Jodine writes: "It is the job of health professionals and public health to
quantify risk, to establish relative risk, to identify risk reduction
strategies, and to communicate all of this effectively to mothers so they
can make choices."

To which I say:  I couldn't have said it better.

A lot of IBCLCs and other health care providers get very skittish about
discussing milk sharing.  There are risks and liabilities associated with
using donor milk whether it comes from non-profit banks, for-profit banks,
friends and neighbors we know, or total strangers.  Incentives and risks
will differ according to the situation (as Nina points out).  Ethics and
mores come into play depending on the circumstances.

It is not for us to decide what a mother should do.  It is up to the mother.
 Our role (as IBCLCs) is to provide evidence-based information and support,
so the mother can make a informed decision about her own and her child's
health care.  See:  IBLCE Scope of Practice for IBCLCs, and IBLCE Code of
Ethics.

-- 
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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