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Informal breast milk sharing is common but carries risks. Healthcare providers should educate families on screening and safe handling for donor milk to protect infant health.

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Area of Science:

  • Perinatal health
  • Infant nutrition
  • Lactation science

Background:

  • Human milk is optimal for infant nutrition, but insufficient supply necessitates alternatives.
  • Formal donor milk and informal breast milk sharing are utilized when maternal milk is unavailable.
  • Informal milk sharing poses risks due to potential lack of donor screening for diseases, medications, and substances.

Purpose of the Study:

  • To address formal breast milk donation and informal breast milk sharing practices.
  • To inform perinatal nurses about the risks and benefits of informal breast milk sharing.
  • To provide guidance for healthcare providers encountering families using informal milk sharing.

Main Methods:

  • Review of formal breast milk donation and informal breast milk sharing.
  • Inclusion of two case exemplars illustrating informal milk sharing nuances.
  • Discussion of implications for healthcare practice.

Main Results:

  • Informal breast milk sharing and cross-nursing are prevalent among families.
  • Unscreened donors pose risks regarding disease, medication, and illicit substance transmission.
  • Safe practices require information on donor health history, laboratory screening, and milk handling.

Conclusions:

  • Perinatal nurses must be equipped to inform families about the risks and benefits of informal breast milk sharing.
  • Providing information on health screening and safe milk handling is crucial for infant safety.
  • Informed decision-making supports the safe use of donor milk when maternal supply is insufficient.