Citation Information :
Livias-Moya K, Escobar-Díaz JL, Guillen-Calle BE, Barja-Ore J. Motivators and Barriers to the Use of Breast Milk Banks: A Narrative Review. J South Asian Feder Obs Gynae 2025; 17 (1):136-141.
Aim: To summarize the scientific evidence on motivations and barriers to human milk banking by donor and recipient mothers.
Materials and methods: A narrative review of articles in PubMed published between 2014 and 2024 was conducted. The search identified 405 articles, of which 5 met the inclusion criteria and were analyzed in detail.
Results: The results show that lack of access to trained personnel and lack of knowledge about donated human milk (DHM) are significant barriers to the use of human milk bank (HMB). In addition, strict donation requirements and logistical concerns hinder maternal participation. However, excess milk production and social support, along with increased awareness of the benefits of human milk donation, are key motivators for this practice.
Conclusion: The use of HMBs by both donor and recipient mothers depends on various aspects of themselves, their environment and even the norms or procedures established by the health institution.
Li J, Li Z. The clinical application of donated human milk and the establishment of human milk banks. Chin J Clin Nutr 2024;32(3): 180–185.
Vass RA, Zhang M, Simon Sarkadi L, et al. Effect of holder pasteurization, mode of delivery, and infant's gender on fatty acid composition of donor breast milk. Nutrients 2024;16(11):1689. DOI: 10.3390/nu16111689.
Israel-Ballard K, LaRose E, et al. The global status of human milk banking. Maternal and Child Nutr 2024;20(S4). DOI: 10.1111/mcn.13592.
Herson M, Weaver G. A comparative review of human milk banking and national tissue banking programs. Maternal Child Nutr 2024;20(S4). DOI: 10.1111/mcn.13584.
Magowan S, Burgoine K, Ogara C, et al. Exploring the barriers and facilitators to the acceptability of donor human milk in eastern Uganda – A qualitative study. Int Breastfeeding J 2020;15(1):28. DOI: 10.1186/s13006-020-00272-1.
Olonan-Jusi E, Zambrano PG, Duong VH, et al. Human milk banks in the response to COVID-19: A statement of the regional human milk bank network for Southeast Asia and beyond. International Breastfeeding J 2021;16(1):29. DOI: 10.1186/s13006-021-00376-2.
Dos Santos BG, Shenker N, Weaver G, et al. Donation barriers, enablers, patterns and predictors of milk bank donors in the United States and United Kingdom. Matern Child Nutr 2024;20(3):e13652. DOI: 10.1111/mcn.13652.
Li X, Li Y, Qian L, et al. Mothers’ experiences of breast milk expression during separation from their hospitalized infants: A systematic review of qualitative evidence. BMC Pregnancy and Childbirth 2024;24(1). DOI: 10.1186/s12884-024-06323-3.
Chaudhari V, Aiyer S. Exploring barriers and facilitators for human milk donation and acceptance among donors and recipients. J Neonatol 2024;38(1):75–80. DOI: 10.1089/bfm.2018.0103.
Schwab I, Dresbach T, Ohnhäuser T, et al. Pressure to provide milk among mothers of very low birth weight infants: An explorative study. BMC Pregnancy Childbirth 2024;24(1). DOI: 10.1186/s12884-024-06315-3.
Huerta CT, Vergara DM, Dávila FP, et al. Characteristics and motivations of donors to the human milk bank in Dr. Sótero Del Rio hospital, Chile. Rev Chilena Nutr 2020;47(1):105–113. DOI: 10.4067/S0717-75182020000100105.
Monti L, Massa S, Mallardi M, et al. Psychological factors and barriers to donating and receiving milk from human milk banks: A review. Nutrition 2024;118:112297. DOI: 10.1016/j.nut.2023.112297.
Li J, Ip HL, Fan Y, et al. Unveiling the voices: Exploring perspectives and experiences of women, donors, recipient mothers and healthcare professionals in human milk donation: A systematic review of qualitative studies. Women Birth 2024;37(5). DOI: 10.1016/j.wombi.2024.101644.
Sánchez MS. Enteral nutrition of the newborn born premature. Pediatria Integral 2024;28(3):177–187.
Mondkar J, Chugh Sachdeva R, Shanbhag S, et al. Understanding barriers and facilitators for human milk banking among service providers, mothers, and influencers of preterm and sick neonates admitted at two health facilities in a Metropolitan City in India. Breastfeed Med 2018;13(10):694–701. DOI: 10.1089/bfm.2018.0103.
Mantri N, Goel AD, Joshi NK, et al. Challenges in implementation of mother milk banks in Rajasthan: A situational analysis. J Mother Child 2022;25(2):86–94. DOI: 10.34763/jmotherandchild.20212502.d-21-00009.
Ramachandran K, Dahlui M, Nik Farid ND. Motivators and barriers to the acceptability of a human milk bank among Malaysians. PLoS One 2024;19(3):e0299308. DOI: 10.1371/journal.pone.0299308.
Biggs C. Talking the talk but not walking the walk: Donating to human Milk Banks in South Africa. J Hum Lact 2021;37(1):105–113. DOI: 10.1177/0890334420970495.
Wambach K, Bateson T, Matheny P, et al. A descriptive study of the attitudes, perceptions, and experiences of human milk donation. Adv Neonatal Care 2019;19(6):441–451. DOI: 10.1097/ANC.0000000000000659.
Gelano TF, Bacha YD, Assefa N, et al. Acceptability of donor breast milk banking, its use for feeding infants, and associated factors among mothers in eastern Ethiopia. Int Breastfeed J 2018;13:23. DOI: 10.1186/s13006-018-0163-z.
