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Breast Milk Donation - Everything You Need to Know

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One must be familiar with blood banks. The current decline in infant health due to improper breastfeeding has given rise to breast milk banks.

Medically reviewed by

Dr. Priyadarshini Tripathy

Published At January 17, 2023
Reviewed AtJuly 14, 2023

Introduction:

Breast milk banks are becoming another booming healthcare industry. Many mothers are facing problems breastfeeding their preterm delivered babies. As a result, the death rate among preterm infants is high. Many non-governmental agencies and several women are participating in these awareness programs where they can donate breast milk and save the lives of many children.

What Are Breast Milk Banks?

Human breast milk banks are facilities where various women donate their breast milk to support other women unable to produce it. Breast milk is pasteurized and stored at optimum temperatures for its use. Various processes are followed before delivering the milk to the baby. Each milk sample is screened for infection, and the bottles are sealed. Strict guidelines are followed to avoid cross-infection. The concept of breast milk is important, as knowing the importance of natural human breast milk.

What Are the Guidelines for Breast Milk Donation?

Before donating breast milk, each woman has to sign a consent form agreeing to donate her breast milk. Every woman who donates breast milk has to undergo various medical examinations to ensure the fitness of the donor. Blood samples are collected from the donor to check for infectious diseases like HIV, syphilis, and hepatitis B. Once the milk is checked for infection, it is sent for pasteurization. From there, the milk is stored in a deep freezer at minus twenty-degree centigrade. This stored milk can be preserved for as long as six months. Babies with a severe infection under four months of age can be treated with a supply of breast milk banks.

Who Can Opt for a Breast Milk Bank?

The increased surge of preterm deliveries and the incapacity of mothers to produce breast milk has opened doors for other secondary mediums like breast milk banks. The following population can opt for breast milk banks:

  • Nutritional insufficiency in infants.

  • Preterm deliveries.

  • Difficulty in digestion in children.

  • Poor birth weight.

  • In sick infants.

  • Poor immune response in children.

  • Complicated deliveries where the mother is admitted to the ICU (Intensive care unit) due to profuse bleeding or other medical emergencies.

  • The inability of mothers to produce breast milk.

  • Death of a mother.

  • Malnutrition mother.

  • Mothers with other chronic illnesses.

What Are the Benefits of Breast Milk Donation?

There are many added benefits to the lives of the donor and the recipient in the act of breast milk donation. Some of the known benefits are as follows:

  • It helps create more stimulus for the production of milk, which can feed more than one kid at a time.

  • It helps in reducing unwanted calories from the mother's body.

  • Prevents the risk of cancer.

  • Helps eliminate the excess milk from the ducts.

  • Makes the mother and baby healthier.

  • Human breast milk cannot be counterfeited and can only be produced from the human body with its unique nutritive composition.

  • Helps to feed the babies in neonatal intensive care units (NICU).

What Are the Causes of Low Breast Milk Supply?

Every woman starts producing milk after the first few hours of delivery. Women who are unable to produce enough milk could be due to the following reasons:

  • Anemic mothers.

  • An Imbalance in thyroid hormones, as an increase in thyroid hormone, causes prolactin deficiency, which is responsible for the production of milk.

  • Women who have undergone any breast surgeries, as in the case of breast cancer.

  • Diabetic mothers.

  • Dysfunction of pituitary glands which produce hormones of lactation.

  • Clogged ducts.

  • Inverted nipples.

  • Congenital conditions of babies make it difficult for them to breastfeed. For example, Down syndrome, mental retardation, autism, and so on.

  • Premature delivery of babies having underdeveloped reflexes for sucking, swallowing, and breathing.

What Are the Symptoms of Low Breast Milk Supply?

The following are the signs and symptoms of reduced breast milk supply:

  • The inability of a baby to poop regularly is a sign of poor nutritional intake. If the baby poops small amounts of liquid poops once in a while, then it indicates a poor feeding mechanism.

  • Continuous milk feeding habits make the baby wet diapers eight to ten times a day. If this is not happening, it is a sign that the baby is not getting enough milk.

  • If the baby has yellowish urine, then it means that the baby is not getting sufficient liquid to hydrate itself. The baby requires more water which is absorbed through a mother's milk at least for the first six months of delivery.

How Can Breast Milk Supply Be Increased?

There are various methods by which a mother can try to increase her breast milk supply. They are:

  • Taking a balanced and nutritious diet.

  • Adding more fenugreek seeds to the diet or drinking fenugreek-soaked water on an empty stomach.

  • Taking supplement tablets like iron, zinc, and calcium regularly.

  • Creating an optimum feeding position to ensure proper latching of breast tissue.

  • Assisting the baby in sucking milk by squeezing or pumping the breasts for proper milk ejection.

  • Switching to alternate breasts.

  • Using breast pump devices in between the nursing intervals.

  • Feeding the baby frequently to increase the demand and supply stimulus.

What Are the Major Concerns of Breast Milk Banks?

Many social taboos exist with breast milk supply banks. Some doctors themselves are not welcoming the concept of breastfeeding among non-biological mothers. Many are concerned over the purity of milk supplied. Many superstitious beliefs exist among certain communities, thinking the child’s love towards their mother will reduce if he or she consumes other women’s milk. Other challenges are a lack of infrastructure and donors to promote this program. Breast milk banks are very crucial in eliminating untimely deaths among preterm-born babies. Many co-laborers must implement such programs as lactational counselors, dedicated donors, doctors, nurses, midwives, and administrators.

