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Immunological Implications of Alternatives to Mother’s Milk II Donor Milk

  • Brian Wharton
Part of the Ettore Majorana International Science Series book series (volume 8)

Abstract

When a mother for whatever reason does not lactate successfully her baby usually receives an infant formula commonly based on cow’s milk. In certain circumstances, however, breast milk from a donor may be given instead. There are three main ways in which donor milk is used. Many neonatal physicians consider that for a pre-term baby donor breast milk is the next best to his mother’s own fresh milk particularly during the first week or so of life when the fear of necrotising enterocolitis is greatest. Similarly neonatal surgeons have by experinece adopted donor breast milk as the first choice for babies recovering from operations particularly on the gastrointestinal tract. Finally in severe cases of cow’s milk protein intolerance, when there is inanition due to continuing diarrhoea and profound malabsorption, donor breast milk may on occasion save life and be a much safer, simpler, and cheaper alternative to a combination of parenteral nutrition and semi-elemental diets. Donor milk may also be given to a child with a strong family history of atopy but in practice some other alternative is usually used, probably because donor breast milk is so difficult to get that its use must be limited to short periods in babies with potentially lethal problems.

Keywords

Breast Milk Human Milk Manual Expression Donor Milk Human Milk Banking 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • Brian Wharton
    • 1
  1. 1.Sorrento and Birmingham Maternity HospitalsBirminghamUK

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