Pasteurized donor milk may be considered in situations in which the supply of maternal milk is insufficient. The use of pasteurized donor milk is safe when appropriate measures are used to screen donors and collect, store, and pasteurize the milk and then distribute it through established human milk banks. The use of nonpasteurized donor milk and other forms of direct, Internet-based, or informal human milk sharing does not involve this level of safety and is not recommended. It is important that health care providers counsel families considering milk sharing about the risks of bacterial or viral contamination of nonpasteurized human milk and about the possibilities of exposure to medications, drugs, or herbs in human milk. Currently, the use of pasteurized donor milk is limited by its availability and affordability. The development of public policy to improve and expand access to pasteurized donor milk, including policies that support improved governmental and private financial support for donor milk banks and the use of donor milk, is important.

DOI10.1542/peds.2016-3440
Alternate JournalPediatrics
PubMed ID27994111