Martino Kimberly, Spatz Diane
Kimberly Martino is a BSN student, University of Pennsylvania, Philadelphia, PA. She can be reached via e-mail at
MCN Am J Matern Child Nurs. 2014 Nov-Dec;39(6):369-74. doi: 10.1097/NMC.0000000000000077.
Human milk is the ideal food for human infants. However, some infants will be in situations wherein there is insufficient human milk to meet their needs. This article addresses formal breast milk donation (donor milk) and informal sharing of breast milk. Healthcare providers are likely to encounter families who access milk by informal breast milk sharing or cross-nursing. Both practices rely heavily on receiving human milk from women who are potentially unscreened for disease, medication, and illicit substances. Therefore, it is important for perinatal nurses to have adequate information to be able to inform these families of the risks and benefits of breast milk sharing. Two case exemplars are provided to illustrate the nuances of informal milk sharing. Implications for practice include providing families with information on health history and laboratory screening as well as safe milk-handling practices.
母乳是人类婴儿的理想食物。然而，有些婴儿会面临母乳不足无法满足其需求的情况。本文探讨了正式的母乳捐赠（捐赠母乳）和母乳的非正式分享。医疗保健提供者很可能会遇到通过母乳的非正式分享或交叉哺乳获取母乳的家庭。这两种做法都严重依赖于从可能未接受疾病、药物和非法物质筛查的女性那里获取母乳。因此，围产期护士掌握足够的信息以便能够告知这些家庭母乳分享的风险和益处非常重要。提供了两个案例示例来说明非正式母乳分享的细微差别。对实践的启示包括向家庭提供有关健康史和实验室筛查的信息以及安全的母乳处理方法。
