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Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
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Published on: February 7, 2025

Milk sharing: from private practice to public pursuit.

James E Akre1, Karleen D Gribble, Maureen Minchin

  • 1Geneva, Switzerland. james.akre@gmail.com.

International Breastfeeding Journal
|June 28, 2011
PubMed
Summary

An internet-based breast milk sharing model connects donating mothers with infants needing milk. Despite some public health opposition, this mother-to-mother sharing offers a safe, manageable alternative to infant formula, expanding human milk availability.

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Area of Science:

  • Public Health
  • Sociology
  • Human Lactation

Background:

  • A global, commerce-free internet platform facilitates breast milk sharing between mothers and recipients.
  • This model operates in nearly 50 countries, connecting milk donors with infants in need.
  • Public health authorities have expressed concerns, leading to condemnation of the initiative.

Discussion:

  • Opposition may stem from prejudice, perceived challenges to medical authority, and concerns for donor milk banks.
  • The internet platform for milk sharing is not without risks, but these can be managed.
  • Risk-reduction and harm-minimization strategies are crucial for safe implementation.

Key Insights:

  • Mother-to-mother milk sharing is an internationally endorsed practice when a mother's own milk is unavailable.
  • Informed sharing, proper management, and evaluation can mitigate the risks associated with donor breast milk.
  • This model has the potential to significantly increase the global supply of human milk.

Outlook:

  • Encouraging health authorities to investigate and support safe milk-sharing practices.
  • Promoting informed parental choice by highlighting the benefits and manageable risks of donor milk.
  • Expanding the world's human milk supply to improve infant health outcomes.