Donor _
Document Sample


Mothers’ Milk Bank of Ohio
1087 Dennison Avenue Columbus, Ohio 43201
Office 614 544-5906 Fax 614 544-5907
Dear Donor Mother,
Thank you for your interest in donating your milk. Please complete the following and
deliver or mail these back to the Mothers’ Milk Bank:
The four-page DONOR INTERVIEW and DONOR CONSENT form.
Complete the boxed portions of the “MEDICAL INFORMATION REGARDING
DONOR MOTHER’S CHILD” and the “MEDICAL INFORMATION REGARDING DONOR
MOTHER” forms. Please return the forms to us and we will have them signed
by your health care providers.
After collecting 200 ounces of your milk, please call our office to arrange to drop off
your milk and for instructions to have blood work done. Our office hours at this time are
varied, please call before coming.
Also enclosed are important information sheets. The precious milk that you are sending
will be fed to the most fragile and ill babies. Following our instructions will enable you to
provide the purest, freshest, and most carefully handled milk possible. Please carefully
read the DONOR PUMPING INSTRUCTIONS and the MEDICATION INFORMATION, and feel
free to call us if you have questions at any point during the process. We have an
International Board Certified Lactation Consultant available to answer any questions.
After we receive your milk and all of your paperwork and blood test results, we will
carefully pour, mix and pasteurize your milk by gently heating it to destroy any bacteria
and viruses that may be present. Pasteurized donor milk has been found to be almost
as protective against infection as fresh milk because the majority of antibodies survive
the heating and freezing process. Next, we will distribute the milk to premature
hospitalized babies or to sick babies whose doctors have prescribed donor milk for
them. Not only does your milk contain precious antibodies to fight infection, but also it is
easy to digest and full of valuable nutrients. If you have any questions about the milk
bank or about donating, please do not hesitate to call us.
We look forward to having you as part of our team in improving the lives and health of
the babies we serve.
Pro
We thank you for your time and effort on behalf of our recipients, the littlest little ones.
These premature and sick babies will benefit greatly from your gift.
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Donor # ________________
DONOR INTERVIEW
Date of Application: _________________
Name: ____________________________________ Age: _______ Birth Date: ___________________
Phone: H(_____)____________________ W (______)__________________ Cell (_____)__________________________
Address: ____________________________________________________ Apt. #: _____________________________
City: _____________________________________ State: ___________ Zip: _______________
E-mail: ________________________________________ Fax: ______________________________________________
Present/Past Occupation(s)? ________________________________________________________________________
Partner's Name: ________________________ Occupation/Company: _________________________________
Baby's Name: ___________________ Sex: _____ Age: _____ Birth Date: _________________________
Birth Weight: ___________ Length: ________ Last Height/Weight: _______/_______ Date: _____________
Was baby full term? ________ If no, gestational age at birth: ____________________________________
Is baby at home? ______ or Hospital? ______
If hospital, please list name/phone of hospital: ________________________________
Mother's Health Care Provider (OB or midwife):
Name: ___________________________________ Phone*: ________________________
Address: __________________________________Fax*: _________________________
City/State/Zip: ____________________________________________________________
Baby's Health Care Provider (MD):
Name: ____________________________________ Phone*: _______________________
Address: __________________________________ Fax*: ________________________
City/State/Zip: ____________________________________________________________
** It is very important that you provide the Doctor’s phone and fax numbers.** Thank you.
How did you learn about the Mothers' Milk Bank of Ohio? ___________________________________________
Are you donating milk collected before you contacted the milk bank? ____ Yes _____ No
If yes, were you, the baby, and other members of your household healthy during the time you collected
this milk? Yes No If no, please explain: ____________________________________________________________
____________________________________________________________________________________________________
Did you take any medications, herbal preparations, or vitamins during this time? _____ Yes _____ No
If yes, do you know the dates you took them? _____ Yes _____ No
If yes, please list what you were taking and the dosages.______________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Do you plan to be an ongoing donor? _____ Yes _____ No
What kind of freezer do you have? top of refrigerator ______ side-by-side ______ deep freeze______
Milk will be delivered to Mothers’ Milk Bank of Ohio at 1087 Dennison Avenue Columbus Ohio. Our office
hours at this time are varied, please call before coming.
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Donor # ________________
MOTHER'S MEDICAL HISTORY
Does any of the below apply to you? Please use another sheet to explain in detail any "yes" responses.
