Division of Neonatology, Department of Pediatrics, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.
Division of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Perinatol. 2022 Jun;42(6):829-834. doi: 10.1038/s41372-022-01375-9. Epub 2022 Apr 4.
Donor human milk is recommended by the American Academy of Pediatrics for high-risk infants when mother's own milk is absent or insufficient in quantity. Several factors may contribute to the inequitable use of or access to donor human milk, including a limited knowledge of its effects, cost, reimbursement, and regulatory barriers. The American Academy of Pediatrics and the United States Surgeon General have called for investigating barriers that prevent use of donor human milk for high-risk infants and for changes to public policy known to improve availability and affordability. We review the current legislative, regulatory, and economic landscape surrounding donor human milk use in the United States, as well as suggest state- and federal-level solutions to increase access to donor human milk.
美国儿科学会建议高危婴儿使用捐赠人母乳，如果母亲的母乳不足或不存在。一些因素可能导致捐赠人母乳的使用或获取不平等，包括对其效果、成本、报销和监管障碍的了解有限。美国儿科学会和美国外科医生呼吁调查阻碍高危婴儿使用捐赠人母乳的障碍，并对已知可以提高可及性和负担能力的公共政策进行改革。我们回顾了美国目前围绕捐赠人母乳使用的立法、监管和经济环境，并提出了增加捐赠人母乳可及性的州和联邦层面的解决方案。
