Qualification criteria

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Exclusion criteria

To ensure the safety of medically fragile infants who receive donor milk, certain health and lifestyle factors may make someone ineligible to donate.

Please take a moment to carefully review the following. If any of these statements apply to you, you may not be eligible to donate at this time.

Health & Lifestyle Disqualifiers

Medical & Body Modifications
You are ineligible to donate if you have:

  • Had a blood transfusion in the last 4 months
  • Had an organ or tissue transplant in the last 12 months
  • Had tattooing, piercing, or permanent makeup in the last 12 months using non-sterile tools
  • Had an accidental needle stick in the last 12 months

Substance Use
You are ineligible to donate if you:

  • Consume more than 1 standard drink in a 24-hour period. 

(1 standard drink = 12 oz beer at 5% ABV, 5 oz wine at 12% ABV, or 1.5 oz hard liquor at 40% ABV)

  • Use illegal drugs
  • Use tobacco or nicotine (including gum or patches)
  • Use marijuana or THC (with or without a prescription)

Medications & Supplements
You are ineligible to donate if you:

  • Take daily medications or herbal products not approved for donor milk
  • Take megadose vitamins (20 times the daily recommendation)

Health History
You are ineligible to donate if you have:

  • HIV, HTLV, Hepatitis B, or Hepatitis C
  • Active or past tuberculosis or malaria
  • Cancer, leukemia, or lymphoma within the last 3 years
  • Received human growth hormone or a brain tissue graft
  • A family history of Creutzfeldt-Jakob Disease (also known as Mad Cow Disease)

Partner Risk
You are ineligible to donate if, within the past 12 months, your sexual partner has:

  • Used illegal or non-prescription injection drugs
  • Been diagnosed with HIV, HTLV, or Hepatitis B or C
  • Received tattoos, piercings, or permanent makeup using non-sterile tools
  • Been incarcerated for more than 72 consecutive hours

Travel or Residence History
You are ineligible to donate if you have:

    • Lived in the UK from 1980–1996
    • Lived in France or Ireland from 1980–2001
    • Lived on U.S. military bases in Europe during high-risk periods
    • Received a blood transfusion in UK, France, or Ireland (1980–present)
       
       

Medications

Use of the following medications is acceptable:

  • Human insulin;
  • Thyroid replacement hormones;
  • Nasal sprays;
  • Asthma inhalers;
  • Topical treatments;
  • Eye drops;
  • Progestin-only birth control products and low-dose estrogen birth control products [Under 25mcg estrogen] including Loestrin 1/20, Alesse, Lybrel, Yaz, and Mercette; IUD
  • The use of other medications on a temporary basis may be acceptable if the appropriate deferral period is followed. For most medications, the deferral is five times the half-life of the medication. All use of medications must be reported and approved.

Temporary disqualification

Potential donors are excluded based on the following clinical issues unique to human milk:

  • Receipt of blood transfusion or blood products within the last 4 months;
  • Receipt of an organ or tissue transplant within the last 12 months;
  • Ears or other body piercings with other than single-use instruments, tattooing from a non-regulated site, permanent makeup applied by needle, or an accidental stick with a contaminated needle within the last 12 months;
  • Daily use of more than 2 ounces of hard liquor, or its equivalent, in 24 hours;
  • Daily use of over-the-counter medications or systemic prescriptions not permitted for donor milk;
  • Regular use of mega dose vitamins [at least 20 times the RDA] and/or herbal products used as medication, including vitamin/herb combinations;
  • Total vegetarians [vegans] who do not supplement their diet with vitamin B12;
  • Use of illegal drugs;
  • Use of tobacco or nicotine products, including gum and patches;
  • Consuming more than 300 mg of caffeine in a typical day;
  • Use of herbal galactagogues, such as fenugreek, brewers yeast, liquid gold supplements; 
  • Chronic infections [for example, HIV, HTLV, malaria, active TB, etc.], a history of hepatitis B or C, or a history of leukemia or lymphoma, or treatment for any other cancer within the last 3 years;
  • A sexual partner in the past 12 months who is at risk for HIV, HTLV, or hepatitis [including anyone with hemophilia or anyone who has used a needle for injection of illegal or non-prescription drugs];
  • A sexual partner in the past 12 months who has had within the same time period tattoos with non-sterile needles or multi-person use dyes from a non-regulated site, permanent makeup applied with non-sterile needles, ear or other body parts pierced with other than single-use instruments, or been accidentally stuck with a contaminated needle;
  • Incarceration or incarceration of sexual partner for more than 72 consecutive hours in the last 12 months;
  • Receipt of human pituitary-derived growth hormone, dura mater [or brain covering] graft, bovine insulin, or has a family history of Creutzfeldt-Jakob disease;
  • Spent a total of 3 months or more in the United Kingdom between 1990 and 1996;
  • Spent a total of five years or more in Europe from 1980 to the present;
  • Current or former US military personnel, civilian military employees or their dependents who resided at US military bases in Northern Europe [Germany, UK, Belgium, and the Netherlands] for a total of six months or more from 1980 through 1990, or elsewhere in Europe [Greece, Turkey, Spain, Portugal, and Italy] from 1980 through 1996;
  • Received a blood or blood components transfusion in the UK or France since 1980.

Blood tests

Donor are required to complete a blood test at a Quest Diagnostics location with screens for the following:

  • HIV I/II
  • HTLV I/II
  • Hepatitis C
  • Hepatitis B
  • Syphilis

Negative test results do not require confirmatory testing. Positive or indeterminate result of a screening test is a reason for deferral and/or donor disqualification. Donors are deferred indefinitely for any positive result on a diagnostic/confirmatory serological test. A donor deferred for positive blood testing is to be referred to a health care provider of her choice for follow-up, and a copy of the lab work sent to her provider. Any milk held from a potential donor under these circumstances is disposed of according to institutional protocols.

Drug tests

Donated milk undergoes a comprehensive in house drug screening prior to acceptance:

  • Amphetamines;
  • Opiates;
  • Cocaine metabolites;
  • Phencyclidine;
  • Marijuana metabolites (via a urine screen at the same appointment time and location as the blood test).