YES NO
1. a positive test for hepatitis? ____ ____
2. a history of hepatitis or yellow jaundice? ____ ____
3. liver problems? ____ ____
4. hepatitis B immune globulin in the last 12 months? ____ ____
5. exposure to hepatitis or HIV in the past 12 months? ____ ____
6. ears or body part pierced; acupuncture; or tattoos in the past 6 months? ____ ____
7. been intimate with someone who has had ears or body part pierced;
acupuncture; or tattoos in the past 6 months? ____ ____
8. heart disease or high blood pressure? ____ ____
9. tuberculosis, exposure to TB, or positive TB test or X-ray? ____ ____
10. insulin dependent diabetes? ____ ____
11. sexually transmitted disease (syphilis, gonorrhea, HPV, chlamydia)? ____ ____
12. genital or oral herpes? ____ ____
13. cold sores? If yes, how often? ____ ____
14. skin disease or skin lesions? ____ ____
15. accidental needle sticks in the last 12 months? ____ ____
16. unexplained weight loss, fever, or night sweats? ____ ____
17. unexplained, engorged lymph nodes? ____ ____
18. white sores or lesions in the mouth? ____ ____
19. history of yeast infections (systemic, vaginal, oral)? ____ ____
20. persistent diarrhea? ____ ____
21. a blood transfusion, blood products, organ or tissue transplant? ____ ____
22. surgery in past 12 months? ____ ____
23. history of cancer or lump? ____ ____
24. a serious illness in past year? ____ ____
25. injected yourself with drugs or been intimate with someone who has? ____ ____
26. intimate contact with someone who is at risk for HIV (incl. anyone with
hemophilia)? ____ ____
27. been told not to donate blood or milk? ____ ____
28. ever received human pituitary growth hormone? ____ ____
29. Are you under a doctor's care for anything? ____ ____
The information reported on this form is true and correct to the best of my knowledge.
____________________________________ _________________
Signature Date
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Donor # ________________
BABY'S HEALTH HISTORY
YES NO
1. Has your baby ever had a yeast infection (e.g. thrush or diaper rash)? ____ ____
2. Has your baby been exposed to any communicable disease, such as
chicken pox, mumps, etc. ____ ____
3. Does your baby have repeated infections, such as colds, ear
infections, diaper rash, skin infections? ____ ____
4. Is you baby gaining weight and growing well? ____ ____
5. Is your baby totally breastfed? ____ ____
(If not, please describe other food intake. We recognize that a baby’s
feeding patterns change as she or he grows older.)
MOTHER'S HEALTH HABITS
YES NO
1. Are you taking any medications (prescription or over-the-counter)
such as vitamins, vitamins with herbs, herbs, birth control pills,
laxatives, or allergy medicine? ____ ____
If yes, please give names and dosages of medication, vitamins, and herbs you are taking. If you took
medication of any kind while storing milk for the milk bank, please indicate the dates taken:
______________________________________________________________________________________________________
2. Do you smoke or use tobacco? ____ ____
3. Have you used "recreational drugs" such as marijuana, cocaine,
ecstasy, LSD, or Dexedrine in the last two years? ____ ____
4. Describe your present daily use of alcoholic beverages. (After drinking
an alcoholic beverage, please wait at least 12 hours before pumping for
the milk bank.)
_____________________________________________________________________________________________
5. Describe your present daily intake of caffeinated beverages (coffee,
tea, or soda). (While donating to the milk bank, please limit your intake
of caffeinated drinks to 24 oz. in 24 hours.)
_____________________________________________________________________________________________
The information reported on this form is true and correct to the best of my knowledge.
_____________________________________ ______________________
Signature Date
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Donor # ________________
MOTHER'S OBSTETRICAL AND LACTATION HISTORY
1. To how many children have you given birth?
Names: __________________________ Ages: ________
__________________________ ________
__________________________ ________
__________________________ ________
__________________________ ________
YES NO
2. During your most recent pregnancy, delivery, and post-delivery period,
have you had any complications, including infection, excessive
bleeding or high blood pressure? If yes, please explain: ____ ____
___________________________________________________________________________
3. Have you expressed and stored milk before? ____ ____
If you use a pump, what kind is it? _________________________________________
4. Have you ever had breast infections with this baby? ____ ____
If yes, please describe and give dates:
___________________________________________________________________________
5. Are you on any special diet? (e.g. low salt, low dairy products,
vegetarian, diabetic, weight loss, etc?) If yes, please explain: ____ ____
___________________________________________________________________________
___________________________________________________________________________
The milk bank sometimes receives requests for milk from mothers on a dairy free or low-dairy diet.
