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Milk Donation Following Perinatal Loss: Insights from a Survey across Italian Human Milk Banks

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Open Access
Article Type Original Article
Subject Medicine Group
OCLC JBRES Record
Serena Gandino, Annamaria Fantauzzi, Nicoletta Danese, Pasqua Quitadamo, Ilaria Merusi and Guido E Moro*
Issue: Volume6-Issue4
Pages: 388-393
Received: 2025-04-02
Accepted: 2025-04-23
Published: 2025-04-29

Abstract

Background/Objectives: Milk donation after perinatal loss has been increasingly recognised as a potential healing practice for bereaved mothers. However, lactation support offered to bereaved mothers within hospital settings is still limited. The study aimed to explore the experiences and current practices of Italian Human Milk Banks (HMBs) regarding milk donation after perinatal loss, and to identify barriers and facilitators towards the implementation of this practice, in order to inform future quality improvement initiatives.

Methods: An online survey was distributed to Italian HMBs between June and September 2023. Close-ended questions were reported as frequencies. Open-ended responses were analyzed through a comparative analysis.

Results: forty-three Italian HMBs were contacted, and 34 replied (response rate 79%). Milk donation was offered as a possible option to manage lactation to bereaved mothers in 22 out of 34 Italian HMBs (65%). The lactation counselling was conducted by the HMB personnel in 18 out of 34 centers, by neonatologists in 17 centers, by neonatal nurses in 12 centers, by obstetricians in 4 centers. Twenty-two HMBs (65%) reported to have received from the mothers themselves the request to donate milk after losing their baby. Interviewees reported as main barriers towards implementation of this practice: lack of psychological preparation of the HMBs staff to handle the proposal of milk donation after a loss, to support the mother in processing the death through a gift to life and lack of adequate communication skills.

Conclusion: in order to offer bereaved mothers adequate lactation counselling, specific training should be delivered to the healthcare workers involved, focusing on psychological, communication, and sociocultural aspects.

FullText HTML FullText PDF DOI: 10.37871/jbres2094 Crossmark

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Copyright

© 2025 Gandino S, et al. Distributed under Creative Commons CC-BY 4.0 Creative CommonsAttribution

How to cite this article

Gandino S, Fantauzzi A, Danese N, Quitadamo P, Merusi I, Moro GE. Milk Donation Following Perinatal Loss: Insights from a Survey across Italian Human Milk Banks. J Biomed Res Environ Sci. 2025 Apr 29; 6(4): 388-393. doi: 10.37871/ jbres2094, Article ID: JBRES2094, Available at: https://www.jelsciences.com/articles/jbres2094.pdf

Subject area(s)

