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What are the downsides of donor breast milk?

The Downsides of Donor Breast Milk
While donor breast milk can be a lifesaver for many infants, particularly those who are premature or ill, it is not without its drawbacks. Understanding these downsides is crucial for parents considering this option.
Safety Concerns
One of the primary concerns surrounding donor breast milk is safety. Unlike formula, which is regulated and standardized, donor milk can vary significantly in quality and composition. The process of obtaining and handling donor milk is not always foolproof. Informal milk sharing, often facilitated through social media or community groups, raises significant safety issues. A survey indicated that many mothers are not concerned about the safety of sharing breast milk, with over 50% expressing trust in their donors without screening them. This lack of oversight can lead to potential exposure to infectious diseases or contaminants, which could pose serious health risks to vulnerable infants.
Nutritional Variability
Another downside is the nutritional variability of donor milk. The composition of breast milk can change based on the mother’s diet, health, and even the time of day. This variability means that donor milk may not always provide the optimal nutrition that a specific infant needs. For instance, premature infants often require higher levels of certain nutrients, and if the donor milk does not meet these needs, it could lead to nutritional deficiencies.
Ethical and Emotional Considerations
The use of donor breast milk also raises ethical questions. Parents may grapple with the emotional implications of using milk from another mother, which can complicate the bonding experience. Additionally, there are ethical concerns regarding the commercialization of breast milk, particularly in informal settings where milk is sold rather than donated. This can lead to exploitation and commodification of a resource that is ideally shared altruistically.
Cost and Accessibility
While many milk banks operate on a non-profit basis, accessing donor milk can still be costly. Families may face financial burdens if they need to purchase milk from a bank, especially if their insurance does not cover it. Furthermore, the availability of donor milk can vary significantly by region, making it less accessible for some families.
Regulatory Issues
The regulation of donor milk varies widely across different countries and regions. In some places, there are stringent guidelines and testing protocols in place, while in others, the lack of regulation can lead to unsafe practices. This inconsistency can create confusion for parents trying to navigate their options.
In conclusion, while donor breast milk can provide essential nutrition for infants who cannot receive their mother’s milk, it is important for parents to weigh these potential downsides carefully. Safety, nutritional adequacy, ethical considerations, cost, and regulatory issues all play a significant role in the decision-making process. As with any health-related choice, informed discussions with healthcare providers are crucial to ensure the best outcomes for both infants and their families.

Does breastmilk lose nutrients when pumped?

According to the CDC (Centers for Disease Control and Prevention), freshly expressed breast milk can be safely kept at room temperature (77°F or colder) for up to 4 hours. Generally, when freshly pumped, breast milk is at its peak regarding nutrients.

What are the cons of donor milk?

Risks for the baby include exposure to infectious diseases, including HIV, to chemical contaminants, such as some illegal drugs, and to a limited number of prescription drugs that might be in the human milk, if the donor has not been adequately screened.

Who should not donate milk?

You should never donate breast milk if any of the following applies: You have ever tested positive for HTLV, Hepatitis B or C, or syphilis. You have not been tested yet but think you might have HTLV, Hepatitis B or C, or syphilis. You are HIV positive.

What is the 5 5 5 rule for breast milk?

Something I recommend to moms is the 5-5-5 rule. Try and use milk within five hours at room temperature, five days in the fridge, and by five months in the freezer.

Is it okay to drink my wife’s breast milk?

Many people wonder if adult breastfeeding or erotic lactation is OK and generally speaking it is fine to breastfeed your husband or partner.

Is it better to use donor breast milk or formula?

Donor breast milk may retain some of the non‐nutritive benefits of maternal breast milk for preterm or LBW infants. However, feeding with artificial formula may ensure more consistent delivery of greater amounts of nutrients.

Can my baby drink my sisters breast milk?

In a survey on 650 mothers from the American Academy of Pediatrics found that more than 50 percent were not concerned about the safety of sharing breast milk. But breast milk can expose infants to disease or drugs or other substances ingested by the donor.

Is it safe to give your baby someone else’s breast milk?

Due to the potential risks of sharing unpasteurized human milk, the American Academy of Pediatrics and the Academy of Breastfeeding Medicine recommend that donor milk be pasteurized and obtained from a milk bank, as this is the safest source of donor milk.

What is donor breast milk tested for?

Potential milk donors provide complete medical and lifestyle histories, and undergo blood tests for HIV, HTLV, syphilis, and hepatitis B and C, similar to the screening process used at blood banks. Donated milk is then tested for bacteria and nutritional composition, and pasteurized to kill any bacteria and viruses.

What is the 120 pumping rule?

The first 12 weeks of your breastfeeding journey requires frequent breastmilk removal, stimulating healthy milk production. Studies show moms who exclusively pump for a minimum of 120 minutes per day can make enough to feed their babies primarily breastmilk.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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