Please let us know if you begin to eliminate dairy from your diet for any reason.
The information reported on this form is true and correct to the best of my knowledge.
_____________________________________ ______________
Signature Date
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Donor # ________________
DONOR CONSENT
1. I have voluntarily chosen to donate my breast milk to the Mothers' Milk Bank of Ohio. I understand that
I will not be paid for the milk I donate. I am also aware that my milk will not be sold, but a processing
fee will be charged to the recipient of the milk. My milk may be used for research purposes, when the
research is expected to benefit recipients of human milk.
2. I will make every effort to see that my milk is donated according to the instructions provided. I
understand that it is my responsibility to notify the Mothers' Milk Bank of Ohio:
a. in the case of illness involving fever or medications in myself, or my baby
b. when I need to take any medications;
c. when family obligations preclude continuing donations;
d. when I have any questions about being a donor
e. when I have been exposed to a contagious illness or disease.
3. I am also aware that once my milk has been donated it becomes the property of the Mothers' Milk
Bank of Ohio.
4. I understand that a sample of my milk will be tested by a microbiology lab after pasteurization.
5. I understand that a sample of my milk will be tested for nutritional values, specifically, total calories
and lipids.
6. I understand that, most often, I can donate milk only until my baby reaches one year of age.
7. I understand that all donor information is confidential and I have read the Privacy Statement provided
by Mothers’ Milk Bank of Ohio.
8. I understand that there is a minimum milk donation expected of 200 ounces.
9. I have read all of the information about HIV and the blood tests done for donors.
10. I agree to have my blood tested as described in TESTING REQUIRED FOR MILK DONORS on page 10 of
this packet and understand that I will be notified of the results. Blood test results are good for six
months, at which time I will be notified of my need to either repeat the tests or to stop donating.
11. The Mothers’ Milk Bank of Ohio is sometimes asked to provide milk specimens for research. Milk that I
have donated MAY MAY NOT be used for research purposes.
I hereby certify to the best of my knowledge that I understand and have answered all the questions
truthfully.
_____ _________________________ ______________________
Donor Signature Date
Please sign and return to us.
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Donor # ________________
DONOR CONSENT
1. I have voluntarily chosen to donate my breast milk to the Mothers' Milk Bank of Ohio. I understand that
I will not be paid for the milk I donate. I am also aware that my milk will not be sold, but a processing
fee will be charged to the recipient of the milk. My milk may be used for research purposes, when the
research is expected to benefit recipients of human milk.
2. I will make every effort to see that my milk is donated according to the instructions provided. I
understand that it is my responsibility to notify the Mothers' Milk Bank of Ohio:
a. in the case of illness involving fever or medications in myself, or my baby;
b. when I need to take any medications;
c. when family obligations preclude continuing donations;
d. when I have any questions about being a donor;
e. when I have been exposed to a contagious illness or disease.
3. I am also aware that once my milk has been donated it becomes the property of the Mothers' Milk
Bank of Ohio.
4. I understand that a sample of my milk will be tested by a microbiology lab after pasteurization.
5. I understand that a sample of my milk will be tested for nutritional values, specifically, total calories
and lipids.
6. I understand that, most often, I can donate milk only until my baby reaches one year of age.
7. I understand that all donor information is confidential and I have read the Privacy Statement provided
by Mothers’ Milk Bank of Ohio.
8. I understand that there is a minimum milk donation expected of 200 ounces.
9. I have read all of the information about HIV and the blood tests done for donors.
10. I agree to have my blood tested as described in TESTING REQUIRED FOR MILK DONORS on page 10
of this packet and understand that I will be notified of the results. Blood test results are good for six
months, at which time I will be notified of my need to either repeat the tests or to stop donating.
11. The Mothers’ Milk Bank of Ohio is sometimes asked to provide milk specimens for research. Milk that I
have donated MAY MAY NOT be used for research purposes.
I hereby certify to the best of my knowledge that I understand and have answered all the questions
truthfully.
This copy is for your records.
