MOTHERS' MILK ASSOCIATION OF WISCONSIN
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Provider Information...for Health Care Professionals
The Role of Healthcare Professionals
Healthcare providers play critical roles in promoting and supporting milk banking by:
  • Identifying healthy, lactating moms with oversupplies of milk and encouraging them to call the closest milk bank.
  • Identifying babies who might benefit from donor human milk.
  • Encouraging human milk for all babies.
  • Sharing Milk Bank brochures and materials with pregnant or lactating moms to inform them of their option to donate milk.
  • Making a financial donation to the Mothers’ Milk Association.

Milk Dispensation:
Milk is dispensed by prescription only. The highest-priority recipients are premature and ill hospitalized infants. All infants who have a medical need for human milk can obtain donor human milk by prescription.

Safety of Banked Donor Milk
Non- profit donor human milk banking has a long safety record in North America where processed human milk from screened donors has been provided to patients in selected neonatal intensive care units since 1943.

To ensure a safe product, HMBANA Guidelines, under which all member banks must operate, establish best practice based on current evidence. Just as with other donor tissue banking, the milk banks rely on extensive testing and processing procedures as well as self-reported health information.

HMBANA also requires a health statement from both the donor’s healthcare provider and her infant’s healthcare provider. HMBANA Guidelines, which were first published in 1990, are used globally as a standard for donor milk banking.

Indications (partial list)
-Prematurity
-Failure to thrive
-Malabsorption syndromes
-Short-gut syndrome
-Renal failure
-Inborn errors of metabolism

Preventative Uses:
-Necrotizing enterocolitis (NEC)
-Allergies or intolerance to cow and soy milks
-Pre- or Post-surgical nutrition
-Pediatric burn patients

Medicinal/Therapeutic Uses:
Treatment for infectious diseases...
-intractable diarrhea
-sepsis
-pneumonia

Also:
-organ transplants (including adults)
-intra-utero exposure to narcotics

Who Uses Banked Human Milk?
IN 2005, hospitals in 29 states were using milk processed in HMBANA milk banks.
 
Wisconsin Facilities with Protocols for Banked Human Milk
Madison Birth Center
Marshfield Neonatal ICU

 

"Breast milk is particularly important for pre-term infants and the small proportion of term infants with very low birth weight; they are at increased risk of infection, long-term ill-health, and death."

–World Health Organization

"In situations where a mother’s own milk is not available to meet her baby’s needs, pasteurized donor human milk is the ideal replacement. The use of donor human milk has saved infant lives and positively impacted the health outcomes of countless premature and sick infants through therapy and prevention of disease."

United States Breastfeeding Committee, 2008

Relevant Research
& Position Statements


Donor Human Milk -
Facts for the Health Care Provider

Mothers' Milk Bank at Austin

Donor Milk for Your Baby –
Information for Parents
Mothers' Milk Bank at Austin

Economic Benefits of Breastfeeding
[primarily in relation to health care costs]
United States Breastfeeding Committee

General Guidelines for use of
Donor Human Milk in the NICU

Mothers' Milk Bank at Austin

La Leche League on Human Donor Milk
La Leche League International

Position Paper on Milk Banking:
The Value of Human Milk
Human Milk Banking Assoc., North America

Statement on the Safe Use
of Donor Human Milk

United States Breastfeeding Committee
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