Below are a few articles that may help you obtain a prescription for donor
milk for your family member.  It may be possible to propose a trial to the
supervising physician.  Approach it sort of like:  "Here are some case
studies that show this has worked for some others.  We'd like to try this
under your supervision."

A few of these articles are about cost.  They may help your case with the
insurance company.  One of these articles (Merhav) details how an insurance
company found it cheaper to pay for donor milk than to keep hospitalizing
that patient.

Also, most milk banks receive some milk that they can't give to newborns.
It turns out not to have a high enough calorie value to support good growth
in a preemie, or the donor mom is temporaily taking some meds that a small
preemie couldn't tolerate, or some similar problem. Sometimes there is milk
in the freezers that is approaching the 1 year storage deadline.  (This
doesn't happen as often now that so many hospitals are again accessing milk
from banks for their NICUs.  It tends to come in and go right back out after
pasturization these days with a very short wait.  But you could ask)  It may
or may not be as costly to obtain milk of this description.  You'd have to
inquire of the individual banks.

Arnold, L:  Cost Savings Through the Use of Donor Milk:  Case Histories,
Journal of Hum Lactation 1998, 14(3):255-57.



Arnold, L:  How to Order Banked Donor Milk in the United States:  What the
Health Care Provider Needs to Know, Journal of Hum Lactation 1998,
14(1):65-66.



Merhav, H. et al:  treatment of IgA deficiency in liver transplant
recipients with human breast milk. Transplant Int 1995, 8:327-29.



Wiggins, P:  Clinical Case History:  Donor Milk Use for Severe
Gastroesophageal Reflux in an Adult, Journal of Hum Lactation 1998,
14(2):157-9.





Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com
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