Donor human milk practice in Indonesia: A media content analysis

Andini Pramono, Alvia Hikmawati

Research output: Contribution to journalLiterature reviewpeer-review

Abstract

Introduction: Donor human milk (DHM) is recommended as the second-best
alternative form of supplementation when a mother is unable to breastfeed
directly. However, little is known about the experience of mothers and families
in the communities regarding accessing and donating expressed breastmilk in
Indonesia. This study aimed to identify the experience related to donor human
milk in the society in Indonesia.
Method: A search was conducted through six main online news portals. The
keywords used included “donor human milk,” “expressed breastmilk,” and “wet
nursing” in the Indonesian language, Bahasa Indonesia. A total of 107 articles
were found, but only 20 articles were included for analysis using a qualitative
media content analysis approach.
Results: In the study, the following five themes were identified: (1) the whys and
wherefores of donor humanmilk, (2) national and religious-based regulations, (3)
recommendations from authorized organizations, healthcare professionals, and
Islamic scholars, (4) the negative impact from the lack of national regulations,
and (5) contradictory feelings among mothers.
Conclusion: With the lack of detailed information on how to access or donate
expressed human milk and the absence of a human milk bank in place, informal
humanmilk sharing is inevitably occurring in the community. This has also raised
concerns among authorized organizations, healthcare professionals, and Islamic
scholars. Consequently, mothers, both donors and recipients, experienced
negative impacts, which included contradictory feelings. Engaging with Islamic
scholars and healthcare professionals to develop clear guidelines and regulations
to enable mothers’ and families’ access and/or make contributions to DHM in a
safe and accountable way is critical to prevent further problems from occurring
in Indonesian society.
Original languageEnglish
Number of pages10
JournalFrontiers in Nutrition
Volume11
Publication statusPublished - 18 Sept 2024

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