Perrin Maryanne Tigchelaar, Goodell L Suzanne, Fogleman April, Pettus Hannah, Bodenheimer Amanda L, Palmquist Aunchalee E L
Department of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh, NC, USA
Department of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh, NC, USA.
J Hum Lact. 2016 May;32(2):229-37. doi: 10.1177/0890334415627024. Epub 2016 Feb 23.
Lactating women in the United States have several options for what they do with excess breast milk, including donating to milk banks that serve medically fragile infants, sharing directly with families seeking milk, and selling to individuals or for-profit entities. The World Health Organization and the US Surgeon General have issued calls to increase access to pasteurized donor milk for medically fragile infants.
To explore how lactating women with a surplus of breast milk come to the decision to share their milk with a peer rather than donate to a milk bank.
A qualitative design using a grounded theory approach was employed. Semistructured telephone interviews were conducted with 27 women who had shared milk with a peer but not with a milk bank.
Five dominant themes were identified: a strong belief in the value of breast milk, unexpected versus planned donation, sources of information regarding milk exchange, concerns and knowledge gaps about milk banks, and helping and connecting.
This research offers insights into potential strategies for promoting milk bank donation among peer-to-peer milk sharers, including developing donor education campaigns focused on knowledge gaps regarding milk banks and developing health care professional referral programs that can reduce barriers associated with the convenience of milk bank donation.
美国的哺乳期女性对于如何处理多余的母乳有多种选择，包括捐赠给为医疗脆弱婴儿服务的母乳库、直接与寻求母乳的家庭分享以及出售给个人或营利性实体。世界卫生组织和美国卫生局局长呼吁增加医疗脆弱婴儿获得巴氏消毒捐赠母乳的机会。
探讨母乳过剩的哺乳期女性如何决定与同龄人分享母乳而不是捐赠给母乳库。
采用基于扎根理论的定性设计。对27名与同龄人分享过母乳但未与母乳库分享过的女性进行了半结构化电话访谈。
确定了五个主要主题：对母乳价值的坚定信念、意外与计划中的捐赠、母乳交换的信息来源、对母乳库的担忧和知识差距以及帮助与联系。
本研究为促进同龄人之间母乳分享者向母乳库捐赠的潜在策略提供了见解，包括开展针对母乳库知识差距的捐赠者教育活动，以及制定可减少与母乳库捐赠便利性相关障碍的医疗保健专业人员推荐计划。
