Breaking the Stigma: Normalizing Human Milk Donation and Banking

Abstract

Breastmilk is universally acknowledged as the optimal source of nutrition for infants,offering essential nutrients and immunological protection, particularly for preterm and low
birth weight infants. In situations where a mother’s own milk is unavailable, pasteurized donor human milk (PDHM) is the recommended alternative, highlighting the critical role of
Human Milk Banks (HMBs). These banks systematically collect, screen, pasteurize, and distribute breast milk from healthy donors to meet the nutritional needs of vulnerable
neonates. In India, where neonatal mortality and morbidity are high due to the large population of low-birth-weight infants, the establishment and expansion of HMBs, including
government-led initiatives like the Amrutha Hare Human Milk Bank in Karnataka, mark significant progress. Despite these advancements, awareness and acceptance of human milk
banking remain limited among mothers and healthcare providers, often due to cultural and informational barriers. Globally, over 700 HMBs operate, yet disparities in access and a lack
of standardized guidelines persist, especially in low- and middle-income countries. The future of human milk banking lies in improving awareness, standardizing practices, integrating
technologies, and expanding accessibility. With growing recognition of its benefits and increased institutional support, HMBs are poised to play a transformative role in neonatal
healthcare and child survival strategies worldwide.