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

2016/12/19 by SECTION ON BREASTFEEDING, Stephen R. Daniels, Mark R. Corkins +21 · 330 citations
Nursing · Medicine · #Infant Nutrition and Health #Breastfeeding Practices and Influences #Congenital Anomalies and Fetal Surgery #Pasteurization #Medicine #Environmental health #Breast milk #Infant formula #Food science #Pediatrics

paper · doi:10.1542/peds.2016-3440

published in PEDIATRICS 139(1) (American Academy of Pediatrics)

openalex publication_date 2016/12/19 · openalex created_date 2017/01/06 · openalex updated_date 2026/08/08

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.

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