donating breast milk - healthy babies ukhealthy-babies-uk.org/donating breastmilk booklet hbuk...
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DonatingBreastMilk
HealthyBabiesUKDepotDonorMilkBankSouthWest
HoneysuckleHouse,4BarringtonStreet,Tiverton,Devon,EX166PU
T:01884798069M:07542284065
www.healthy-babies-uk.org
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Background
WhatistheDepotDonorMilkBankSouthWest?
HealthyBabiesUKhavesetupaDepotDonorMilkBankinTivertonsothatSouthWestparentshavethesameoptionsandaccesstodonormilkastherestofthecountry.HBUKhavenegotiatedapartnershiptoactasaDepotCentresomilkcanbestoredonsiteenablingthefreewheelers/NICUbloodbikestodeliverandcollectmilk;somethingwhichiscurrentlynotfeasibletothemajorhospitalsintheSouthWest.HealthyBabiesUKisanestablishedbasewithahomefromhomeenvironmentwheremotherswishingtodonatecanbewelcomed.Thehousewillalsobeafocalpointforthefreewheelers/bloodbikes/ambulancedriverstobeabletomeetandthentakedonatedmilkontoBristoltobepasteurised.WhyisthereaneedforaDepotDonorMilkBank?Donorbreastmilkisusedforpre-termandneonatalunits.Humanmilkisacomplex,livingfluidthatismorethansimplynutrition.Ithasspecifichealthpromotingcomponentsthathavebeenproventoenhanceinfanthealththatcannotbeprovidedbyinfantformula.Itisconsideredtobealivingfluidduetoitsant-bacterial,anti-viral,anti-parasiticfactorsaswellashormones,enzymes,specificgrowthfactorsandimmunologicalpropertiesHBUKcansupportBristoltoenablemoremilktobedonatedandmorebabiestohaveaccesstodonormilk.Researchhasdemonstratedthatfeedingsickorprematurebabiesbreastmilkreducestheriskofinfectionandotherproblemsduetoitsspecialanti-infectiveproperties;thisincreasestheirchanceofsurvivalandhelpstheirlong-termdevelopment.Unfortunately,maternalbreastmilkisnotalwaysavailableduetoinsufficientsupply,illnessoramother’sgeographicalseparationfromherbaby.Weunderstandhavinganewbabyisabusytimebutifyoucandonate,itisverymuchappreciated,youwillbeofferedsupportandadviceduringthisperiod.
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Whocandonatebreastmilk?
• Motherswhohaveestablishedbreastfeedingwiththeirownbabyandfindtheyhavemilksurplustotheirbaby’srequirements.
• Tobeabletodonatethereisanexpectationthatyourbabyisexclusivelybreastfeed• Enrolmentisideallybeforeyourbabyisfourmonthsold.• Youcancontinuetodonateuntilyourbabyissixmonthsold.
Theselfassessmentquestionnaireprovidesfurtherinformation.HowmuchbreastmilkwillIbeexpectedtoproduce?Sickorprematurebabiesbenefitfromeventhesmallestquantitiesofbreastmilk.Eachmotherproducesdifferentamountsatdifferenttimes.Youwillfindtheamountyouexpresswillvaryfromdaytoday.Mothersareaskedtodonateifpossibleaminimumof20x100mlbottles.Imageofadonormilkbottle
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CanIbecomeadonor?
SelfAssessmentQuestionnairePleasereadthiscarefullyandanswerthefollowingquestions.IfyouhaveanyqueriespleasecontactHBUKDepotMilkbankforadvice.IfyouanswerYEStoanyofthefollowingquestions,unfortunatelyyouwillbeunabletodonateyourbreastmilk.
QUESTION YES NO
DoyoucurrentlysmokeoruseNicotineReplacementTherapy?
Doyouregularlyexceedrecommendedalcohollevelsforbreastfeedingmothers(1-2units,onceortwiceaweek?)
Doyouuseorhaverecentlyusedrecreationaldrugs?
HaveyoupreviouslytestedpositiveforHIV1or2,HepatitisBorC,HumanT-lymphotropicvirus(HTLV)typeIorIIorSyphilis?
HaveyoueverbeenadvisedbyaHealthProfessionalthatyouareatincreasedriskofCJD(Creutzfeldt-JacobDisease)sometimesreferredtoasMadCowDisease,ifyes,astaffmemberwillcontactyouforfurtherinformation.
