The Decision to Donate Breast Milk in the Context of Perinatal Loss. Review of the Literature

Abstract

Introduction. Perinatal loss is a profoundly stirring event that affects various areas of society, from women and their partners to health professionals and society as a whole. Unfortunately, in caring for women experiencing perinatal bereavement, information and support related to breastfeeding is often overlooked, which can increase their feelings of grief and anxiety. However, breast milk donation has been recognised as a valuable option that can play a significant role in the bereavement process. Aim. To review the existing literature on the impact of milk donation after perinatal loss, its role in the bereavement process and its implications. Methods. Literature search of PubMed, Cochrane and PsycINFO databases to identify studies addressing milk donation, perinatal loss and women’s experiences. Results. Based on seven qualitative papers, they highlighted the need for breastfeeding support for mothers in perinatal bereavement, as well as the lack of sensitive and non-judgmental communication by health professionals. Conclusion. Breastfeeding can play an essential role in the perinatal bereavement process, validating maternal identity and generating meaningful memories. The importance of addressing breastfeeding inhibition on an individualised basis and improving the training of health professionals to provide comprehensive support is emphasised.

Keywords

• breastfeading;
• grief;
• perinatal death;
• donation;
• perinatal loss;
• perinatal grief;
• lactation;
• stillbirth