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Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision

Amy Brown Orcid Logo, Catrin Griffiths Orcid Logo, Sara Jones Orcid Logo, Gillian Weaver, Natalie Shenker Orcid Logo

Maternal & Child Nutrition, Volume: 20, Issue: 4, Start page: e13699

Swansea University Authors: Amy Brown Orcid Logo, Catrin Griffiths Orcid Logo, Sara Jones Orcid Logo

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DOI (Published version): 10.1111/mcn.13699

Abstract

Receiving donor human milk for a baby can have a protective effect upon parental wellbeing. A growing body of research also finds that being able to donate milk to a milk bank, particularly after infant loss, can also boost maternal wellbeing through feelings of altruism and purpose. However, most s...

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Published in: Maternal & Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa66889
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A growing body of research also finds that being able to donate milk to a milk bank, particularly after infant loss, can also boost maternal wellbeing through feelings of altruism and purpose. However, most studies are qualitative, with small sample sizes outside the United Kingdom, and often do not include the experiences of those who have been unable to donate. Our aim was therefore to examine the impact of being able to donate milk, as well as the impact of not being able to do so, using a survey containing open and closed questions in a large UK sample. Overall, 1149 women completed the survey, 417 (36.3%) who donated their milk and 732 (63.7%) who did not. Most women who donated found it had a positive impact upon their wellbeing, feeling proud, useful and that they had achieved something important. Conversely, those unable to donate often felt rejected, frustrated, and excluded, especially if they received no response or felt that restrictions were unfair. Thematic analysis found that being able to donate could help women heal from experiences such as birth trauma, difficult breastfeeding experiences, neonatal unit stays, and infant loss; however, being unable to donate could exacerbate negative emotions arising from similar experiences. A minority of women who donated experienced raised anxiety over following guidelines. 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spelling v2 66889 2024-06-25 Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2d49e9db71928b3c4e564063c2b8b06e 0000-0002-6581-0536 Catrin Griffiths Catrin Griffiths true false e6ed433db8a59b5e3077e3de5888a98a 0000-0003-2182-6314 Sara Jones Sara Jones true false 2024-06-25 HSOC Receiving donor human milk for a baby can have a protective effect upon parental wellbeing. A growing body of research also finds that being able to donate milk to a milk bank, particularly after infant loss, can also boost maternal wellbeing through feelings of altruism and purpose. However, most studies are qualitative, with small sample sizes outside the United Kingdom, and often do not include the experiences of those who have been unable to donate. Our aim was therefore to examine the impact of being able to donate milk, as well as the impact of not being able to do so, using a survey containing open and closed questions in a large UK sample. Overall, 1149 women completed the survey, 417 (36.3%) who donated their milk and 732 (63.7%) who did not. Most women who donated found it had a positive impact upon their wellbeing, feeling proud, useful and that they had achieved something important. Conversely, those unable to donate often felt rejected, frustrated, and excluded, especially if they received no response or felt that restrictions were unfair. Thematic analysis found that being able to donate could help women heal from experiences such as birth trauma, difficult breastfeeding experiences, neonatal unit stays, and infant loss; however, being unable to donate could exacerbate negative emotions arising from similar experiences. A minority of women who donated experienced raised anxiety over following guidelines. These findings further extend the impacts of milk banking services beyond infant health and development and support expanded service delivery. Journal Article Maternal & Child Nutrition 20 4 e13699 Wiley 1740-8695 1740-8709 Breastfeeding, donation, donor human milk, health service delivery, lactation after loss, mentalhealth, milk bank 1 10 2024 2024-10-01 10.1111/mcn.13699 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University SU Library paid the OA fee (TA Institutional Deal) The project was supported by funding from HEFCW Research Wales Innovation Fund. N. Shenker is a UKRI Future Leaders Fellow at Imperial College London (grant p76489), which supported the writing of this manuscript. 2024-11-01T14:45:33.7145247 2024-06-25T11:27:29.8163243 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Amy Brown 0000-0002-0438-0157 1 Catrin Griffiths 0000-0002-6581-0536 2 Sara Jones 0000-0003-2182-6314 3 Gillian Weaver 4 Natalie Shenker 0000-0002-8067-1079 5 66889__30906__cb1d5698332647c094e4a932c86512f8.pdf 66889.VOR.pdf 2024-07-15T16:10:33.2052958 Output 1402858 application/pdf Version of Record true This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2024 The Author(s). true eng http://creativecommons.org/licenses/by/4.0/
title Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
spellingShingle Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
Amy Brown
Catrin Griffiths
Sara Jones
title_short Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
title_full Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
title_fullStr Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
title_full_unstemmed Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
title_sort Disparities in being able to donate human milk impacts upon maternal wellbeing: Lessons for scaling up milk bank service provision
author_id_str_mv 37aea6965461cb0510473d109411a0c3
2d49e9db71928b3c4e564063c2b8b06e
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author_id_fullname_str_mv 37aea6965461cb0510473d109411a0c3_***_Amy Brown
2d49e9db71928b3c4e564063c2b8b06e_***_Catrin Griffiths
e6ed433db8a59b5e3077e3de5888a98a_***_Sara Jones
author Amy Brown
Catrin Griffiths
Sara Jones
author2 Amy Brown
Catrin Griffiths
Sara Jones
Gillian Weaver
Natalie Shenker
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container_title Maternal & Child Nutrition
container_volume 20
container_issue 4
container_start_page e13699
publishDate 2024
institution Swansea University
issn 1740-8695
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doi_str_mv 10.1111/mcn.13699
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
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hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Receiving donor human milk for a baby can have a protective effect upon parental wellbeing. A growing body of research also finds that being able to donate milk to a milk bank, particularly after infant loss, can also boost maternal wellbeing through feelings of altruism and purpose. However, most studies are qualitative, with small sample sizes outside the United Kingdom, and often do not include the experiences of those who have been unable to donate. Our aim was therefore to examine the impact of being able to donate milk, as well as the impact of not being able to do so, using a survey containing open and closed questions in a large UK sample. Overall, 1149 women completed the survey, 417 (36.3%) who donated their milk and 732 (63.7%) who did not. Most women who donated found it had a positive impact upon their wellbeing, feeling proud, useful and that they had achieved something important. Conversely, those unable to donate often felt rejected, frustrated, and excluded, especially if they received no response or felt that restrictions were unfair. Thematic analysis found that being able to donate could help women heal from experiences such as birth trauma, difficult breastfeeding experiences, neonatal unit stays, and infant loss; however, being unable to donate could exacerbate negative emotions arising from similar experiences. A minority of women who donated experienced raised anxiety over following guidelines. These findings further extend the impacts of milk banking services beyond infant health and development and support expanded service delivery.
published_date 2024-10-01T14:45:31Z
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