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What are the rules for donor breast milk?

Understanding the Rules for Donor Breast Milk
In recent years, the conversation around donor breast milk has gained significant traction, particularly as more parents seek alternatives to formula feeding. However, navigating the world of donor milk involves understanding a set of guidelines and safety protocols designed to protect both donors and recipients.
Safety and Screening Protocols
The safety of donor breast milk is paramount. Milk banks, which are organizations that collect, screen, process, and distribute donor milk, adhere to strict guidelines to ensure the milk is safe for consumption. Potential donors must undergo a thorough screening process that includes a detailed application where they disclose their health history, medications, and lifestyle choices. This transparency is crucial, as certain infectious diseases can be transmitted through breast milk.
Once a donor is accepted, their milk is subjected to rigorous testing. This includes blood tests to check for infectious diseases such as HIV and hepatitis, as well as screening for any medications that could affect the milk’s safety. The milk is then pasteurized to eliminate harmful pathogens, a process that is critical in ensuring the health of the infants who will receive it.
Storage and Distribution
Donor milk is typically collected and stored in a frozen state to preserve its nutritional quality. Upon arrival at a milk bank, the milk is carefully logged and stored under controlled conditions. When preparing to distribute the milk, it is thawed in a refrigerator overnight and pooled from multiple donors to create a consistent nutrient profile. This pooling process is essential, as it helps to ensure that each recipient receives a balanced mix of nutrients.
Legal and Ethical Considerations
The legal landscape surrounding donor breast milk varies by region. In many places, it is illegal to sell breast milk, and transactions are often limited to donations through established milk banks. This is primarily to prevent the commercialization of human milk, which raises ethical concerns about exploitation and the potential for unsafe practices. Parents seeking donor milk are encouraged to work with accredited milk banks to ensure they are receiving safe and properly screened milk.
Community and Online Donations
While milk banks are the safest option for obtaining donor milk, some parents turn to informal networks, including online communities and social media platforms, to find donors. This practice, while more accessible, carries significant risks. Without the rigorous screening and pasteurization processes that milk banks employ, the safety of the milk cannot be guaranteed. Parents considering this route should exercise extreme caution and prioritize safety above all else.
Conclusion
In summary, the rules governing donor breast milk are designed to ensure the safety and well-being of infants who rely on it. By adhering to strict screening processes, pasteurization protocols, and ethical guidelines, milk banks play a crucial role in providing safe donor milk. For parents navigating this landscape, understanding these rules is essential to making informed decisions about their children’s nutrition.

What is the 3-3-3 rule for breast milk?

The ‘Rule of Three’ guideline suggests allowing the baby to nurse for at least three minutes on each breast to ensure they receive a balance of foremilk (initial, thirst-quenching milk) and hindmilk (higher-fat, calorie-rich milk).

Can I give my sister breast milk?

Risks of sharing breast milk can include, but are not limited to: transmission of certain infectious agents, like bacteria or viruses, some of which may be found in milk expressed by asymptomatic women.

What do they test for when donating breast milk?

In addition, milk banks serologically screen potential donors for HIV-1, HIV-2, human T-lymphotropic virus (HTLV), Hepatitis C, Hepatitis B surface antigen and syphilis no more than six months prior to the first donation.

What are the disadvantages of donor breast milk?

Donated breast milk from somewhere other than a milk bank will not have been pasteurized (heat treated) to destroy bacteria and viruses. As with donated blood, donor milk can contain viruses, bacteria and chemicals such as nicotine if the donor parent smokes cigarettes.

What do they test for when you donate breast milk?

Also the labs must be done at least eight days after the procedure. In addition, milk banks serologically screen potential donors for HIV-1, HIV-2, human T-lymphotropic virus (HTLV), Hepatitis C, Hepatitis B surface antigen and syphilis no more than six months prior to the first donation.

What are the rules for donating breast milk?

The initial donation for non-local donor must be at least 200 ounces for each donation to ensure that your milk remains frozen during shipping. For local donors, the initial donation must be at least 50 ounces. You may donate as many times as you like. If you prefer to be a one-time donor, that is fine too.

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 disqualifies you from donating breast milk?

You have ever injected illegal drugs. You have ever had intimate contact with anyone at risk for HIV, human T-lymphotropic virus (HTLV), or infectious hepatitis. You smoke, use any tobacco product, a nicotine patch, or an e-cigarette. Your baby is breastfed and not gaining weight or growing as well as expected.

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.

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.

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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