Haveyoueverhadabloodtransfusion?
HaveyouhadtheZikaVirusortravelledtoaninfectedarea?
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IfyouanswerYEStoanyofthefollowingquestionsyouwillneedtotalktotheHBUKDepotMilkBankstafftodiscussyourindividualcircumstancesbecausealthoughamother’smilkisidealforherownbaby,extracareneedstobetakenwithsickorprematurebabies.
QUESTION YES NO
Diet–Areyouonastrictexclusiondiet(eg,Veganwithoutadditionalvitaminsupplementation?)
Caffeine–Doyouregularlydrinkmorethan3caffeinateddrinksperday(ie,shopboughtcoffee,cola,sportsdrink,redbull)
Doothermembersofyourhouseholdsmokeheavily?
Doyouhaveamedicalcondition?
Areyoutakinganymedicationorundergoingtherapy?
Areyouexposedtohighorsustainedlevelsofenvironmentalorchemicalcontaminants(eg,sometypesoffactoryemployees?)
Inthelast12monthshaveyouhad:• Bodypiercing• Tattoos• InfertilityTreatment• Acupuncture(nonNHS)
HaveyoueverhadorbeenincontactwithEbola?
Areyoutakinganyherbalmedicines,remediesordietarysupplements?PleasegivedetailstoHBUK
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Icanbecomeadonor,whathappensnext?
ContactHBUK,DepotDonorMilkBankSouthWest.
Weneedtomaintainrecordsofdonormothersanddonormilkcarefullysoyouwillbeaskedtoprovidethefollowinginformation:
• NHSNumber• PersonalDetails• ContactDetails• MedicalHistory
Yourinformationiskeptconfidentialatalltimesandwillnotbesharedwithanyonewithoutyourpriorconsent.Duetoconfidentiality,weareunabletodisclosewhichbabiesyouarehelpingbydonatingyourbreastmilk.
Youwillbeprovidedwiththefollowing:
• Leaflets;donors’doitsafely,medicationanddonatingbreastmilk,cleaning/storageofequipment,bloodtestforbreastmilkdonors
• Sterilebottles,labelsandinstructions• Freezerthermometer(ifrequired),andtemperaturerecordsheets.
WewillcontactyoutoarrangeafacetofacemeetingatHBUK,HoneysuckleHouse.Wewill:
• Completeahealthquestionnaire• Answeranyquestions• Provideyouwithalltheequipmentabove• Takeasmallsampleofyourblood.• Wewouldlovetomeetyourbabyatthistimetoo.
Ifyoudonothaveaccesstoabreastpump,pleasetalktouswhenarrangingyourhealthmeetingandwewilldiscussthis.Wewouldliketoencourageyoutoexpressyourmilkbyhandifyouarehappytodothis.However,ifyoufinditeasiertouseapumpthenpleasedoso.
Providingbreastmilkforyourownbabyisprioritysoifyouareexclusivelybreastfeedingandyourbabyisundersixmonthsthemilkyoudonatetouswillbeexcess.
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Howtoexpressandstoreyourbreastmilksafely
CleaningofequipmentSeparateallexpressionkitpartspriortocleaning.Equipmentshouldbecleanedusinghotsoapywaterandrinsedinclearwater.Priortotouchingequipment,washyourhandsthoroughly.ThefollowingpictureshowstherecommendedNHSstandardhandwashingtechnique.
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PersonalhygieneCareneedstobetakentoensureyourbreastsarecleanpriortoexpression.AshowerdailyisrecommendedWearawellfittingsupportingbrawhichshouldbechangedregularlyChangebreastpadsfrequentlyExpressingyourbreastmilkTopupbreastmilkbottlesduringthedayifunabletoexpressafullbottleeachtime–thiswilluselessbottleandstoragespace.Bottlesmustbefrozenwithin24hours.Whilststoringinthefridge,pleasekeepinthemainbodyofthefridgeandawayfromotherfoods.Anymilkcollectedfordonationoncefrozenshouldbekeptfrozen.LabellingyourbreastmilkYouwillbeprovidedwithlabelsforeachbottle.Afterexpression,completeoneofthesewithyourname,thedateyouexpressedthemilk,yourdateofbirthandstickthelabeltothebottle.Pleasenote:Inordertoavoidcontaminatingthebreastmilkwhentoppingup,pleasefollowtherecommendedhandwashingtechniqueasshownonpreviouspagebeforeopeningbottles.Storage
DonorbreastmilkcanonlybeacceptedbytheDepotMilkBankinthesterilebottlesprovided.IfyouarerunninglowinformHBUKMilkBankimmediatelyandtheywillsendyoumore.
