In the absence of adequate banked donor human milk for distribution to all infants in need, many families choose to engage in the practice of Private Arrangement Milk Sharing (PAMS), partially facilitated through social media, to procure human milk for their infants. Evidence regarding the participant and infant characteristics, and risk abatement practices is limited. This presentation explores the state-of-the-science of PAMS, characteristics of recipient participants and infants, donor screening practices, and risk abatement strategies. Results are contextualized with a socioecological framework of factors affecting infant feeding practices. Influence of health care providers, lactation support, birth attendant, and sources sought during decision making and the impact of these influences on supporting families are discussed.
Learning Objectives:
Objective 1: Differentiate between wet-nursing, cross-nursing, milk banking, milk sharing, and milk selling
Objective 2: Navigate the strengths and limitations of the current evidence regarding milk sharing
Objective 3: Objectively support families engaged in or considering PAMS in diverse settings
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