title: Breastmilk sharing: awareness and participation among women in the Moms2Moms Study.
abstract: BACKGROUND
  Feeding infants unscreened, raw human milk from a source other than the mother may pose health risks. The objectives of the Moms2Moms Study were to estimate the proportions of mothers who were aware of breastmilk sharing, considered sharing, and shared milk and to identify associated maternal and child characteristics.
  
  
  METHODS
  All eligible women (n=813) who delivered at The Ohio State University Wexner Medical Center (Columbus, OH) and did not indicate an intention to exclusively "bottle feed" were asked to participate in this cohort by completing a postal questionnaire at 12 months postpartum (499 [61%] responded). Women who shared milk participated in a follow-up interview.
  
  
  RESULTS
  Awareness of milk sharing was high (77%) and positively associated with socioeconomic status, age, non-Hispanic white race, having fed one's infant at the breast, and reporting no difficulty making enough milk. Twenty-five percent considered sharing. Primiparous women (odds ratio [OR]=2.12; 95% confidence interval [CI] 1.02, 4.62) and those who delivered preterm (OR=3.27; 95% CI 1.38, 7.30) were more likely to consider feeding milk from another mother. Women with public/no insurance (OR=0.52; 95% CI 0.27, 0.97) were less likely to consider providing milk for someone else; highly educated women were more likely (OR=1.90; 95% CI 1.12, 3.32). Almost 4% of women shared milk and did so among friends or relatives or had a preterm infant who received screened and pasteurized donor milk.
  
  
  CONCLUSIONS
  Sharing milk among friends and relatives is occurring. Many women are aware of milk sharing and have considered it.
authors.affiliation: 1 Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital , Columbus, Ohio.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Keim
authors.forename: Kelly A
authors.initials: KA
authors.lastname: McNamara
authors.forename: Chelsea E
authors.initials: CE
authors.lastname: Dillon
authors.forename: Katherine
authors.initials: K
authors.lastname: Strafford
authors.forename: Rachel
authors.initials: R
authors.lastname: Ronau
authors.forename: Lara B
authors.initials: LB
authors.lastname: McKenzie
authors.forename: Sheela R
authors.initials: SR
authors.lastname: Geraghty
mesh_terms: D000328:Adult; D001364:Awareness; D001903:Bottle Feeding / Q000379:methods / Q000523:psychology*; D001942:Breast Feeding / Q000379:methods / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017784:Milk Banks / Q000706:statistics & numerical data*; D008895:Milk, Human; D009035:Mothers / Q000523:psychology*; D009820:Ohio / Q000453:epidemiology; D011247:Pregnancy; D012189:Retrospective Studies; D012959:Socioeconomic Factors