INFORMATION FOR
HEALTH CARE PROVIDERS
Donor Human Milk: Fast Facts
NorthernStar Mothers Milk Bank (NMMB) is a community based, not-for-profit organization thatprovides screened and pasteurized donor human milk (DHM) to babies in need when mother’s own milk is not available.
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NMMB is part of the Human Milk Banking Association of North America (HMBANA), a regulatory body that establishes standards and guidelines for the operation of milk banks.
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There are 3 HMBANA milk banks in Canada: Vancouver, Calgary, and Toronto. Quebec also has milk bank associated with their blood bank. There are 17 HMBANA milk banks in the US.
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NMMB uses the Holder Method of pasteurization (heating to 62.5o C for 30 min), which eliminates harmful bacteria while maintaining the majority of the milk’s beneficial components.
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Each batch is tested for bacteria post-pasteurization by a third party laboratory. Milk is dispensed when test results are negative.
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DHM is dispensed to hospitals, as well as infants in the community. It is dispensed by prescription from a physician, midwife or nurse practitioner.
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Human milk has been shown to protect against problems such as NEC, URI, sepsis, obesity, diabetes, and food allergies. A mother’s own milk is optimal for her baby under most circumstances. However, when unavailable or undesirable, DHM is the next best alternative.
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DHM is dispensed based on availability; highest-priority recipients are preterm and ill hospitalized infants.
Common reasons for use of DHM include:
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preterm birth
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failure to thrive
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infants susceptible to or recovering from necrotizing enterocolitis (NEC)
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malabsorption syndromes
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short-gut syndrome
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renal failure
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inborn errors of metabolism
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allergies or intolerance to cow and soy milk
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immune suppression therapy
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pre- or post-surgical nutrition and immunological support
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cardiac problems
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bronchopulmonary dysplasia
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pediatric burn patients
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treatment for infectious diseases (intractable diarrhea, gastroenteritis, infantile botulism, sepsis,
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pneumonia, hemorrhagic conjunctivitis)