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Donor # ________________
MEDICAL INFORMATION REGARDING DONOR MOTHER’S CHILD
Instructions for the Health Care Provider:
The mother of your patient has volunteered to donate milk to the Mothers’ Milk Bank of Ohio.
Please complete the following and either mail or fax back to us at 614.544.5907. Please call us at
614.544.5906 if you have any questions or concerns. All donor records are confidential. Thank you
for your assistance.
Donor mother: Please complete this section only.
Date: ______________
Baby’s Name: _________________________ Baby’s Date of Birth: ____________________
I authorize Dr. __________________________ to release the requested medical information to the Mothers'
Milk Bank of Ohio. I acknowledge and consent to the release of information that may contain alcohol,
drug abuse, psychiatric, HIV testing, HIV results, or AIDS information. I acknowledge that I can refuse to
sign this document and that I can have a copy of it by request.
________________________________ _________________________________
Donor Mother’s Name (please print) Donor Mother's Signature
INFORMATION REQUIRED FROM HEALTH CARE PROVIDER:
___________________________
Date last seen in this office
Is baby gaining weight appropriately? Yes / No Other:_________________________________
If preterm, is mother producing in excess of baby’s needs? Yes / No
I am aware of no adverse effects for the health of baby _________________________ if his/her mother
donates milk to the Mothers' Milk Bank of Ohio.
_________________________________________________________ _____________________________________
Physician Signature Date
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Donor # ________________
MEDICAL INFORMATION REGARDING DONOR MOTHER
Instructions for the Health Care Provider:
Your patient has volunteered to donate milk to the Mothers’ Milk Bank of Ohio. Please complete
the following and either mail or fax back to us at 614.544.5907. If you have not done the tests
listed below, during this pregnancy, we will do them at no cost to the donor before she begins
donating milk. You will be notified of any positive test results. Please call us at 614.544.5906 if you
have any questions or concerns. All donor records are confidential. Thank you for your
assistance.
Donor mother: Please complete this section only.
Date: _________________
I authorize _______________________________________ to release the requested medical information to the
Mothers’ Milk Bank of Ohio. I acknowledge and consent to the release of information that may contain
alcohol, drug abuse, psychiatric, HIV testing, HIV results, or AIDS information. I acknowledge that I can
refuse to sign this document and that I can have a copy of it by request.
___________________________________ ____________________ ______________________________________
Donor Mother’s Name (please print) Date of Birth Donor Mother’s Signature
INFORMATION REQUIRED FROM HEALTH CARE PROVIDER:
To the best of your knowledge, does this patient have a history of:
YES NO
1. Genital herpes? ____ _____
2. Blood transfusion in the last 12 months? ____ _____
3. TB, hepatitis or prenatal viral infections? ____ _____
4. Taking any medication on a regular basis? ____ _____
Please report test results below:
Results Date
1. RPR ______ ___________________
2. Rubella ______ ___________________
3. HIV I & II ______ ___________________
4. HTLV I & II ______ ___________________
5. HbsAg ______ ___________________
6. Hepatitis C ______ ___________________
To the best of my knowledge, _____________________________________ is in good health and
would be an appropriate donor to the milk bank.
_________________________________________________________ _____________________________________
Physician Signature Date
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Donor # ________________
TESTING REQUIRED FOR DONORS
WHAT IS AIDS?
AIDS, or Acquired Immune Deficiency Syndrome, is a condition caused by HIV (the AIDS virus) in which
the body's normal defense mechanisms against certain infectious diseases are severely reduced. As a
result, patients develop unusual infections and cancers, and they ultimately die of these complications.
There is no known cure for AIDS. Although some people may be infected by HIV and have mild or no
symptoms, it is believed that anyone infected by the virus may infect others by certain routes.
WHAT DOES AIDS HAVE TO DO WITH DONATING MILK?
Many infants who receive donor milk are extremely vulnerable to infections. It is known that HIV can be
spread via body fluids. HIV can be found in the milk of infected women. Therefore, if you are in any of
the high-risk groups listed below, we are asking that you voluntarily refrain from applying to donate milk.
We truly appreciate your willingness to understand the critical need for these voluntary screening
procedures. Sometimes the best gift is no gift.
WHO IS AT RISK?
