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

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 mil...

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Bibliographic Details
Published in:	Pediatrics (Evanston) Vol. 139; no. 1; p. 1
Main Authors:	Daniels, Stephen, Corkins, Mark, de Ferranti, Sarah, Golden, Neville H., Kim, Jae H., Magge, Sheela N., Schwarzenberg, Sarah Jane, Meek, Joan Younger, Johnston, Margreete G., O’Connor, Mary Ellen, Stellwagen, Lisa M., Thomas, Jennifer Peelen, Ware, Julie L., Schanler, Richard J., Watterberg, Kristi L., Aucott, Susan Wright, Benitz, William E., Cummings, James J., Eichenwald, Eric C., Goldsmith, Jay P., Poindexter, Brenda B., Puopolo, Karen M., Stewart, Dan L.
Format:	Journal Article
Language:	English
Published:	United States American Academy of Pediatrics 01-01-2017
Subjects:	Babies Breast milk Breast Milk Expression - methods Breastfeeding & lactation Canada Contamination Donation of organs, tissues, etc Food Contamination - prevention & control Food Quality Food, Fortified Frozen Foods Guideline Adherence Health aspects Humans Infant, Newborn Infants Milk Milk Banks - organization & administration Milk, Human - microbiology Pasteurization Pediatrics Risk Factors Safety and security measures Tissue donation United States United States United States > US
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0031-4005 1098-4275
DOI:	10.1542/peds.2016-3440