Conclusion:

Just like blood and organ donation campaigns which save the lives of thousands, a breast milk donation is also a noble act of saving the lives of millions of babies who die due to nutritional deficiency. The baby has more breast milk tolerance than any other nutritional supply. India has recorded the highest preterm deliveries in the past few years. Almost three point five million babies are born preterm, and about three lac of them die due to this complication. More women should come up with their testimonies of milk donation to empower other women to stand shoulder to shoulder in this act of saving humanity.

Frequently Asked Questions

1.

What Should a Person Know Before Breast Milk Donation?

Before donating breast milk, the person should ensure that they are free from any infections that could be transmitted through the milk, and it is essential to ensure that they are in good health and not taking medications that could be harmful. They should also follow proper storage and hygiene guidelines to maintain the milk's safety and quality and consider reaching out to a reputable milk bank or organization to facilitate the donation process.

2.

What Are the Side Effects of Breast Milk Donation?

Donating breast milk typically does not result in significant side effects for most donors. Temporary discomforts like breast engorgement or nipple soreness may occur in some women. Maintaining a balanced diet and hydration can minimize these discomforts.

3.

How Long Can Donated Breast Milk Be Safely Stored?

The length of time donated breast milk remains safe for consumption is influenced by its storage temperature. When stored in a standard freezer at -18 °C or below, it can be safely used for a maximum of two weeks. If kept in a deep freezer at -20 °C or lower, it can be preserved for six months or potentially longer.

4.

What Are the Guidelines for Storing Donated Breast Milk?

Donated breast milk should be placed in a clean, food-safe container and stored in a deep freezer. It can be stored in a regular freezer for up to two weeks. Consistently mark the containers with the expression date and make sure the milk is securely sealed to preserve its quality and safety.

5.

Who Should Refrain From Donating Milk?

Individuals who have certain medical conditions, take medications that could be harmful to infants, use illicit drugs, or engage in behaviors that may pose a risk to the milk's safety, such as smoking, should avoid donating breast milk. Donors with infections, such as HIV (human immunodeficiency virus) or hepatitis, should not participate in milk donation to prevent the transmission of these diseases.

6.

Is It Beneficial to Engage in Breast Milk Donation?

Donating breast milk can be highly valuable for infants in need who may not have access to their mother's milk. It not only provides essential nutrition but also offers numerous health benefits, particularly for premature babies. Engaging in breast milk donation can have a positive impact on both the donor and the recipients.

7.

Is Donor Milk Equivalent in Quality to a Mother’s Milk?

Donor milk is a good and healthy option for babies who are not able to have their mother's milk. Although it may not be the same as a mother's milk, donor milk is prepared and fortified with important nutrients and antibodies. This makes it very useful for babies who are premature or have medical conditions.

8.

Is It Permissible to Combine Breast Milk From Different Sources, Including One’s Own and Donor Milk?

Yes, it is generally safe to mix breast milk with donor milk. This practice is commonly used when a mother's milk supply is limited, or for infants who require additional nourishment. However, it is important to ensure that the donor milk comes from a reputable source and adheres to safety standards, including proper pasteurization.

9.

What Is the Historical Origin of Donor Breast Milk Usage?

Using another mother's breast milk has been happening for a very long time. It has been found in many different cultures and has been practiced for centuries. However, milk banks started being set up and following a standard process to collect, process, and give out donated breast milk in the middle of the 1900s. Since then, this process has changed and grown, with official milk banks and organizations making sure that people can get donated breast milk that is safe and dependable.

10.

Is Donor Milk Sterilized?

Donor milk is pasteurized, not sterilized. Pasteurization involves heating the milk to a specific temperature of around 62.5 °C for a set duration, which effectively eliminates harmful bacteria and viruses while retaining most of the milk's nutritional properties. Sterilization, conversely, involves higher temperatures and more extensive processes that can impact the milk's composition.

11.

Is It Safe for Infants to Consume Another Person’s Breast Milk?

In certain circumstances, babies can safely consume donor breast milk, which has undergone rigorous screening and processing to ensure its safety. This is often recommended for premature or medically fragile infants when their mother's milk is unavailable or insufficient. But it should be noted that donor milk comes from a trusted source, like a milk bank, to minimize any potential risks and ensure it meets the necessary safety and nutritional standards.

12.

What Is the Process for Screening Donated Breast Milk?

Donated breast milk is carefully checked by doing a detailed evaluation of the person who donated it. This evaluation includes asking questions about their health and lifestyle, as well as checking their blood to make sure there are no infections. The milk is also tested for bacterial contamination and may undergo pasteurization to ensure safety.

13.

What Is the Density of Breast Milk?

The density of breast milk is measured by its specific gravity, which is approximately 1.030 to 1.035. This density range is higher than that of water, making breast milk slightly denser, and it can vary between individuals and even during different stages of lactation.

14.

How Can the Presence of Bacteria Be Detected in Breast Milk?

Look for signs of spoilage, such as a sour or off-putting odor, unusual color changes, or curdling, to determine if breast milk contains bacteria. Some levels of naturally occurring bacteria are average in breast milk and not necessarily harmful to infants.

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Dr. Priyadarshini Tripathy
Dr. Priyadarshini Tripathy

Obstetrics and Gynecology

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