It is known that certain groups are at high risk of contracting HIV as well as passing it to others:
Those with a positive result when tested for HIV
Those with symptoms and signs of AIDS (unexplained enlarged lymph nodes, unexplained weight loss,
night sweats, chronic diarrhea, fungal and viral infections of the mouth, unexplained dark skin
nodules)
Sexual partners of HIV-positive individuals, or those who are at risk for HIV infection
Men who have ever had sex with another man since 1977
Present or past abusers of non-medical, injected drugs
Persons with hemophilia who have received clotting factor concentrates
Sexual partners of individuals in any of the above categories
Men or women who have engaged in sex for money or drugs within the last 12 months and persons
who have been their sexual partners
TESTING REQUIRED FOR MILK DONORS
Each donor to the Milk Bank must have negative blood tests for HIV-1, HIV-2, HTLV1+2, Hepatitis B,
Hepatitis C, and syphilis. If you have not been tested for these diseases in the six months prior to
donating, a blood sample will be drawn to do these tests. There is no charge to the donor for the tests.
You will be tested for these viruses every 6 months as long as you are donating. All test results are
confidential. While the test for antibodies to the HIV-1, HIV-2, HTLV, and Hepatitis B and Hepatitis C viruses
detects almost everyone who carries the antibody to the virus, the test occasionally is falsely positive. If
this occurs, a second test will be done to verify the results of the first test. If any of these tests are positive,
you will be confidentially notified and the health care provider named on your screening form will be
notified.
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MEDICATION INFORMATION AND RESTRICTIONS FOR MILK BANK DONORS
Occasionally it may be necessary for you to take some type of medication. The following list and
guidelines include some common medications and the time you must wait after taking these
medications before pumping milk for the Milk Bank.
For any other medication, illness or situation, please call the Mothers’ Milk Bank for clarification.
Medication: Time to wait after last dose:
Advair No waiting period
Allergy shots (serum) No waiting period
Aspirin 24 hours
Benadryl 12 hours
Claritin 5 days
Cortisone shot 24 hours
Colace No waiting period
Echinacea capsules 24 hours
Eye drops No waiting period
Fenugreek 24 hours
Flexoril 7 days
General anesthesia 24 hours
Hydrocodone/Vicodin 12 hours
Ibuprofen (Motrin, Advil, etc.) 8 hours
Imitrex 8 hours
Immunizations, including flu No waiting period
Inhalers (asthma) No waiting period
Insulin No waiting period
Lecithin No waiting period
Local anesthetic (e.g. Lidocaine, Novocaine) 24 hours
Mini-pill progesterone only birth control No waiting period
Motilium 7 days
Mylicon No waiting period
Naproxen 2 days
Omega 3 Fatty Acids No waiting period
Omniscan (xray prep) 24 hours
Pepto Bismol 24 hours – single dose
Phenylpropanolamine (Dexatrim) 48 hours
Rhogam No waiting period
Prenatal Vitamins without herbs No waiting period
Reglan No waiting period
Robitussin (guaifenesin) 48 hours
Singulair No waiting period
Sudafed (pseudoephedrine) (Actifed) 24 hours
Synthroid No waiting period
Topical antibiotic or hydrocortisone No waiting period
Tums (calcium carbonate) No waiting period
Tylenol (acetaminophen) 24 hours
Vacinase/Nasonex No waiting period
Valtrex 48 hours
Vicodin 12 hours
Vioxx 3 days
Zyrtec 24 hours
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Medication Information and Restrictions for Milk Bank Donors
Medication NOT to be taken by donors:
Albuteral - taken orally Freeze dried nettles
Anti-anxiety medication Inderal
Anti-depressants Neurontin
Anti-cholinergics Oxytocin
Anti-seizure medication Prenatal Vitamins with any herbs
Baby aspirin Prevacid
Birth control pills (combination pill) Volmax
* If your medication isn’t on this list, please call the Mothers’ Milk Bank of Ohio – 614.544.5906.
Do Not Donate If:
1. You, your baby, or any household member becomes ill. The exception to this is an uncomplicated cold,
or seasonal runny nose, or allergies, in which the sick person's temperature is no higher than 100o F orally.
The sick person must not be in the same room with you while you pump milk. With all other illnesses, we
cannot accept milk collected in the 24 hours before the person became ill and until 24 hours after they
are well. Illness includes active herpes, any sore in someone’s mouth (even a cold sore), or thrush in the
baby's mouth. If you have questions about this, please give us a call and we can discuss it further.