Yourbreastmilkcanbestoredinadomesticfreezerforupto3months.Thetemperatureofyourfreezermustbemaintainedatminus-18degreesorlowertoensurethemilkisstoredinthebestpossibleconditions.
Ifyourfreezerdoesnothaveadigitaltemperaturedisplay,HBUKDepotMilkBankcanprovideyouwithathermometer.Youwillbeaskedtorecordthetemperatureofyourfreezerusing“donors’doitsafely”form.Thisformisthentobereturnedwiththemilk.
Ihavebottlesreadyforthemilkbank,whathappensnext?
ContactHBUKDepotMilkBanktoarrangeasuitabletimeforyouoryourrepresentativetodeliveryourbreastmilk.Itmaybepossibleforhomecollectionbyavolunteerdriveroncertaindates.Thisisbasedonindividualcircumstances,eg,distancefromHBUKDepotMilkBankandwillbediscussedwithyouwhenyoucontactHBUK.
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WhentransportingmilktotheDepotMilkBankthefollowingguidelinesmustbeobserved:
Transferyourbreastmilkbottlesintoacoolbag/boxandplaceafrozeniceblockontop(andunderneathifpossible)tokeepthemcoldduringthejourney.
AmemberofstaffwillmeetyouatHoneysuckleHouse,4BarringtonStreet,Tiverton,EX166PU.
WhathappenstothemilkIhavedonated?
HBUKDepotMilkBanksuppliesdonormilktoNeonatalUnitsacrosstheSouthWestforsickandprematurebabies.AfterthemilkistransportedtoBristolHospitalforpasteurisationitisthensentdirectlytotheHospitalsacrosstheSouthWest.
WhatsupportcanIexpectasadonor?
TheHBUKDepotMilkBankstaffwillcontactyouwithin10-14daystoseehowyouareprogressingandifyourequireanymorebottles.However,pleasedocontactHealthyBabiesUKDepotMilkBankbeforethisifyouhaveanyquestionsorconcerns.Ifstaffareunavailablepleaseleaveamessageontheanswermachineandyouwillbecontactedassoonaspossible.Alternativelycallthemobilenumberifasoonerresponseisrequired.
TheHBUKmilkbankopeninghoursare:
Monday(s)9.30am–3.30pm
OccasionalFridaysandSundays
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Frequentlyaskedquestions?
WhycanIonlydonatebreastmilkuntilmybabyissixmonthsold?
Thisisbecausethebreastmilkfromamotherwithayoungerbabyismoresuitableforprematureorsickbabies.Thisisbeinglookedatinmoredetailandresearched.
Iamonmedication;canIstilldonate?
Certainmedicationsmayexcludeyoufromdonating.PleasecontactHBUKDepotMilkBanktodiscussindividualcircumstances.
Alldrugswhichwetakehavethepotentialtopassintobreastmilkinvaryingamountsdependingonthewaythebodyhandlesthedrug.Ingeneralonlysmallquantitiesreachbabiesandtermwellbabiescancontinuetobreastfeedinthevastmajorityofcases.
Babieswhowillreceivedonormilkarenormallyveryprematureandmaywellbepoorlysoitisessentialthemilkisasfreeofanydrugaspossible.
Whenwemeetwewillprovideyouwithaleaflet“medicationsanddonatingbreastmilk”providingmoreinformationonthissubject.
Commentsfromdonormothers
“Asamidwife,IknowtheimportanceofbeingabletoprovidesickandprematurebabieswithbreastmilkandnowasamumI’vebeenabletoputthetheoryintopractice”
“Itwasdifficulttofindthetimebutknowinghowmuchthemilkisneededandappreciatedmadeitwortheveryminute–everydrop”
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HealthyBabiesUKContactDetails
HealthyBabiesUKDepotDonorMilkBankSouthWestHoneysuckleHouse4BarringtonStreetTivertonDevonEX166PLTel:01884798069Mobile:07542284065Email:[email protected]:www.healthy-babies-uk.org
TheTeamLizGunn,ManagingDirectorLouiseCooke,Director,TrainerandAssessorJodieMortimore,MarketingandAdministration