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Donating Breast Milk Healthy Babies UK Depot Donor Milk Bank South West Honeysuckle House, 4 Barrington Street, Tiverton, Devon, EX16 6PU T: 01884 798069 M: 07542 284065 E: [email protected] www.healthy-babies-uk.org

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Page 1: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

DonatingBreastMilk

HealthyBabiesUKDepotDonorMilkBankSouthWest

HoneysuckleHouse,4BarringtonStreet,Tiverton,Devon,EX166PU

T:01884798069M:07542284065

E:[email protected]

www.healthy-babies-uk.org

Page 2: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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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.

Page 3: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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Whocandonatebreastmilk?

• Motherswhohaveestablishedbreastfeedingwiththeirownbabyandfindtheyhavemilksurplustotheirbaby’srequirements.

• Tobeabletodonatethereisanexpectationthatyourbabyisexclusivelybreastfeed• Enrolmentisideallybeforeyourbabyisfourmonthsold.• Youcancontinuetodonateuntilyourbabyissixmonthsold.

Theselfassessmentquestionnaireprovidesfurtherinformation.HowmuchbreastmilkwillIbeexpectedtoproduce?Sickorprematurebabiesbenefitfromeventhesmallestquantitiesofbreastmilk.Eachmotherproducesdifferentamountsatdifferenttimes.Youwillfindtheamountyouexpresswillvaryfromdaytoday.Mothersareaskedtodonateifpossibleaminimumof20x100mlbottles.Imageofadonormilkbottle

Page 4: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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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?

Page 5: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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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

Page 6: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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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.

Page 7: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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Howtoexpressandstoreyourbreastmilksafely

CleaningofequipmentSeparateallexpressionkitpartspriortocleaning.Equipmentshouldbecleanedusinghotsoapywaterandrinsedinclearwater.Priortotouchingequipment,washyourhandsthoroughly.ThefollowingpictureshowstherecommendedNHSstandardhandwashingtechnique.

Page 8: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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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.

Page 9: Donating Breast Milk - Healthy Babies UKhealthy-babies-uk.org/Donating Breastmilk Booklet HBUK v4.pdfHBUK have negotiated a partnership to act as a Depot Centre so milk can be stored

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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