The Use of Human Donor Milk in the High Risk Neonate
Mother’s milk is the unequalled nutritional source for the preterm or medically fragile neonate. Beyond its nutritional impact, it contains a myriad of bioactive molecules that are of particular health importance for the sick neonate. A majority of mothers who are pump dependent with an infant in a neonatal intensive care unit have an incomplete supply of their own milk. In this instance, human donor milk is an important supplement to have available while the mother is supported to increase her own milk supply. This lecture will focus on various aspects of the use of human donor milk including a review of the differences between mother’s milk and donor milk and the current methodologies used for processing donor milk. Recommended clinical guidelines will be discussed that are based on the evidence for short and long term health outcomes following the use of donor milk in the neonatal period. Future considerations will be explored including ethical issues with respect to donor milk use.
This lecture was originally offered as part of the GOLD Lactation Conference 2020.
Dr. Sharon Unger comes from the East Coast of Canada and is a neonatologist at Sinai Health System in Toronto, Canada. She is a co-primary investigator for the Canadian Institutes of Health Research funded OptiMoM and MaxiMoM programs of research as well as the medical director for the Rogers Hixon Ontario Human Milk Bank. Her research interests are primarily in the use of human milk for the high risk neonate and its long term impact.
Delegates will be able to:
1: Discuss the differences between mother's milk and human donor milk
2. Discuss the scientific evidence behind current human donor milk usage guidelines
3. Discuss some of the ethical considerations in human donor milk use
Mother’s milk is the unequalled nutritional source for the preterm or medically fragile neonate. Beyond its nutritional impact, it contains a myriad of bioactive molecules that are of particular health importance for the sick neonate. A majority of mothers who are pump dependent with an infant in a neonatal intensive care unit have an incomplete supply of their own milk. In this instance, human donor milk is an important supplement to have available while the mother is supported to increase her own milk supply. This lecture will focus on various aspects of the use of human donor milk including a review of the differences between mother’s milk and donor milk and the current methodologies used for processing donor milk. Recommended clinical guidelines will be discussed that are based on the evidence for short and long term health outcomes following the use of donor milk in the neonatal period. Future considerations will be explored including ethical issues with respect to donor milk use.
Accreditation
CERPs - Continuing Education Recognition Points
Applicable to International Board Certified Lactation Consultants (IBCLCs), Certified Lactation Counsellors (CLCs), Certified Lactation Educators (CLEs), Childbirth Educators (CBEs) and doulas. This lecture has been approved for l L-CERP. GOLD Learning is designated as a Long Term Provider of CERPs by the International Board of Lactation Consultant Examiners (IBLCE) -Approval #CLT114-07.
Midwifery CEUs (MEAC Schools):
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) and is approved for 1 Hour, the equivalent of 0.1 CEU. Please note that 0.1 MEAC Midwifery CEU is equivalent to 1.0 NARM CEUs.
Additional Details
Viewing Time: 2 Weeks
Tags / Categories
(IBCLC) Infant, (IBCLC) Physiology and Endocrinology, (IBCLC) Psychology, Sociology, and Anthropology, Donor Human Milk for Preterm Infants
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