2. You have ANY breast tenderness. In the presence of plugged ducts or breast infection, unacceptable
bacteria may be present in the milk. DO KEEP NURSING YOUR OWN BABY and collecting milk even
though it cannot be used by the Mothers’ Milk Bank of Ohio.
3. You smoke cigarettes or use tobacco on a regular basis.
4. You use recreational drugs such as marijuana, amphetamines, cocaine, etc.
5. If any of the above circumstances has occurred and your milk has already been sent, please call the
Mothers’ Milk Bank of Ohio immediately if you think there might be ANY reason to put a hold on
distribution. Each situation is different. Sometimes your milk may be perfectly safe to use. We want
you to keep in close touch with the Mothers’ Milk Bank of Ohio.
Additional Dietary Instructions and Restrictions:
1. All nursing mothers need to eat a balanced diet and drink to satisfy thirst.
2. Vegans should be taking a daily multivitamin which includes B12.
3. Any alcohol intake requires a 12-hour waiting period before pumping.
4. Caffeine from tea, coffee, soda, or chocolate is acceptable if no more than 24 ounces per day.
5. Herbal teas are okay, but limit to one cup per day. If greater than 1 cup, vary the type of herb.
6. Vitamins are acceptable in usual dosages. No mega-dosing and no herbal supplements.
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DONOR PUMPING INSTRUCTIONS
Thank you for taking the time to share your precious milk with our special babies! Please follow the
following steps and call us if you have any questions, 614.544. 5906.
1. Wash hands thoroughly with soap and warm water. Dry with a clean towel.
2. If you are pumping directly into the collection container, open it and place the cap inside up on the
table. If you are collecting into another container, please leave the container closed until you are
finished pumping and are ready to pour the milk into that container. Do not touch the top lip of the
container or the inside of the cap or container.
3. Do not fill the container to the top because when frozen, milk expands. It is safe to fill to 4oz (our
containers), but no higher. Please do not give us any cracked or leaking containers; we would have to
dispose of them.
4. Mark each container with the following information, using a permanent marker:
Your donor ID number
Date of collection
Amount collected, e.g. 1 oz, 2.5 oz, etc.
If you are donating milk collected before contacting us, please make sure your name or
ID# is clearly marked either on each container of milk or on the outside of a bag that
contains your containers of milk.
5. Refrigerate or freeze your milk within 30 minutes of pumping. Place the milk in the rear or bottom of your
freezer, wherever it is coldest. If necessary, you may refrigerate your milk for up to 24 hours before
freezing.
6. Cleaning Your Pump
Wash and rinse the pump parts after each pumping. Sterilize the pump parts once a day.
Follow this procedure for sterilizing your pump parts:
Sterilize parts by placing clean, disassembled parts in a saucepan. Cover with water and
bring to a boil. Begin timing for 5 minutes after the water boils. Microwave pump
sterilization kits are acceptable to use instead of stovetop boiling.
Drain water off over a colander and allow parts to cool in open pan until you can remove
them with clean hands to a clean towel or new, clean plastic bag.
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PUMPING MILK ESPECIALLY FOR PREMATURE AND SICK BABIES
You can help provide higher calorie milk that will help our tiny babies grow.
After we receive your milk, we combine 300 – 400 ounces from several donors and then
run a small sample through a creamatocrit machine. This machine reads the amount of
fat and calories that is in the milk. The milk bank uses this information to help doctors
deliver the right nutrition to the babies.
We know that pumped milk changes during the course of a single feeding. Milk
pumped from a full breast starts out as lower calorie “foremilk”. It is normal for it to look
thin. As the breast empties, the fat content of the milk increases. The “hindmilk” is
higher in calories. This creamier looking milk helps small babies gain weight. It is very
important to include hindmilk in each container to help the babies receiving donor milk
to grow well.
WAYS TO INCREASE THE HINDMILK IN YOUR PUMPED MILK:
Pump milk after you have fed your baby.
If you pump from a full breast, pump until you empty the breast. This will
make sure that both the foremilk and hindmilk has been removed. Use as
many containers as you need.
Massage the breast gently before and during pumping to help stimulate the
let down reflex and release more fat in to the milk
Encourage letdown by relaxation techniques.
Milk expressed in the morning may contain more foremilk since it has had
time to collect in the ducts overnight. Milk expressed in the afternoon may
be higher in hindmilk.
Please do not hesitate to call us if you have any questions!
614.544.5906
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