Prescribing donor milk
Donor human milk (DHM) is dispensed by prescription only. The highest-priority recipients are preterm and ill hospitalized infants. All infants who have a medical need for human milk can obtain donor human milk by prescription. Common diagnoses include:
Nutritional uses
- preterm birth
- failure to thrive
- malabsorption syndromes
- short-gut syndrome
- renal failure
- inborn errors of metabolism
Preventative uses
- necrotizing entercolitis (NEC)
- Crohn’s disease
- colitis
- allergies or intolerance to cow and soy milk
- immune suppression therapy
- pre- or post-surgical nutrition and immunological support
- cardiac problems
- bronchopulmonary dysplasia
- pediatric burn patients
Medicinal/therapeutic uses
- treatment for infectious diseases (intractable diarrhea, gastroenteritis, infantile botulism, sepsis, pneumonia, hemorrhagic conjunctivitis)
- post-surgical healing (omphalocele, gastroschisis, intestinal obstruction, bowel fistula, colostomy repair)
- immunodeficiency diseases (severe allergies, lgA deficiencies)
- inborn errors of metabolism
- organ transplants (including adults)
- non-infectious intestinal disorders (ulcerative colitis, irritable bowel syndrome)
- intra- utero exposure to narcotics or illegal drugs

