The Use of Donor Human Milk in Neonates: A Framework for Practice

Summary

This revised BAPM Framework for Practice outlines best practice for the use of donor human milk (DHM) in neonates in the UK, primarily in hospital settings. It aligns with the GIRFT Neonatology report that DHM should be available for high-risk preterm infants when mother's own milk is insufficient, and advocates equity of access across units and networks. It acknowledges uncertainties around DHM and milk banking, addresses growing commercialisation, and makes recommendations on regulating human milk banks and for-profit companies. It applies to professionals on neonatal units, transitional care, postnatal and paediatric wards, families, and commissioners.

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