Womens Health and CareNeonatal CarePediatrics

References

  1. Meek JY, Noble L; Section on Breastfeeding. Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics. 2022 Jul 1;150(1):e2022057988. doi: 10.1542/peds.2022-057988. PMID: 35921640.
  2. WHO recommendations for care of the preterm or low-birth-weight infant [Internet]. Geneva: World Health Organization; 2022. PMID: 36449655.
  3. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC; Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 Jan 30;387(10017):475-90. doi: 10.1016/S0140-6736(15)01024-7. PMID: 26869575.
  4. ESPGHAN Committee on Nutrition; Agostoni C, Braegger C, Decsi T, Kolacek S, Koletzko B, Michaelsen KF, Mihatsch W, Moreno LA, Puntis J, Shamir R, Szajewska H, Turck D, van Goudoever J. Breast-feeding: A commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2009 Jul;49(1):112-25. doi: 10.1097/MPG.0b013e31819f1e05. PMID: 19502997.
  5. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012 Mar;129(3):e827-41. doi: 10.1542/peds.2011-3552. Epub 2012 Feb 27. PMID: 22371471.
  6. ESPGHAN Committee on Nutrition; Arslanoglu S, Corpeleijn W, Moro G, Braegger C, Campoy C, Colomb V, Decsi T, Domellöf M, Fewtrell M, Hojsak I, Mihatsch W, Mølgaard C, Shamir R, Turck D, van Goudoever J. Donor human milk for preterm infants: current evidence and research directions. J Pediatr Gastroenterol Nutr. 2013 Oct;57(4):535-42. doi: 10.1097/MPG.0b013e3182a3af0a. PMID: 24084373.
  7. Barfield WD; COMMITTEE ON FETUS AND NEWBORN. Standard Terminology for Fetal, Infant, and Perinatal Deaths. Pediatrics. 2016 May;137(5):e20160551. doi: 10.1542/peds.2016-0551. Epub 2016 Apr 18. PMID: 27244834.
  8. Fernández-Medina IM, Jiménez-Lasserrotte MDM, Ruíz-Fernández MD, Granero-Molina J, Fernández-Sola C, Hernández-Padilla JM. Milk Donation Following a Perinatal Loss: A Phenomenological Study. J Midwifery Womens Health. 2022 Jul;67(4):463-469. doi: 10.1111/jmwh.13342. Epub 2022 Feb 15. PMID: 35166428.
  9. Welborn JM. The experience of expressing and donating breast milk following a perinatal loss. J Hum Lact. 2012 Nov;28(4):506-10. doi: 10.1177/0890334412455459. Epub 2012 Aug 22. PMID: 22914757.
  10. Oreg A. Milk donation after losing one's baby: Adopting a donor identity as a means of coping with loss. Soc Sci Med. 2019 Oct;238:112519. doi: 10.1016/j.socscimed.2019.112519. Epub 2019 Aug 27. PMID: 31494515.
  11. Oreg A. The grief ritual of extracting and donating human milk after perinatal loss. Soc Sci Med. 2020 Nov;265:113312. doi: 10.1016/j.socscimed.2020.113312. Epub 2020 Aug 28. PMID: 32889168.
  12. Paraszczuk AM, Candelaria LM, Hylton-McGuire K, Spatz DL. The Voice of Mothers Who Continue to Express Milk After Their Infant's Death for Donation to a Milk Bank. Breastfeed Med. 2022 Aug;17(8):660-665. doi: 10.1089/bfm.2021.0326. Epub 2022 May 12. PMID: 35549706.
  13. Waldby C, Noble-Carr D, Carroll K. Mothers, milk and mourning: The meanings of breast milk after loss of an infant. Sociol Health Illn. 2023 Jan;45(1):109-127. doi: 10.1111/1467-9566.13551. Epub 2022 Oct 3. PMID: 36193004; PMCID: PMC10092727.
  14. Noble-Carr D, Carroll K, Waldby C. Mapping Hospital-Based Lactation Care Provided to Bereaved Mothers: A Basis for Quality Improvement. Breastfeed Med. 2021 Oct;16(10):779-789. doi: 10.1089/bfm.2021.0089. Epub 2021 Jun 9. PMID: 34107776.
  15. Monti L, Massa S, Mallardi M, Arcangeli V, Serrao F, Costa S, Vento G, Mazza M, Simonetti A, Janiri D, Kotzalidis GD, Lanzone A, Mercuri EM, Sani G, Chieffo DPR. Psychological factors and barriers to donating and receiving milk from human milk banks: A review. Nutrition. 2024 Feb;118:112297. doi: 10.1016/j.nut.2023.112297. Epub 2023 Nov 4. PMID: 38096605.
  16. Paraíso Pueyo E, González Alonso AV, Botigué T, Masot O, Escobar-Bravo MÁ, Lavedán Santamaría A. Nursing interventions for perinatal bereavement care in neonatal intensive care units: A scoping review. Int Nurs Rev. 2021 Mar;68(1):122-137. doi: 10.1111/inr.12659. Epub 2021 Mar 9. PMID: 33686660.
  17. Britz SP, Henry L. Supporting the Lactation Needs of Mothers Facing Perinatal and Neonatal Loss. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2013;42:S105-S06. doi: 10.1111/1552-6909.12207.
  18. Khalil A, Buffin R, Sanlaville D, Picaud JC. Milk kinship is not an obstacle to using donor human milk to feed preterm infants in Muslim countries. Acta Paediatr. 2016 May;105(5):462-7. doi: 10.1111/apa.13308. Epub 2016 Jan 19. PMID: 26659819.
  19. Karadag A, Ozdemir R, Ak M, Ozer A, Dogan DG, Elkiran O. Human milk banking and milk kinship: Perspectives of mothers in a Muslim country. J Trop Pediatr. 2015 Jun;61(3):188-96. doi: 10.1093/tropej/fmv018. Epub 2015 Mar 30. PMID: 25828832.
  20. Fantauzzi A, Elizabeth DG. L’allattamento tra cura e cultura: Dall’Africa all’ipertrofia tecnologica. Narrare i Gruppi. 2017;12(1):81-88.
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