Tricia shares an excellent synopsis of restrstrictions that will prevent a
human milk donor from giving milk to a Human Milk Banking Association of
North America (HMBANA) bank. The Donor Qualifications section of the new
2015 HMBANA Guildelines are at Section IV, pp 12-26; the Guildelines may be
purchses from HMBANA https://www.hmbana.org/publications

I'd add that, in many situations, the restriction is easily overcome if the
parent *stops* using whatever is the restricted substance.  Such "deferred
donors" can donate after the donor stops taking the restricted drug or
herb, and the specified period has passed.  Similarly, if a long time donor
must now take a drug for an illness, they are "temporarily disqualified"
until the medications have cleared the system.

Part of the reason the HMBANA Guidelines are a little vague about what is
"in" and what is "out" for acceptable donor-use-and-consumption is because
this is a discussion that is to be had between the donor, and the trained
staff and volunteers at each bank.  It takes into account all the sorts of
clinical variable that we know will bear on well-informed decision-making
by the donor.  HMBANA screening *requires* in-person or on-phone,
real-time, *conversations* between the donor and the HMBANA bank. Each bank
has its own rules, in addition to the Guidelines, upon which they may rely
regarding acceptable donations. Electronic-only communication does not cut
the mustard.  HMBANA banks pride themselves -- and rightly so -- on the
relationships they build with their milk donors.

As an aside, I would also say that another rumor that floats out there is
that HMBANA donors cannot donate their freezer stashes.  Not so!  HMBANA
staff will have a discussion during the screening process with a donor to
figure out if the milk that is stashed passes HMBANA Guidelines, so the
parent can offer not only milk that is collected going forward, but the
milk that was acquired and frozen in the past.


Liz Brooks, JD, IBCLC, FILCA
Wyndmoor, PA, USA
Director, Human Milk Banking Assn of North America (2015-18)

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