Community Milk Sharing

Bloom Community Milk Sharing is an informed choice model of human milk sharing that facilitates donor lab testing, safety education and health screening, and accessibility to local infants, with priority given to those under 3 months of age.

Donors are screened with bloodwork to evaluate for illnesses that could pass through human milk. If donor’s have had pregnancy labs drawn (which does not include HTLV I/II) within a year of pumped milk, those will also be accepted.

FAQs

Forms & Documents

All forms are filled out on a HIPAA compliant platform

FAQs for Donors

FAQs for Recepients

Frequently Asked Questions for Recipients**

How much does the milk cost?

Milk is available at $0.75 per ounce.

Why is there a fee for donor milk?

Dr. Hughes provides this service entirely on her own. The fee helps cover lab costs for uninsured donors and copays for those who have one, reviewing labs and medication of donors, providing safety information to recipients about the milk, storage equipment and monitoring, malpractice and liability insurance, and time coordinating delivery and pickup.

Who can receive donor milk?

Donor milk is distributed on a first-come, first-serve basis with priority given to the youngest or sickest children. In general, Dr. Hughes reserves donor milk for babies 6 months and younger. Exceptions have been made to this policy based on family circumstance, health status of the child receiving milk, and Bloom's milk supply. Each request is individually addressed by Dr. Hughes. If a family has long-term needs, Dr. Hughes most likely will not be able to provide 100% of a child’s nutritional needs. Bloom's supply and demand vary greatly.

I can’t breastfeed, but I know that human milk is best. Can Bloom provide my baby with the human milk they need?

Currently, Bloom does not have the resources to provide babies with 100% of their nutritional needs. Our goal is to provide a bridge of time and milk while families troubleshoot breastfeeding challenges or augment resources to meet their needs. Dr. Hughes is available for consultation if needed.

I live outside of the Kansas City area. Can I receive donor milk from Bloom, too?

Donor milk is not restricted to Kansas City. It again is based on a first-come, first-served basis.

How much milk should I give my baby?

Please refer to the chart on our Milk Handling Guidelines for average intake per feed (with expectation of a minimum of 8 feeds per day). Remember, these are just averages, and a baby's whole picture will be the best guide. For those who are breastfeeding, we strongly encourage working with a lactation consultant to help determine appropriate weight gain and work toward resolution of supply issues. Dr. Hughes is available as a consultant if needed.

I’m pregnant, and I'm having twins (OR I have a history of low supply/breast reduction/breast augmentation/etc.). Can I pick up donor milk before birth, just in case my baby needs it?

With rare exceptions, Bloom's policy is to provide donor milk after birth only. This policy is in place to prevent compromising a parent’s confidence in establishing their own milk supply and to promote quality lactation support. Dr. Hughes does encourage and can help identify lactation-promotimg practices and resources before birth with her prenatal lactation consultation. Dr. Hughes does welcome you or a family member to reach out at the first sign of an evidenced need for supplementation, whether in the hospital or at home.

The milk I received is bright yellow (blue, green, orange, etc.). Is it OK to give to my baby?

The composition of colostrum and human milk changes from day-to-day and feeding-to-feeding. Normal human milk can appear thin and blue or thick and yellow. There is also natural variation in color due to maternal diet. Diets rich in leafy greens, for example, can cast a greenish hue to milk. Beta carotene-rich foods can cause milk to appear orange, and certain vitamin supplementation can cause it to appear green-yellow.

The thawed donor milk smells funny. Is it OK to give to my baby?

Some mothers produce milk with a higher amount of lipase, a naturally occurring enzyme present in all milk that helps break down fats into free fatty acids. It is unknown why some mothers produce more lipase, but this milk is not considered harmful. It is only an issue when milk is exposed to the air through pumping and handling. High lipase milk can smell soapy or sour when thawed. Most babies do not mind the taste.

Can you explain the lactation risk score you use?

Yes. Dr. Hughes utilizes The Infant Risk Center database of over 20,000 drugs, supplements, and prescriptions. Drs. Thomas Hale and Kaytlin Krutsch have performed extensive research on the effects of medications in mother’s milk. They have given each medication a rating from Safest (L1) to Hazardous (L5). The Lactation Risk Categories are explained below:

• L1 Safest: Extensive evidence demonstrating no adverse effects on the infant

• L2 Safer: Limited evidence without an increase in adverse effects on the infant

• L3 Probably Safe: No studies, but expert opinion suggesting safety. Risk to the infant is possible, and further evaluation must be taken to consider individual situations.

• L4 Possibly Hazardous: Positive evidence or expert opinion of risk to the infant or milk production.

• L5 Hazardous: Significant and documented risk to the infant. Contraindicated

Please fill out the form below and Dr. Hughes will contact you.