Table 2 In terms of duration of donor milk supply, the Human Milk Foundation Prioritisation Panel set the following guidance
From: Establishing a novel community-focussed lactation support service: a descriptive case series
Indication | Examples | Guideline |
|---|---|---|
Breastfeeding is impossible | Maternal cancer, maternal death, contraindicated medication, surrogacy and adoption where induced lactation is not possible. | Sufficient DHM to be offered for 4 weeks, followed by a taper period where formula is introduced gradually over 2–3 weeks |
Milk supply issue | Post-partum haemorrhage, Sheehan’s syndrome, insufficient glandular tissue, breast hypoplasia, polycystic ovarian syndrome, gestational diabetes | No definitive cut-off. The aim is to provide DHM during the window of opportunity to maximise maternal milk supply, while offering optimal lactation and emotional support. |