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