By Amy Norton
FRIDAY, Oct. 25, 2019 (HealthDay Information) — “Casual” sharing of breast milk could also be extra widespread than thought, with too many dad and mom mistakenly considering it is risk-free, new analysis suggests.
In a pair of research, researchers delved into the problem of donor breast milk, and the way dad and mom are selecting to get it. In a single, a survey of 655 dad and mom who used donor milk discovered that solely about 36% acquired it from official “milk banks” that display screen and pasteurize donations.
Most stated they’d turned to “casual” sharing, the place dad and mom get breast milk both from a nursing mother they know or through the web. It is a follow discouraged by the American Academy of Pediatrics (AAP) and U.S. Meals and Drug Administration resulting from security issues.
There’s a threat of dilution, or contamination with viruses or micro organism, notably with donor milk obtained on-line, defined Dr. Lori Feldman-Winter, who chairs the AAP’s Part on Breastfeeding.
Sure viruses, reminiscent of HIV, can be transmitted by means of breast milk.
“In case you get breast milk from somebody you realize, it is most likely a low-risk state of affairs,” stated Feldman-Winter.
Nonetheless, she added, that does not imply there is not any threat.
Examine writer Dr. Ruth Milanaik, of Cohen Kids’s Medical Heart/Northwell Well being in New York, made the identical level. Even when breast milk is given totally free, with the perfect of intentions, she stated there may very well be unintentional contamination or temperature instability that causes the milk to spoil.
“The one advisable choice for acquiring donor breast milk is thru a milk financial institution,” stated Milanaik.
That’s simpler stated than accomplished, nonetheless.
Proper now, there are 28 nonprofit milk banks throughout america which might be a part of the Human Milk Banking Affiliation of North America. And most of that milk, Feldman-Winter defined, goes to hospitals for preemies whose moms can’t but categorical their very own breast milk.
Which means little left over for mothers of full-term infants who can’t breastfeed, or for adoptive or male homosexual dad and mom. And even when it’s out there, there’s a steep price — round $four an oz., Milanaik stated.
With casual sharing, dad and mom might get breast milk totally free — both from a good friend or by discovering a neighborhood donor with the assistance of social networking. There are additionally web sites that enable girls to promote their breast milk — it isn’t an inexpensive choice, however the costs are usually decrease than these of a milk financial institution, Milanaik famous.
There’s proof of the advantages to preemies within the hospital, Feldman-Winter stated. However on the subject of wholesome, full-term infants, “the science simply is not there but,” she stated.
So if breastfeeding or banked milk will not be choices, the AAP recommends formula-feeding.
The brand new findings will probably be introduced by Milanaik and co-author and Cohen researcher Nikita Sood on Saturday on the AAP’s annual assembly in New Orleans, and are based mostly on two associated research. Such analysis is taken into account preliminary till printed in a peer-reviewed journal.
Within the first research, a survey discovered that of those that selected casual sharing, 56% stated that they had no security issues, and 78% didn’t ask for medical data from donors as a result of they “trusted them.” Greater than half stated they opted for casual sharing over milk banks resulting from prices.
Within the different research, the researchers checked out 122 parenting-blog posts on donor breast milk. Most, they discovered, centered on casual sharing relatively than milk banks, and most “lacked essential dialogue of security issues.”
It is not clear what number of dad and mom are selecting casual milk sharing. However the brand new findings recommend it might be extra widespread than pediatricians notice, Feldman-Winter stated.
“Actually one of many take-home messages right here is that docs ought to speak about this,” she stated. “We’re lacking a chance, as pediatricians, to open up a dialogue and assist make clear misperceptions.”
As for nursing mothers who’ve additional milk they wish to donate, Milanaik urged them to offer to a milk financial institution.
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SOURCES: Ruth Milanaik, D.O., pediatrician, Cohen Kids’s Medical Heart/Northwell Well being, New Hyde Park, N.Y., and affiliate professor, Donald and Barbara Zucker College of Drugs at Hofstra/Northwell, Hempstead, N.Y.; Lori Feldman-Winter, M.D., M.P.H., chair, Part on Breastfeeding, American Academy of Pediatrics, and professor, pediatrics, Cooper Medical College of Rowan College, Camden, N.J.; Oct. 26, 2019, presentation, American Academy of Pediatrics annual assembly, New Orleans